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검색결과 823건 처리시간 0.034초

지역쇠퇴 유형별 의료이용행태 영향요인: 도시쇠퇴 지표와 의료취약지 지표를 활용하여 (Factors Influencing Medical Care Utilization according to Decline of Region: Urban Decline Index and Medical Vulnerability Index as Indicators)

  • 정지윤;정재연;윤인혜;최화영;이해종
    • 보건행정학회지
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    • 제32권2호
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    • pp.205-215
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    • 2022
  • Background: The purpose of this study is to identify the factors infecting the medical care utilization from a new perspective by newly classifying the categories of administrative districts using the urban decline index and medical vulnerability index as indicators. Methods: This study targeted 150,940 people who used medical services using the 2015 cohort database (DB), 2010-2015 urban regeneration analysis index DB, and 2014-2015 public health and medical statistics DB. The decline of the region was classified using the urban decline index typed using k-means clustering and the medical vulnerability index typed using the quantile score calculation. Regression analysis was performed 3 times with medical expenditure, length of stay, and the number of outpatient visits as dependent variables. Results: There were 37 stable region (47.4%), 29 health vulnerable region (37.2%), and 12 decline region (15.4%). The health vulnerable region had lower medical expenditure, fewer outpatient visits, and a higher length of stay than the stable region. The decline region was all higher than the stable region but had no significant effect. Conclusion: The factors that cause the health disparity between regions are not only factors related to individual health behavior but also environmental factors of the local community. Therefore, there is a need for a systematic alternative that properly considers the resources within the community and reflects the characteristics of the population.

High-throughput sequencing-based metagenomic and transcriptomic analysis of intestine in piglets infected with salmonella

  • KyeongHye, Won;Dohyun, Kim;Donghyun, Shin;Jin, Hur;Hak-Kyo, Lee;Jaeyoung, Heo;Jae-Don, Oh
    • Journal of Animal Science and Technology
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    • 제64권6호
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    • pp.1144-1172
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    • 2022
  • Salmonella enterica serovar Typhimurium isolate HJL777 is a virulent bacterial strain in pigs. The high rate of salmonella infection are at high risk of non-typhoidal salmonella gastroenteritis development. Salmonellosis is most common in young pigs. We investigated changes in gut microbiota and biological function in piglets infected with salmonella via analysis of rectal fecal metagenome and intestinal transcriptome using 16S rRNA and RNA sequencing. We identified a decrease in Bacteroides and increase in harmful bacteria such as Spirochaetes and Proteobacteria by microbial community analysis. We predicted that reduction of Bacteroides by salmonella infection causes proliferation of salmonella and harmful bacteria that can cause an intestinal inflammatory response. Functional profiling of microbial communities in piglets with salmonella infection showed increasing lipid metabolism associated with proliferation of harmful bacteria and inflammatory responses. Transcriptome analysis identified 31 differentially expressed genes. Using gene ontology and Innate Immune Database analysis, we identified that BGN, DCN, ZFPM2 and BPI genes were involved in extracellular and immune mechanisms, specifically salmonella adhesion to host cells and inflammatory responses during infection. We confirmed alterations in gut microbiota and biological function during salmonella infection in piglets. Our findings will help prevent disease and improve productivity in the swine industry.

Global relationship between parent and child obesity: a systematic review and meta-analysis

