• 제목/요약/키워드: Medical illnesses

검색결과 207건 처리시간 0.027초

연세지역(延世地域)에 대(對)한 보건기초조사(保健基礎調査) (A Basie Health Survey of the Yonsei Community Health Service Area, Seoul)

  • 양재모;김명호
    • Journal of Preventive Medicine and Public Health
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    • 제1권1호
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    • pp.25-36
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    • 1968
  • Introduction In order to improve medical education through the introduction of a concept of comprehensive health care of a community, an area surrounding the University Campus was chosen for the Community Health Service Project. It has been on operation for last 4 years with its major emphasis on family planning services, and maternal and child health care. The major objectives of this survey at the area are to obtain: 1) The demographic data, 2) The health need and trend of medical care, 3) The attitude and practice in maternity care to be used for further improvement of the planning and the services of the project. Population and Survey Method Out of three Dongs of the Community Health Service Area, only two Dongs namely Changchun and Yonhee were selected for the survey. Total number of households and population in the area studied was 3,683 and 21,857 respectively. An interview was performed with questionnaire schedule which was recorded by interviewers. This includes the degree of utilization of health services provided by the Community Health Service Program such as family planning, prenatal care during their last pregnancy, delivery history and complications of the delivery as well as the incidence of illnesses in general. Prior to the interview, all interviewers were trained for interviewing technique for two days. The survey was carried out during the period from October December 1967. Results 1) Demographic Data : 41.3% of the population studied were children under age 15 and only 3.5% were over 60 years of age. Crude birth rate and crude death rate of this area studied during the period of November 1966-October 1967 were 20.5 and 7.7 respectively. Infant mortality rate during the same period was 35.9. 50.4% of the 2,832 households fell into the category of middle class, 39.8% to the lower class and 9.5% to the upper class in economic condition. 19.8% of 2,832 householders had no formal education, 22.7% primary school, and 57.5% middle or higher school education. 2) Health Status and Utilization of the Community Health Service: Those who suffered from many illnesses during the month of October, 1967 were 690(4.6% of 14,891 persons). Classification of these patients into the type of disease shown respiratory diseases 27.4%, gastrointestinal diseases 18.1%, tuberculosis 10.9%, skin and genitourethral diseases 4.5% and gynecologic patients 4.5%. Only 55.9% of the patients received medical care at hospital or doctor's clinic. But among TB and gynecologic patients, 70.7% and 72.4% were treated at medical facilities. 10.6% of 2,832 householders interviewed has ever utilized the Community Health Service Program provided by the Yonsei Medical School, Classifying these clients into the type of service, 35.9% utilized the wellbaby clinic, 31.0% the family planning clinic, 14.7% the home delivery care, and the rest utilized other services such as the premarital guidance cinlic and the sanitary inspection service. 3) Maternity Care: 23.6% of 2,151 deliveries were done at medical facilities such as hospital, private clinic, while 76.4% were done at home. Acceptance rate of prenatal care was 32.6% as whole, but 49.6 of 774 women who had the prenatal care service had their deliveries at medical facility. 45.1% of total deliveries were attended by medical and or paramedical personnel. 75.8% of the deliveries of those received prenatal care were attended by medical and or paramedical personnel while only 27.8% of the deliveries of those who did not have prenatal care attended by medical and or paramedical personnel. 49.8% of deliveries of the upper class, 29.8% of the middle class and 9.9% of the lower class were attended by medical and or paramedical personnel. 6.2, 3.3% and 24.8% of mothers reported about their xeperience of edema, coma and fever during the period of trimester of pregnancy and puerperium. 4) Family Planning: The rate of practice of family planning was 27.9%. 31.7% of them were by IUD, 2.9% by oral pill, 15.2% by sterilization and the rest by traditional methods. Those women who had 3 to 4 children had highest(30.2%). Practice rate among the various methods of family planning, oral pill was the most popular method to whom had 2 or less children. In relation between the practicing rate of family planning and living standard, the upper, middle and lower class practiced 37.5, 29.4 and 19.9% respectively.

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Study on bubble detection sensor for safe sap and blood injection

  • Yun, Young Gi;Lee, Hoo Young;Park, Koo Rack
    • 한국컴퓨터정보학회논문지
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    • 제22권9호
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    • pp.149-154
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    • 2017
  • The infusion of fluid and blood is necessary in the ward, operating room, recovery room, neonatal room, etc. for nutrition and blood supply to the patient, but air bubbles generated during infusion of fluid and blood circulate along the artery or vein. Serious illnesses occur and there is also a risk of death. In this paper, we propose a medical bubble detection system, a bubble detection system, a bubble detection alarm system, and a communication method in order to develop a safer fluid and blood injection system in the existing system, which is detected by a medical staff monitoring system or an ultrasonic bubble detection sensor In this study, infrared rays are transmitted to a tube through a tube for injecting fluid or blood into a patient, infrared rays transmitted by an infrared ray emitting section are received, and the amount of light is measured in real time. Based on the data, we study how to detect and analyze the presence of bubbles in fluid and blood.

