• 제목/요약/키워드: disease severity

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만성 폐쇄성 폐질환의 중증도에 따른 자가관리, 증상경험 및 건강관련 삶의 질 (Self-Care, Symptom Experience, and Health-Related Quality of Life by COPD Severity)

  • 강귀정;김명희;황선경
    • 성인간호학회지
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    • 제20권1호
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    • pp.163-175
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    • 2008
  • Purpose: This study aimed to define the relationship among self-care, symptom experiences, and health-related quality of life(HRQoL) according to the severity of disease in chronic obstructive pulmonary disease(COPD) patients. Methods: The participants, 195 COPD patients, were recruited at a pulmonology clinic of a universityaffiliated medical center in B metropolitan city. Inclusion criteria were patients who were diagnosed as COPD and had less than 0.7 of $FEV_1$/FVC(Forced Expiratory Volume for 1 second/Forced Vital Capacity) ratio. The severity was classified with GOLD(Global initiative for Obstructive Lung Disease) stages, $FEV_1%$ predicted value from mild to very severe. The data were gathered by the medical records and self-reported questionnaires. Results: The self-care, symptom experience, and HRQoL were all significantly different by COPD severity based on pulmonary function(p<.05). There were significant moderate negative relationships between symptom experiences and self-care(r=-.54, p<.001) and between symptom experiences and HRQoL(r=-.64, p<.001). There was a moderate positive correlation between self-care and HRQoL(r=.63, p<.001). Conclusion: It suggests that the assessment of disease severity based on pulmonary function and subjective symptom experience in patients with COPD may be a key component to develop a tailored self-management program and to improve their quality of life.

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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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    • 제34권3호
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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.

청소년 알레르기성 질환의 복합성과 중증도가 자살 생각에 미치는 영향 (Effect of Allergy Related Disease on Suicide Ideation among Adolescents in Korea)

  • 왕진우;김은영;박수진;이준협;임국환
    • 한국학교ㆍ지역보건교육학회지
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    • 제17권3호
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    • pp.11-25
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    • 2016
  • Background & Objectives: There were increasing evidence about the relationship between allergy related disease such as asthma, atopic dermatitis and allergic rhinitis and suicide ideation. However little was known about the concrete relatedness between severity and comorbidity of allergy related disease with suicide ideation. The objective of this study was to investigate the cases of the prevalence of suicide ideation among adolescents with allergy related disease such as asthma, atopic dermatitis and allergic rhinitis, and examine the association between allergy related disease and suicidal ideation among adolescents in South Korea. Methods: Data was based on Korean Youth Risk Behavior Web-based Survey(2014) which was a cross-sectional study containing 34,874 Korean middle and high school students who diagnosed with allergy related disease. We used the weights, strata and primary sampling unit information provided by the public use dataset to compute descriptive statistics and logistic regressions. Computations were done with SPSS version 20.0. Results: 19.9%, 15.6%, 13.8% of adolescents who suffered from one, two and three of allergy related diseases respectively reported having been thought of suicide ideation. Socio-demographic factors were adjusted as control variables. Students with greater severity of disease were more likely to have suicide ideation. Odds ratio for students who were absent one to three days from school because of allergies was 1.96(95% CI 1.51-2.46), and odds ratio for those who were absent more than four days from school was 3.60(95% CI 2.46-5.28). Conclusions: Given that adolescents' severity and comorbidity of allergy related disease were clearly associated with suicide ideation, suicide prevention programs for adolescents with allergy related disease should be improved by strategic approaches towards the severity and comorbidity of disease.

느타리 갓 표면의 소수성이 세균갈색무늬병 발병도에 미치는 영향 (Effect of Hydrophobicity of Oyster Mushroom on the Severity of Brown Blotch)

  • 이기영;양승업;한종우;윤건식;장후봉;차재순
    • 한국균학회지
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    • 제38권1호
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    • pp.69-74
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    • 2010
  • 세균갈색무늬병 병원균의 접종에 의해 심한 병징을 보이는 느타리 균주와 매우 약한 병징을 보이는 균주를 모균주로 선발하고, 각각의 모균주로부터 얻은 단핵균주의 교배를 통해 F1 교잡균주를 얻었다. 세균갈색무늬병 발병도가 다른 11개의 F1균주와 모균주의 자실체 표면의 소수성과 발병도를 조사하였다. 발병도와 소수성 사이의 상관계수는 2번의 독립된 실험에서 각각 0.68과 070이었다. 자실체의 발병도와 버섯재배사에서 조사한 발병율 사이의 상관계수는 각각 046과 0.52이었다. GFP을 발현시킨 Pseudomonas tolaasii을 자실체표면에 접종 후 공초점현미경으로 관찰한 결과 발병도가 낮은 균주의 자실체 표면에서보다 높은 균주의 자실체 표면에서 보다 많은 세균의 집단화가 관찰되었는데, 이 결과는 발병도가 높은 균주의 갓 표면에서 더많은 세균이 증식하였음을 의미한다. 이상의 결과는 느타리 자실체 표면의 소수성이 세균갈색무늬병 발병도에 영향을 미치는 것을 암시한다. 즉 세균현탁액 방울이 갓 표면에 오래 유지되면 더 심한 병징이 형성된다.