  • Lee, Ju Suk;Jin, Mi Hyeon;Lee, Hae Jeong
    • Clinical and Experimental Pediatrics
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    • 제65권1호
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    • pp.35-46
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    • 2022
  • Background: The growing prevalence of overweight and/or obese children is an important public health problem in both developed and developing countries. Although the association of obesity between parents and their children is well known, its underlying mechanisms are not well established. Purpose: This meta-analysis examined parent-child (PC) relationships in obesity and identified factors such as world region and country income level that may influence this relationship. Methods: We identified all related studies published between January 1, 2015 and May 31, 2020 by conducting a literature search using the MeSH terms "obesity," "overweight," "body mass index," "parent," "child," "associate," and "relate" in the PubMed database in English. Results: The meta-analysis of 23 studies that reported an odds ratio (OR) for parent and child obesity associations found a significant association between parents and children who were overweight or obese (pooled OR, 1.97; 95% confidence interval, 1.85-2.10). A meta-regression analysis was used to examine the sources of interstudy heterogeneity. The association between parent and child obesity was higher in Asia than in Europe and the Middle East and higher in high-income countries than in middle-or low-income countries. In addition, a higher association between parent and child obesity was found when both parents were obese than when only the father or mother was obese. This study from multiple countries indicates a significant PC relationship in weight status that varies according to PC pair type, parent and child weight statuses, world region, and country income level. Conclusion: These results demonstrate that the risk of childhood obesity is greatly influenced by parental weight status and indicate that parents could play an important role in preventing child obesity.

드라이빙 시뮬레이터 시나리오 개발을 위한 동적 도로환경 데이터 융합 (Integration of Dynamic Road Environmental Data for the Creation of Driving Simulator Scenarios)

  • 권준호;전연수;염춘호
    • 한국정보통신학회논문지
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    • 제26권2호
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    • pp.278-287
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    • 2022
  • 기술발전에 따라 드라이빙 시뮬레이터는 다양한 용도로 활용되고 있다. 드라이빙 시뮬레이터 실험에서 시나리오 개발은 실험결과의 신뢰를 높이고 연구목표를 달성하며 운전자에게 보다 실제같은 경험을 제공하는데 필수적이다. 그러나 시나리오를 개발하는데 데이터베이스 형성과 실시간 시나리오 운영 등에는 아직도 제약이 많다. 본 연구는 이러한 환경에서 실제 도로에서 실시간 주행속도와 기상데이터를 수집하고 활용하는데 가능성을 확인하고자 한다. 또한 본 연구를 통해 아두이노 센서 데이터와 공공API 데이터를 연계하는 방안도 제시하고자 한다. 연구결과의 검증을 위해 실제도로에서 시험을 실시했으며 본 연구를 통해 드라이빙 시뮬레이터에서 실시간 데이터를 활용한 시나리오 개발에 도움이 될 것으로 기대한다.

Contact Tracking Development Trend Using Bibliometric Analysis

  • Li, Chaoqun;Chen, Zhigang;Yu, Tongrui;Song, Xinxia
    • Journal of Information Processing Systems
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    • 제18권3호
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    • pp.359-373
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    • 2022
  • The new crown pneumonia (COVID-19) has become a global epidemic. The disease has spread to most countries and poses a challenge to the healthcare system. Contact tracing technology is an effective way for public health to deal with diseases. Many experts have studied traditional contact tracing and developed digital contact tracking. In order to better understand the field of contact tracking, it is necessary to analyze the development of contact tracking in the field of computer science by bibliometrics. The purpose of this research is to use literature statistics and topic analysis to characterize the research literature of contact tracking in the field of computer science, to gain an in-depth understanding of the literature development status of contact tracking and the trend of hot topics over the past decade. In order to achieve the aforementioned goals, we conducted a bibliometric study in this paper. The study uses data collected from the Scopus database. Which contains more than 10,000 articles, including more than 2,000 in the field of computer science. For popular trends, we use VOSviewer for visual analysis. The number of contact tracking documents published annually in the computer field is increasing. At present, there are 200 to 300 papers published in the field of computer science each year, and the number of uncited papers is relatively small. Through the visual analysis of the paper, we found that the hot topic of contact tracking has changed from the past "mathematical model," "biological model," and "algorithm" to the current "digital contact tracking," "privacy," and "mobile application" and other topics. Contact tracking is currently a hot research topic. By selecting the most cited papers, we can display high-quality literature in contact tracking and characterize the development trend of the entire field through topic analysis. This is useful for students and researchers new to field of contact tracking ai well as for presenting our results to other subjects. Especially when comprehensive research cannot be conducted due to time constraints or lack of precise research questions, our research analysis can provide value for it.