조현병 외래 환자의 아동기 외상과 대사증후군 및 신체 건강과의 관계 (Childhood Trauma, Metabolic Syndrome, and Physical Health among Outpatients with Schizophrenia)

  • 정태화;김대호
    • 생물정신의학
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    • 제24권4호
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    • pp.196-203
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    • 2017
  • Objectives Childhood trauma increases substantial risks for later developing not only mental health issues including psychotic illnesses such as schizophrenia but also physical illness. In this study, possible associations of childhood trauma with metabolic syndrome and physical heath indices were tested among outpatients with schizophrenia. Methods A final sample of 46 adult outpatients with schizophrenia was recruited from an outpatient psychiatric unit of Hanyang University Guri Hospital. Participants completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), laboratory tests and physical measurement including Body Mass Index (BMI) and Waist to hip ratio (WHR). The Clinical Global Impression (CGI) scale and the Global Assessment of Functioning scale (GAF) were also administered. Results We did not find significant correlations between total scores of childhood trauma and any of these variables, but physical neglect was negatively associated with BMI (r = -0.329, p = 0.026) and waist circumference (r = -0.304, p = 0.040). Conclusions In this preliminary study, we noted that subtypes of childhood trauma could contribute to physical health status separately. Clinicians need to consider the possibility that childhood trauma may affect physical health as well as psychological aspect of schizophrenic illness.

Idiopathic Ninth, Tenth, and Twelfth Cranial Nerve Palsy with Ipsilateral Headache: A Case Report

  • Sun, Seung-Ho
    • 대한약침학회지
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    • 제15권4호
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    • pp.66-71
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    • 2012
  • Objective: This case report is to report the effect of Korean traditional treatment for idiopathic ninth, tenth, and twelfth cranial nerve palsy with ipsilateral headache. Methods: The medical history and imaging and laboratory test of a 39-year-old man with cranial palsy were tested to identify the cause of disease. A 0.2-mL dosage of Hwangyeonhaedoktang pharmacopuncture was administered at CV23 and CV17, respectively. Acupuncture was applied at P06, Li05, TE05, and G37 on the right side of the body. Zhuapiandutongbang (左偏頭痛方) was administered at 30 minutes to 1 hour after mealtime three times a day. The symptoms were investigated using Visual Analogue Scale (VAS). Results: The results of magnetic resonance imaging (MRI), computed tomography (CT), and laboratory tests were normal. The medical history showed no trauma, other illnesses, family history of diseases, medications, smoking, drinking and so on. All symptoms disappeared at the 10th day of treatment. Conclusion: Korean traditional treatment such as acupuncture, pharmcopuncture, and herbal medicine for the treatment of ninth, tenth, and twelfth cranial nerve palsy of unknown origin is suggested to be effective even though this conclusion is based on a single.

반지 형태의 웨어러블 헬스케어 디바이스 개발 (Development of a Ring-type Wearable Healthcare Device)

  • 백현재;조재걸
    • 전기학회논문지
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    • 제67권7호
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    • pp.892-897
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    • 2018
  • Due to population aging, an increase in the number of patients with chronic illnesses, and an increase in the number of single-person households, monitoring of health status in everyday life without the need for a hospital has become very important. For this reason, researches on various health care devices have been attempted, among which wearable devices are attracting much attention. In this paper, we propose a new ring-type wearable device for next generation healthcare. On the inner side of the ring, a metal electrodes for GSR measurement and an optical sensor for measurement of pulse wave signals of two wavelengths of red and near-infrared light were mounted. In addition, it was equipped with an acceleration sensor, and information about the degree of motion could be obtained. In this paper, it is shown that a health monitoring device can be implemented in the form of a ring, and the measured signals can be used to calculate heart rate, oxygen saturation, sleep time and sleep efficiency. Through the advanced algorithm, it is expected that we can extract various health information, especially sleep related health information by using the ring device, and it is also expected that it can contribute to the implementation of wearable healthcare effectively.

소아의 흔한 질병 상황에서 식이, 영양의 중요성 (The Importance of Nutritional Assessment and Dietary Counseling in Infants and Young Children with Common Illnesses)

  • 정수진
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제14권1호
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    • pp.33-44
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    • 2011
  • The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.

