• Title/Summary/Keyword: Health assessment

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The effects of Cox distraction manipulation on functional assessment measures and disc herniation index in patients with L4-5 herniated disc (칵스 신연교정이 L4-5 추간판 탈출증 환자의 기능적 평가측정과 추간판탈출지수에 미치는 효과)

  • Kwon, Won-An;Ryu, Young-Sang;Ma, Sang-Yeol
    • Journal of the Korean Data and Information Science Society
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    • v.23 no.4
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    • pp.727-738
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    • 2012
  • The purpose of the present study was to determine the effect of a 4 week course of Cox distraction manipulation (CDM) combined with therapeutic modalities on the treatment of patients with L4-5 herniated nucleus pulposus (HNP). A total of 15 patients with L4-5 HNP (mean age, 37.76 years; age range 20-50years) participated in the study. A 4 week course of CDM combined with therapeutic modalities was delivered to the patients for 6 days per week for the first two weeks, and three times per week for two additional weeks. The entire treatment consisted of 18 visits over 4 week period. Comparisons of changes in the muscle strengthening (MS), straight leg raise (SLR), and oswestry disability index (ODI) at pre-intervention, after two weeks treatment sessions, and at discharge (after 18 treatment sessions) were analyzed. Comparisons of changes in the disc herniation index (DHI) at pre-intervention and at discharge were analyzed using the paired t-test. There were significant improvements in the outcome measures of MS Ibs, SLR test, and ODI score after 2 weeks and 4 weeks sessions of CDM combined with therapeutic modalities as compared with the pre-intervention. However, no significant different pre-test and post-test DHI. CDM combined with therapeutic modalities appears to be a safe and efficacious, noninvasive treatment modality for patients with L4-5 HNP.

Quality of Life in Chronic Viral B Hepatitis Patients (만성(慢性) B형(型) 간염환자(肝炎患者) 삶의 질(質))

  • Kim, Hun-Soo;Lee, Min-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.35-45
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    • 1998
  • Objectives : The purpose of this study was to determine correlation between coping strategies to disease and quality of life in chrome viral B hepatitis patients ; to investigate difference of coping strategies to disease and quality in life between chronic viral B hepatitis patients and normal persons ; and to identify major variables related to quality in life of chronic viral B hepatitis patients. Methods: The authors used Weisman coping strategy scale for measuring coping ability and efficacies, and the questionnaire for measuring quality of life including physical, psychological, social and economical aspects and satisfaction of sexual life was made by authors based on related literatures. Data were collected through questionnaire survey over a period from Sep 15, 1994 to Nov 11, 1994. Subjects served for this study consisted of 94 chronic viral B hepatitis patients visited to department of internal medicine at one general hospital and 100 normal persons visited to one general hospital for routine check up of health. The collected data were analyzed by SAS and the statistical methods for analysis were Chisquare, t-test and multiple regression analysis. Results : 1) It was revealed that coping strategies to disease significantly correlated to individual's quality of life. 2) There was no significant difference in coping strategies to disease between chronic viral B hepatitis patients and normal persons. However, chronic viral B hepatitis patients showed the lower scroes of quality of life in physical, psychological and economical aspects. 3) The most important variables which were influenced upon quality of life were coping strategies to disease and satisfaction of sexual life. That is, the more active coping strategies to diseases and the higher satisfaction of sexual life, consequently the higher quality of life was. Especially male patient group or normal persons showed each other the higher scores of quality of life in physical and psychological area than female group or patient group. 4) No statistically significant difference in coping strategies to disease and quality of life was found between HBeAg positive group and HBeAg negative group. Conclusions : The authors suggest that chronic viral B hepatitis patients may show the lower score of quality of life than normal person. Therefore, quality of life assessment should become an integral part of all clinical area that seek to assess the effectiveness of treatment. Also, through the interdisciplinary approach, a comprehensive paradigm that can better account for the effects of chronic disease on the individual' s quality of life should be developed.