토픽모델링을 이용한 한국 인터넷 뉴스의 간호사 관련 기사 분석: COVID-19 유행시기를 중점으로 (A topic modeling analysis for Korean online newspapers: Focusing on the social perceptions of nurses during the COVID-19 epidemic period)

  • 장수정;박선아;손예동
    • 한국간호교육학회지
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    • 제28권4호
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    • pp.444-455
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    • 2022
  • Purpose: This study explored the meaning of the social perceptions of nurses in online news articles during the coronavirus disease 2019 (COVID-19) pandemic. Methods: A total of 339 nurse-related articles published in Korean online newspapers from January 1 to December 31, 2020, were extracted by entering various combinations of OR and AND with the four words "Corona," "COVID," "Nursing," and "Nurse" as search keywords using BIGKinds, a news database provided by the Korea Press Foundation. The collected data were analyzed with a keyword network analysis and topic modeling using NetMiner 4. Results: The top keywords extracted from the nurse-related news articles were, in the following order, "metropolitan area," "protective clothing," "government," "task," and "admission." Four topics representing keywords were identified: "encouragement for dedicated nurses," "poor work environment," "front-line nurses working with obligation during the COVID-19 pandemic," and "nurses' efforts to prevent the spread of COVID-19." Conclusion: The media's attention to the dedication of nurses, the shortage of nursing resources, and the need for government support is encouraging in that it forms the public opinion necessary to lead to substantial improvements in treating nurses. The nursing community should actively promote policy proposals to improve treatment toward nurses by utilizing the net function of the media and proactively seek and apply strategies to improve the image of nurses working in various fields.

뇌경색 전임상 연구 후보 약재 선정을 위한 네트워크 약리학 분석법의 활용과 치자(梔子)의 적용 가능성 검토 (Network pharmacological analysis for identifying herbal medicine candidate for cerebral infarction focusing on Gardeniae Fructus)

  • 정주현;박희준;임세현;조수인
    • 대한한의학방제학회지
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    • 제31권3호
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    • pp.145-156
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    • 2023
  • Objectives : This study aimed to select candidate herbal medicines to be used in preclinical studies of cerebral infarction using the network pharmacology research method. Methods : Oral bioavailability (OB), drug likeness (DL), Caco-2, and blood-brain barrier (BBB) permeability were employed in this study's network pharmacology analysis method to choose compounds with potential efficacy. The following formulas were utilized for the values of each variable used in this study: OB ≥ 20%, DL ≥ 0.18, Caco-2 ≥ 0, and BBB ≥ -0.3. The relationships between target proteins and diseases that are assumed to be involved in the chosen bioavailable chemicals were built in a network manner using the aforementioned factors, and proteins thought to play a significant role were identified. Results : Sudan III was obtained as a result of selecting compounds related to ischemic stroke in consideration of pharmacokinetic characteristics such as digestion and absorption and practicality using the TCMSP database. Medicinal herbs Gardeniae Fructus (GF) contains sudan III, and it was confirmed that compounds in GF were highly related to brain diseases, and the mechanism involved through the KEGG pathway was confirmed. GF, which has sudan III related to ischemic stroke and is also involved in other neurological diseases, is expected to be used for ischemic stroke treatment. Conclusions : GF has been predicted to have potential for ischemic stroke treatment, and can be used for future preclinical studies.