Beating Obesity: Factors Associated with Interest in Workplace Weight Management Assistance in the Mining Industry

  • Street, Tamara D.;Thomas, Drew L.
    • Safety and Health at Work
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    • 제8권1호
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    • pp.89-93
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    • 2017
  • Background: Rates of overweight and obese Australians are high and continue to rise, putting a large proportion of the population at risk of chronic illness. Examining characteristics associated with preference for a work-based weight-loss program will enable employers to better target programs to increase enrolment and benefit employees' health and fitness for work. Methods: A cross-sectional survey was undertaken at two Australian mining sites. The survey collected information on employee demographics, health characteristics, work characteristics, stages of behavior change, and preference for workplace assistance with reaching a healthy weight. Results: A total of 897 employees participated; 73.7% were male, and 68% had a body mass index in the overweight or obese range. Employees at risk of developing obesity-related chronic illnesses (based on high body mass index) were more likely to report preference for weight management assistance than lower risk employees. This indicates that, even in the absence of workplace promotion for weight management, some at risk employees want workplace assistance. Employees who were not aware of a need to change their current nutrition or physical activity behaviors were less likely to seek assistance. This indicates that practitioners need to communicate the negative effects of excess weight and promote the benefits of a healthy lifestyle to increase the likelihood of weight management. Conclusion: Weight management programs should provide information, motivation. and trouble-shooting assistance to meet the needs of at-risk mining employees, including those who are attempting to change and maintain behaviors to achieve a healthy weight and be suitably fit for work.

가구 구성원에 따른 미충족 의료 관련요인 (Factors Associated with Unmet Healthcare Needs According to Households)

  • 김윤정;최성지;황병덕
    • 보건의료산업학회지
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    • 제12권2호
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    • pp.39-49
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    • 2018
  • Objectives : In this study, we used the data of the 2015 National Health and Nutrition Survey in its 6th Phase, and the total number of subjects included was 4,884. Methods : Frequency analysis, crosstab and logistic regression analysis were conducted to investigate unmet medical factors related to family members. Results : The subjects of the study were 10.3% single-person households and 89.7% non-single-person households. There were statistically significant differences in age, education level, marital status, income level, private health insurance, and subjective health status. Factors associated with unmet healthcare needs according to single-person households was subjective health status. Age, gender, marital status and subjective health status were the factors associated with unmet healthcare needs according to non-single-person households. Conclusions : It is necessary to establish health care policies that can expand the health education necessary for providing appropriate information on medical care and improving awareness of social illnesses and improving affordability and convenience.

응급실 방문 노인 환자의 사망률 예측 (Mortality Prediction of Older Adults Admitted to the Emergency Department)

  • 박준혁;이성욱
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제7권7호
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    • pp.275-280
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    • 2018
  • 세계 인구의 고령화가 진행되는 오늘날 노인들을 위한 의료 서비스의 수요는 점차 증가할 것으로 보인다. 특히, 응급실을 방문하는 노인 환자는 일반 환자보다 다양한 질병을 갖고 있거나, 특이한 증상을 호소하는 등 복잡한 의학적, 사회적 및 신체적 문제를 가지고 있는 경우가 많다. 우리는 65세 이상의 응급실을 방문한 노인 환자의 사망률 예측을 위해 연령, 성별, 혈압, 체온, 혈액검사, 주증상명 등의 의료 데이터를 사용하였다. Feed Forward 신경망과 지지벡터기계를 각각 학습하여 사망률을 예측하고 그 성능을 비교하였다. 1개의 은닉층을 사용한 Feed Forward 신경망의 실험결과가 가장 좋았으며, 이 때 F1 점수는 52.0%, AUC는 88.6%이다. 좀 더 좋은 의료 자질을 추출하여 제안 시스템의 성능을 향상시킨다면 응급실에 방문한 노인 환자들을 위한 효과적이고 신속한 의료 자원 배분을 통해 더 좋은 의료 서비스를 제공할 수 있을 것이다.

End-of-Life Issues in the Era of the COVID-19 Pandemic

  • Ghosh, Deyashinee;Gupta, Bhavna
    • Journal of Hospice and Palliative Care
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    • 제23권3호
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    • pp.162-165
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    • 2020
  • Purpose: The coronavirus disease 2019 (COVID-19) pandemic has brought the world to a standstill and has exposed the lack of preparedness of most nations' health care systems. Even in usual times, palliative care has not received its fair share of recognition as an important component of patient care; instead, the emphasis is often placed on aggressive patient management. Now, with the entire medical community and decision-making committees focussed on intensive patient care, end-of-life care has taken a backseat. Methods: This article is a brief communication. Results: COVID 19 infection has been shown to lead to greater mortality and morbidity in patients with pre-existing illnesses such as hypertension, diabetes, renal failure, and cancer. Patients typically in need of end-of-life care, such as those with late-stage cancer or heart failure, are therefore at a higher risk of both contracting COVID-19 and suffering a more severe disease course. The strict nationwide lockdowns being imposed in most countries have deterred patients from seeking medical attention or hospice care. Every day new research is coming to light regarding COVID 19. This has helped significantly in creating awareness and limiting the spread of disease. However, misinformation is also rampant, leading to discrimination and mistreatment of infected patients. Conclusion: This pandemic has been a terrifying ordeal for all and has exposed our entire population physically, psychologically, emotionally, and financially to unimaginable stresses. In the present scenario, EOL care is as much a necessity as intensive care and should be given at least a fraction of its importance.