• Title/Summary/Keyword: Framingham risk score

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Effect of Individualized Education-counseling Program on Cardiovascular Risk and Health Behavior in Patients with Percutaneous Coronary Intervention (관상동맥중재술 후 개별화된 교육-상담 프로그램이 심혈관위험도 및 건강행위에 미치는 효과)

  • Cho, Hwa Young;Woo, Soo Hee
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.254-262
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    • 2023
  • Purpose: This study was to determine the effect of Individualized education-counseling program on the performance of Health behavior and Cardiovascular risk after discharge inpatients with percutaneous coronary intervention. Methods: This study is a quasi-experimental study of the non-equivalence control group and the subjects of this study were patients who underwent percutaneous coronary intervention for coronary artery disease and had no complications due to severe arrhythmia or heart failure. The purpose of the study was explained to the subjects who met the selection conditions, and written consent was obtained, and 50 randomized experimental groups and 50 control groups were selected and assigned. Results: Compared to the control group, health behaviors were significantly higher after 1 week (F=33.63, p<.001) and 12 weeks (F=23.63, p<.001). The cardiovascular risk score based on Framingham risk score differed significantly depending on the measurement period (F=26.18, p<.001), there was no significant difference in the interaction between the two groups and the measurement period (F=0.72, p=.469). Conclusion: It was confirmed that the Individualized education counseling program provided to patients with Percutaneous coronary intervention was effective in increasing the subject's health behavior, but not in lowering the cardiovascular risk.

The Effects of 12-Week Training for the Physical Fitness and Cardiovascular Factors to Examine Physical Fitness on Firefighters Test-Taker (소방공무원 수험생의 체력검정을 위한 12주간 훈련이 체력요인, 심혈관계요인에 미치는 영향)

  • Lim, Youn-Sub;Park, Jin-Hong;Kim, Jong-Hyuck;Kim, In-Dong;Kim, Jae-Joong;Park, Jeong-Beom;Lee, Chae-Mun
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.111-126
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    • 2021
  • The purpose of this study was to investigate the effects of 12-week training on changes in physical fitness and cardiovascular factors for firefighters. For this purpose, 40 men in their 20s and 30s who agreed to participate voluntarily were recruited. They were divided into four groups: the firefighters' physical fitness test training group (hereinafter referred to as PT group), firefighters' physical fitness test and aerobic training group (hereinafter referred to as PT+AR group), firefighters' physical fitness test and both aerobic and anaerobic training group (hereinafter referred to as PT+CO group). Physical fitness factors (grip strength, back muscle strength, seated forward bend, standing long jump, sit-ups, 20-meter shuttle run), cardiovascular factors (total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, glucose, waist circumference, systolic blood pressure, diastolic blood pressure) and the relationship between Framingham Heart Risk Score and physical/cardiovascular factors were compared and analyzed, and the following conclusions were obtained. Aerobic training, anaerobic training, and combined training, including 12 weeks of firefighter physical examinations, all had positive effects on fitness and cardiovascular factors, which would be an appropriate way for firefighter examinees to improve physical strength and reduce the risk of cardiovascular disease.

Nutritional Intake Status according to the Risk of Diabetic Complications in Type 2 Diabetes Patients (제2형 당뇨병 환자의 영양섭취와 당뇨 합병증 위험도)

  • Lee, Sangeun;Lee, Haejung;Park, Gaeun;Lee, Dae Eun;Lee, Min Jin;Khang, Ah Reum
    • Journal of Korean Biological Nursing Science
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    • v.24 no.3
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    • pp.171-180
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    • 2022
  • Purpose: The purpose of this study was to investigate the nutritional intake status, according to the risk of diabetic complications in Type 2 diabetes patients. Methods: This was a secondary data analysis study that included 83 patients. The nutritional intake was assessed, using 24-hour dietary recall. The risk of diabetic complications was measured, using the Framingham Risk Score (FRS) and Michigan Neuropathy Screening Instrument Questionnaire (MNSIQ). The nutritional intake was analyzed using the CAN-pro 4.0 program. Data were analyzed using descriptive statistics, Chi-square test, and Independent t-test, using the SPSS WIN 26.0 program. Results: The mean FRS and MNSIQ scores for the participants was 14.46± 4.09 and 2.30± 2.22, respectively. Thirty two participants (38.6%) were in the high-risk groups for cardiovascular disease and peripheral neuropathy. The participants consumed high amounts of grain and low amounts of vegetables, fruits, and dairy products when compared to the recommended intake. However, the nutritional intake did not differ according to FRS or MNSIQ levels. Consumption of vegetables and fruits were significantly different between high and low risk groups of MNSIQ. Conclusion: It is necessary to consider the composition of dietary intake to improve the imbalanced diet in Type 2 diabetes patients and prevent diabetic complications. Type 2 diabetes patients should reduce the intake of grains and sodium, and increase vegetable intake. More deliberate future studies are needed, to investigate the relationship between food intake and the risk status for diabetic complication.