부산지역 자동차정비업체에서 사용하는 유용성도료 관련 제품에 함유된 발암성, 생식세포변이원성, 생식독성 물질 취급 현황 (Status of Handling Carcinogenic, Mutagenic, and Reproductive Toxic Materials Contained in Oil Paint-related Products used by Automobile Maintenance Companies in Busan)

  • 김은석;천지영;최상준
    • 한국산업보건학회지
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    • 제33권1호
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    • pp.40-49
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    • 2023
  • Objectives: The handling of carcinogenic, mutagenic or reproductive toxic (CMR) materials in paint-related products used by automobile maintenance companies in Busan was investigated and its characteristics were analyzed. Methods: MSDS for paint-related chemical products used by automobile repair companies in Busan were collected and the manufacturers, product uses, names of chemical substances in each component, CAS numbers, content, and more were listed. Results: As a result of collecting MSDS on 4,800 kinds of products handled in the painting process of automobile repair companies in Busan and comparing them with the latest toxic information database, 60 out of a total of 438 substances were found as CMR materials. Seven carcinogens (1A), including quartz, benzene, formaldehyde, and hexavalent chromium, were present. Two reproductive toxic 1A substances were included: hexavalent chromium in paint pigments and lead. Conclusions: Most of the products (95.5%) were found to contain at least of one CMR component, so it was judged that a study on exposure assessment of CMR substances by automobile maintenance workers is needed in the future.

적응증의 KCD8 상병코드 분석 결과를 기반으로 한 보험한약제제의 질병 대분류 분포 분석과 사용 빈도 연구 (Study on the distribution in major disease category and frequency of clinical usage of national health insurance herbal prescription based on analysis on KCD8 disease code of indications)

  • 임동우;안정윤;유가람;김재은;박원환
    • 대한한의학회지
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    • 제44권1호
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    • pp.1-15
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    • 2023
  • Objectives: National health insurance herbal prescription of Korean medicine has been serving important role in public healthcare in spite of continuous demand on revision of system. However, the categories of insurance herbal prescriptions are not equally distributed throughout the KCD-based major disease categories. We analyzed statistical database of claimed national health insurance classified as major disease categories by years. We classified all 56 herbal prescriptions as per their total medical indications into 22 major disease categories to analyze their distribution. Significant increase of M and S-T code claims were found, whereas decrease of U code claims by years. We figured out that the 56 prescriptions were unequally distributed along with enrichment of certain codes such as K and J. Meanwhile, the insurance claim of each prescription was positively correlated with number of code types of their indications. As a result, we believe that the reform of national health insurance herbal prescription list is necessary to promote use of it in clinic.

Norms about Alcohol Use among US Firefighters

  • Christopher K. Haddock;Nattinee Jitnarin;Raul Caetano;Sara A. Jahnke;Brittany S. Hollerbach;Christopher M. Kaipust;Walker S.C. Poston
    • Safety and Health at Work
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    • 제13권4호
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    • pp.387-393
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    • 2022
  • Background: Problem drinking is a perennial concern in the US fire service. A large literature has documented the importance of addressing alcohol norms in intervention research. The purpose of this study was to explore alcohol norms in a national cohort of firefighters (FFs) to inform intervention development in this occupational group. Methods: Data were from a national online survey of career and volunteer FFs (N = 674). Participants were recruited through national fire service listservs and a database of FFs who had agreed to be contacted for research. Results: When asked about "acceptable" levels of alcohol consumption, FFs on average suggested levels which exceeded public health guidelines. Further, approximately half of career and volunteer FFs believed that, at least under some circumstances, drinking until intoxicated was normative. When asked how long should elapse between a FFs last drink and reporting for duty, the average suggested lag was 11.2 hours (sd = 4.6). However, among male volunteer FFs who reported heavy drinking, the average was 6.68 hours (sd = 4.77). Conclusions: Given the high prevalence of heavy and binge drinking in the fire service, it is not surprising that the alcohol norms found in this study were consistent with a culture of drinking. Participants' reports of alcohol use among their peers were consistent with the actual prevalence of problem drinking. Thus, education and prevention efforts in this occupation should focus on changing norms about alcohol use, including linking heavy drinking to other health and safety issues they face.