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Potential Human Health and Fish Risks Associated with Hypothetical Contaminated Sediments Using a Risk Assessment Model ($TrophicTrace^{(R)}$) (위험평가모형($TrophicTrace^{(R)}$)을 이용한 가상 해양오염퇴적물의 쥐노래미와 인체 영향 예비평가)

  • Yang, Dong-Beom;Hong, Gi-Hoon;Kim, Kyung-Ryon
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.1
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    • pp.60-70
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    • 2011
  • The sediment removal index derived from the chemical contaminants, $CI_{HC}$, is currently in use to identify and define the spatial extent of the contaminated sediments in the sea. In order to analyze the sensitivity of the ecological and human risk associated with contaminated sediment, we evaluated five hypothetical contaminated sediments, whose $CI_{HC}$ values are identical but consisted of different contaminant contents, using $TrophicTrace^{(R)}$ model dedicated to evaluate sediment risk, against the resident greenling (Hexagrammos otakii) and humans by calculating No-Observed-Adverse-Effect-Level based Toxicity Quotient (NOAEL TQ) and Lowest-Observed-Adverse-Effect-Level based Toxicity Quotient (LOAEL TQ), and cancer risks and hazard indices (HI), respectively, based on the site conceptual model and exposure assumptions of fish ingestion to human receptor populations. NOAEL and LOAEL TQ values varied as much as a factor of 2 among 5 hypothetical sediments. Chemical element specific contribution to the carcinogenic risk and HI varied also greatly in these sediments. The reason for this significant dissimilarity in ecological and human risk stems from the different risk of each contaminant to the resident fish and human receptor. When the conceptual food web model is constructed for the target biological species for a given site, the ecological and human risk analysis considering trophic transfer of contaminants will add a ecosystem based tool for the management of contaminated sediments.

Evaluation of Groundwater Contamination Potential of Pesticides Using Groundwater Ubiquity Score in Jeju Island Soils (Groundwater Ubiquity Score를 이용한 제주도 토양 특성별 농약의 지하수 오염가능성 평가)

  • Hyun, Hae-Nam;Jang, Gong-Man;Oh, Sang-Sil;Chung, Jong-Bae
    • The Korean Journal of Pesticide Science
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    • v.11 no.3
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    • pp.144-153
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    • 2007
  • One of the most recent issues facing the pesticides regulatory process is the assessment of the potential for pesticides to leach through soil and appear in groundwater. Since Jeju island depends on a hydrogeologically vulnerable aquifer system as its principle source of drinking water, it is important to identify which pesticides are the most likely to result in groundwater contamination. The objective of this study was to assess groundwater contamination risk of 21 pesticides (12 insecticides, 6 herbicides and 3 fungicides) in Jeju soils using groundwater ubiquity score (GUS). Considering GUS estimated in 21 representative series of Jeju soils, generally herbicides showed relatively higher leaching potentials and insecticides showed lower leaching potentials. Groundwater contamination risk was higher in the order of bromacil > metolachlor > alachlor > linuron pretilachlor > butachlor for herbicides, carbofuran > ethoprophos > diazinone > dimethoate > penthoate > mecarbam > methidathion > endosulfan > fenitrothion > parathion > chlorpyrifos > terbufos for insecticides, and metalaxyl > chlorothalonil > triadimefon for fungicides. Among the tested pesticides alachlor, metolachlor, bromacil, ethoprophos and carbofuran were classified as the pesticides of very high or high groundwater contamination potential. Although the ranking of the leaching potential was essentially determined on the base of the intrinsic properties of the chemicals and environmental properties, variation of the relative groundwater contamination potentials of each pesticides in different soils were not significant. Therefore, the above ranking of groundwater contamination risk would be applied in most of Jeju soils. To lower the possibility of pesticide contamination of groundwater, the use of those pesticides classified as high or very high leaching potential should be strictly regulated in Jeju Island.

Assessment of Isokinetic Muscle Function in Elite Canadian College Paddlers (대학 엘리트 카나디언 선수들의 어깨·허리·무릎 관절의 등속성 근기능 평가 및 진단)

  • Shin, Kwang-Taek;An, Chang-Gyu;Sohn, Jee-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.229-238
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    • 2013
  • The aim of this study is to evaluate university canadian paddlers' iso-kinetic muscle function and provide training advices. Eight university paddlers with a 8.5 years career participated in this study. Inbody 720, biodex system III, biodex stabilizer system and THP 2 are used to investigate body component, muscle function(peak torque, average power and work fatigue), agility and dynamic balance. Iso-kinetic muscle function around shoulder, thorax and knee are measured. And then bilateral and unilateral muscle imbalance are calculated at each joint. Results of this study are as follows; University canadian paddlers' BMI average is 24.90 $kg/m^2$ and percent body fat is 12.23%. Reaction time average was 324 msec and balance score at each leg are below 2.0. A3, A4, A5, A6, A8 are needed to train shoulder muscle strength and power. A1, A2, A7, A8 are needed to strengthen shoulder muscle endurance. A2, A5, A8 are needed to train thorax muscle strength and power. A1, A8 are needed to strengthen thorax muscle endurance. Most of paddlers' reciprocal muscle balance ratio on thorax and knee are out of normal range. A2, A3, A4, A8 are needed to train abdominal strength and A3, A5, A6, A7, A8 are needed to train hamstring strength.