Optimized Feature Selection using Feature Subset IG-MLP Evaluation based Machine Learning Model for Disease Prediction (특징집합 IG-MLP 평가 기반의 최적화된 특징선택 방법을 이용한 질환 예측 머신러닝 모델)

  • Kim, Kyeongryun;Kim, Jaekwon;Lee, Jongsik
    • Journal of the Korea Society for Simulation
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    • v.29 no.1
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    • pp.11-21
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    • 2020
  • Cardio-cerebrovascular diseases (CCD) account for 24% of the causes of death to Koreans and its proportion is the highest except cancer. Currently, the risk of the cardiovascular disease for domestic patients is based on the Framingham risk score (FRS), but accuracy tends to decrease because it is a foreign guideline. Also, it can't score the risk of cerebrovascular disease. CCD is hard to predict, because it is difficult to analyze the features of early symptoms for prevention. Therefore, proper prediction method for Koreans is needed. The purpose of this paper is validating IG-MLP (Information Gain - Multilayer Perceptron) evaluation based feature selection method using CCD data with simulation. The proposed method uses the raw data of the 4th ~ 7th of The Korea National Health and Nutrition Examination Survey (KNHANES). To select the important feature of CCD, analysis on the attributes using IG-MLP are processed, finally CCD prediction ANN model using optimize feature set is provided. Proposed method can find important features of CCD prediction of Koreans, and ANN model could predict more accurate CCD for Koreans.

Relations between Normal Serum Gamma-glutamyltransferase and Risk Factors of Coronary Heart Diseases according to Age and Gender (연령과 성별에 따른 정상 혈청 Gamma-glutamyltransferase와 관상동맥질환 위험인자와의 관계)

  • Kwon, Se Young;Na, Young Ak
    • Korean Journal of Clinical Laboratory Science
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    • v.48 no.1
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    • pp.22-29
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    • 2016
  • Serum gamma-glutamyltransferase (GGT) has been widely used as a marker of alcohol intake and liver failure. Recently, the relativity between GGT and various diseases has been identified with growing interest. In this study, we examined relativity between GGT value and risk factors of coronary heart diseases among those with normal GGT value, excluding heavy drinkers. Specifically, we compared the differences based on age and gender. Data from the 2011 KNHNES were used (N=3,619). When the subjects were categorized according to quartile based on the serum GGT levels, there was 10~20, 21~27, 28~38, 39~71 IU/L in men, and 6~12, 13~16, 17~22, 23~42 IU/L in women. The mean of most variables was the highest in the $4^{th}$ quartile (Q4), however age and LDL Cholesterol were the highest in the $2^{nd}$ quartile (Q2) in men. The FRS and 10-year CHD risk was the highest in the $2^{nd}$ quartile in men, and the highest in the $4^{th}$ quartile in women. Increased GGT was correspondingly linked with age in women but age was the highest in GGT in the $2^{nd}$ quartile in men. In the 70's, the highest Q1 and Q2 was in men and the highest Q3 and Q4 in women. Although GGT value was within the normal range, increased GGT showed correlation with various risk factors. The FRS and 10-year CHD risk showed different patterns according to age and gender along with increased GGT value.

Relationship between Type A Behavior Pattern and Diabetes According to Sasang Constitution (사상체질에서 A형 행동유형과 당뇨병에 관한 연구)

  • Lee, Sang-Jun;Yoo, Jun-Sang;Koh, Sang-Baek;Park, Jong-Ku
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.1
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    • pp.197-216
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    • 2009
  • 1. Objectives This study is to investigate the relationship between type A behavior pattern(TABP) and diabetes according to Sasang Constitution. 2. Methods 162 persons(81 IGM persons vs 81 normal persons) out of 666 persons, more than 40 years old, who participated the community based cohort in Wonju City of South Korea from July 2nd to August 30th in 2006, were randomly selected and analyzed. Framingham Type A score, Social Support index, glucose related laboratory results were measured and analyzed according to Sasang Constitution. 3. Results Soeumin in IGM group had significantly high scores in FTA scales compared with Soyangin and Taeeumin, bur in female IGM group and normal group there was no significant difference in FTA scales and TABP frequency by Sasang Constitution. There was no significant difference in social support index in IGM and normal group by Sasang Constitution. There was no significant difference in glucose-related values between TABP/TBBP in IGM group and normal group. Soyangin in female IGM group had significantly high values in insulin(fasting) and HOMA-IR in TABP group, Soeumin group had significantly high values in FBS in TABP group. According to binary logistic regression analysis for IGM, Sasang Constitution was a significant risk factor and the ORs of Taeeumin and Soyangin were significantly higher than that of Soeumin. Social Support index was significantly higher only in female group. 4. Conclusions Adequate questionnaire of TABP for our country or a research of another subjects are needed. And Sasang Constitution is thought to be the reasonable intervention to control diabetes in terms of prevention, treatment and regimen.

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The Characteristics of Hwa-byung Patients Based on Hwa-byung Epidemiologic Data (화병역학연구 자료를 기반으로 한 화병 환자의 특성)

  • Kim, Jong-Woo;Chung, Sun-Yong;Suh, Hyun-Uk;Jung, In-Chul;Lee, Seung-Gi;Kim, Bo-Kyoung;Kim, Geun-Woo;Lee, Jae-Hyuk;Kim, Lak-Hyung;Kim, Tae-Heon;Kang, Hyung-Won;Kim, Se-Hyun
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.2
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    • pp.157-169
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    • 2010
  • Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.