Theory of X-ray microcomputed tomography in dental research: application for the caries research (치과 분야 연구에서 미세전산화 단층촬영술의 이론: 치아우식증에 대한 적용)

  • Park, Young-Seok;Bae, Kwang-Hak;Chang, Ju-Hea;Shon, Won-Jun
    • Restorative Dentistry and Endodontics
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    • v.36 no.2
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    • pp.98-107
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    • 2011
  • Caries remains prevalent throughout modern society and is the main disease in the field of dentistry. Although studies of this disease have used diverse methodology, recently, X-ray microtomography has gained popularity as a non-destructive, 3-dimensional (3D) analytical technique, and has several advantages over the conventional methods. According to X-ray source, it is classified as monochromatic or polychromatic with the latter being more widely used due to the high cost of the monochromatic source despite some advantages. The determination of mineral density profiles based on changes in X-ray attenuation is the principle of this method and calibration and image processing procedures are needed for the better image and reproducible measurements. Using this tool, 3D reconstruction is also possible and it enables to visualize the internal structures of dental caries. With the advances in the computer technology, more diverse applications are being studied, such automated caries assessment algorithms.

The clinical utilization of radiation therapy in Korea between 2009 and 2013

  • Kang, Jin-Kyu;Kim, Mi-Sook;Jang, Won-Il;Seo, Young Seok;Kim, Hee Jin;Cho, Chul Koo;Yoo, Hyung Jun;Paik, Eun Kyung;Cha, Yu Jin;Song, Hyun Jin
    • Radiation Oncology Journal
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    • v.34 no.2
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    • pp.88-95
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    • 2016
  • Purpose: The purpose of this study was to estimate the clinical utilization of radiation therapy (RT) in Korea between 2009 and 2013. Materials and Methods: We analyzed open claims data from the Health Insurance Review and Assessment Service. The subjects were patients who had diagnostic codes C00-C97 or D00-D48 according to the 10th revision of the International Classification of Diseases, with procedure codes indicating RT treatment. Results: The total number of patients who received RT in 2009, 2010, 2011, 2012, and 2013 were 45,571, 49,593, 54,671, 59,172, and 61,485, respectively. Among them, the total numbers of male and female patients were 20,780/24,791 in 2009, 22,711/26,882 in 2010, 24,872/29,799 in 2011, 27,101/32,071 in 2012, and 27,941/33,544 in 2013. The five cancers that were most frequently treated with RT between 2009 and 2012 were breast, lung, colorectal, liver, and uterine cervical cancers. However, the fifth most common cancer treated with RT that replaced uterine cervical cancer in 2013 was prostate cancer. The three leading types of cancer among the male patients were lung, colorectal, and liver cancers, whereas in female patients, they were breast, uterine cervical, and lung cancers. The type of cancer most commonly treated by RT was cancer of the central nervous system in patients aged 20 years or less, breast cancer in patients aged 30-50 years, and lung cancer in patients aged 60 years or more. Conclusion: Data from this study provided the clinical utilization of RT in Korea between 2009 and 2013.

A Study on Characteristics and Predictions of Seasonal Chlorophyll-a using Bayseian Regression in Paldang Watershed (베이지안 추정을 이용한 팔당호 유역의 계절별 클로로필a 예측 및 오염특성 연구)

  • Kim, Mi-Ah;Shin, Yuna;Kim, Kyunghyun;Heo, Tae-Young;Yoo, Moonkyu;Lee, Su-Woong
    • Journal of Korean Society on Water Environment
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    • v.29 no.6
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    • pp.832-841
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    • 2013
  • In recent years, eutrophication in the Paldang Lake has become one of the major environmental problems in Korea as it may threaten drinking water safety and human health. Thus it is important to understand the phenomena and predict the time and magnitude of algal blooms for applying adequate algal reduction measures. This study performed seasonal water quality assessment and chlorophyll-a prediction using Bayseian simple/multiple linear regression analysis. Bayseian regression analysis could be a useful tool to overcome limitations of conventional regression analysis. Also it can consider uncertainty in prediction by using posterior distribution. Generally, chlorophyll-a of a P2(Paldang Dam 2) site showed high concentration in spring and it was similar to that of P4(Paldang Dam 4) site. For the development of Bayseian model, we performed seasonal correlation. As a result, chlorophyll-a of a P2 site had a high correlation with P5(Paldang Dam 5) site in spring (r = 0.786, p<0.05) and with P4 in winter (r = 0.843, p<0.05). Based on the DIC (Deviance Information Criterion) value, critical explanatory variables of the best fitting Bayesian linear regression model were selected as a $PO_4-P$ (P2), Chlorophyll-a (P5) in spring, $NH_3-N$ (P2), Chlorophyll-a (P4), $NH_3-N$ (P4) in summer, DTP (P2), outflow (P2), TP (P3), TP (P4) fall, COD (P2), Chl-a (P4) and COD (P4) in winter. The results of chlorophyll-a prediction showed relatively high $R^2$ and low RMSE values in summer and winter.

Improved Socio-Economic Status of a Community Population Following Schistosomiasis and Intestinal Worm Control Interventions on Kome Island, North-Western Tanzania

  • Mwanga, Joseph R.;Kaatano, Godfrey M.;Siza, Julius E.;Chang, Su Young;Ko, Yunsuk;Kullaya, Cyril M.;Nsabo, Jackson;Eom, Keeseon S.;Yong, Tai-Soon;Chai, Jong-Yil;Min, Duk-Young;Rim, Han-Jong;Changalucha, John M.
    • Parasites, Hosts and Diseases
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    • v.53 no.5
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    • pp.553-559
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    • 2015
  • Research on micro-level assessment of the changes of socio-economic status following health interventions is very scarce. The use of household asset data to determine wealth indices is a common procedure for estimating socio-economic position in resource poor settings. In such settings information about income is usually lacking, and the collection of individual consumption or expenditure data would require in-depth interviews, posing a considerable risk of bias. In this study, we determined the socio-economic status of 213 households in a community population in an island in the north-western Tanzania before and 3 year after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention to control schistosomiasis and intestinal worm infections. We constructed a household 'wealth index' based housing construction features (e.g., type of roof, walls, and floor) and durable assets ownership (e.g., bicycle, radio, etc.). We employed principal components analysis and classified households into wealth quintiles. The study revealed that asset variables with positive factor scores were associated with higher socio-economic status, whereas asset variables with negative factor scores were associated with lower socio-economic status. Overall, households which were rated as the poorest and very poor were on the decrease, whereas those rated as poor, less poor, and the least poor were on the increase after PHAST intervention. This decrease/increase was significant. The median shifted from -0.4376677 to 0.5001073, and the mean from -0.2605787 (SD; 2.005688) to 0.2605787 (SD; 1.831199). The difference in socio-economic status of the people between the 2 phases was highly statistically significant (P<0.001). We argue that finding of this study should be treated with caution as there were other interventions to control schistosomiasis and intestinal worm infections which were running concurrently on Kome Island apart from PHAST intervention.

Effect of Heel-heights of Insole on Balance in Healthy Adults (정상성인의 인솔 높이가 균형에 미치는 영향)

  • Oh, Myoung-Hwa;Lee, Jeon-Hyeong;Kwon, Yoo-Jung;Lee, Jong-Dae;Lee, Myoung-Hee;Kim, Kyung
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.2
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    • pp.79-86
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    • 2009
  • Purpose:The purpose of this study was to investigated the effect of stability on heel-heights of insole in healthy adults. Methods:Subjects of 39 males measured stability index of the Biodex Stability System(BSS) by wearing shoes of 2cm, 5cm insoles including bare feet. The BSS was consisted of a movable balance platform and the platform was interfaced with computer software that enables the device to serve as an assessment of balance performance. Stability index of the BSS included overall stability index(OSI), anteroposterior stability index(APSI), mediolateral stability index(MLSI). In the BSS, subjects were asked to step on to the platform of the BSS and assume a comfortable position while maintaining slight flexion in the knees, looking straight ahead. Subjects were trained for 10min for adaptation to the heel-height of insole and then they maintained double limb stance for 2min. Biodex platform set to convert Lv.8 into Lv.1 gradually. Results:There were statistically significant differences between heel-heights of insole and stability index of OSI, APSI, and MLSI(p<.05). The result of post-hoc test were as follows; 1)OSI had significant differences between bare feet and 2cm, 5cm. 2)APSI had significant differences between bare feet and 2cm, 5cm. 3)MLSI had significant differences between bare feet and 2cm, 5cm(p<.05). Conclusions:We found that the more heels of insole high, the more stability index increases. In particular, balance index of insole above 5cm more increased and we could acknowledge that the insole above 5cm more effected balance of healthy adults.

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