Actinobacillus actinomycetemcomitans의 혈청형과 유전자형 분포가 치주질환 심도에 미치는 영향 (THE RELATIONSHIP BETWEEN PERIODONTAL DISEASE SEVERITY AND Actinobacillus actinomycetemcomitans SEROTYPE & GENOTYPE DISTRIBUTION)

  • 김은경;김성조;최점일
    • Journal of Periodontal and Implant Science
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    • 제24권3호
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    • pp.541-560
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    • 1994
  • The present study was performed to evaluate the relationship between the serotype or the genotype of Actnobacillus actinomycetemcomitans (A. a.) and the severity of periodontal disease. Total 64 A. a. clinical isolates were sampled from 46 sites of 20 subjects classified into the group I (1 periodontally healthy subject, 2 gingivitis patients, 5 ealry adult periodontitis patients), group II (3 moderatelly adult periodontitis patients) and group III (1 advanced adult periodontitis patient, 8 RPP patients). Southern bolt hybridization (fingerprinting) patterns of the five reference strains, A. a. strain ATCC 29523 (serotype a), ATCC 29522 (Serotype b), ATCC 43719 (serotype c), IDH 781 (serotype d) and IDH 1705 (serotype e), were used as the five basic genotypic patterns (A, B, C, D, E). NT type was designated as one which did dnot represent any of those five basic types. The serotypes were determined by ELISA technique with the serum samples from pre-immunized rabbit. Based on subject-based analysis, it was noted that genotypes A and C, NT, and B, D, E were significantly related to the disease groups I, II, and III, respectively. It was also noted that both the serotypes a and c were significantly related to the disease group I and II, while serotypes were significantly related bm), and serotypes b and nd were frequently found in sites with severe attachment loss (LA>6mm). The results indicated that the significant relationship can be delineated beteen the genotypes and the serotypes of Acinobacillus actinomycetemcomitans and the periodontal disease severity. The results also indicated that genotyping can provide more detailed information on its relationship with the disease severity based on both the patient-based and the site-based analyses.

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대도시 저소득층 만성질환 노인을 위한 가정.방문간호 원가산정 - 환자 중증도 및 활동기준원가계산법(ABC) 적용 - (Estimation of Home-visiting Care Costs for Low-income Elderly with Chronic Disease in a Metropolitan City Using the Severity Classification and ABC(active-based costing))

  • 강성례
    • 간호행정학회지
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    • 제14권2호
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    • pp.118-130
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    • 2008
  • Purpose: The purpose of this study was to estimate of home-visiting nursing costs for low-income elderly with chronic disease in a metropolitan city using the severity classification and ABC(active-based costing). Methods: First, the HHC activity pool was established. The performance time of each nursing activity were estimated. Second, nursing resources(labor costs, operating costs, and traffic expenses) were analyzed and nursing cost per minute was calculated. And then the cost of each activity was estimated. Third, 202 visiting cases were classified into three group by their severity. And then nursing cost per visit according to their severity was estimated. Results: 59 nursing activities were included in HHC activity pool. The average working time of 59 nursing activity was 6.7minutes and nursing cost per minute was 489 won. According severity, nursing cost per visit were in class I, 54,296 (won), class II 83,124(won), and class III 93,455(won).

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Long-term evaluation of teeth and implants during the periodic maintenance in patients with viral liver disease

  • Yoon, Da-Le;Kim, Yong-Gun;Cho, Jin-Hyun;Lee, Sang-Kyu;Lee, Jae-Mok
    • The Journal of Advanced Prosthodontics
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    • 제8권4호
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    • pp.321-328
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    • 2016
  • PURPOSE. This study was designed to investigate the maintenance of teeth and implants in patients with viral liver disease. MATERIALS AND METHODS. 316 patients without any significant systemic disease were selected as a control group. Liver disease group was consisted of 230 patients. Necessary data were collected using clinical records and panoramic radiographs. Then, the patients were subdivided into 2 groups based on the type of active dental therapy received before maintenance period (Pre-Tx). Analysis for finding statistically significant difference was performed based on the need for re-treatment of active dental therapy (Re-Tx) and change in the number of teeth (N-teeth) and implants (N-implants). RESULTS. Comparing to control group, the patients with liver disease showed higher value on N-teeth, N-implants, and Re-Tx. Statistically significant differences were found on N-teeth (P=.000) and Re-Tx (P=.000) in patients with non-surgical Pre-Tx. Analysis based on severity of liver disease showed that N-teeth and Re-Tx were directly related to severity of liver disease regardless of received type of Pre-Tx. Significant differences were found on N-teeth (P=.003) and Re-Tx (P=.044) in patients with non-surgical Pre-Tx. CONCLUSION. In this study, it was concluded that liver disease might influence the loss of teeth and cause the relapse of dental disease during maintenance period in patients. A significant positive relationship between tooth and implant loss and severity of liver disease seems to exist.

Evaluation of Serum NT-proBNP and Cardiac Troponin I Concentrations in Dogs with Heartworm Disease

  • Lee, Tae-Rim;Hwang, Sun-Hwee;Seo, Kyoung Won;Song, Kun Ho
    • 한국임상수의학회지
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    • 제37권6호
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    • pp.311-316
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    • 2020
  • Biomarkers used in dogs with heartworm disease include N-terminal pro B-type natriuretic peptide (NT-proBNP) and cardiac troponin I (cTnI), which are associated with damage to the myocardium. Pulmonary hypertension is one of the clinical signs of canine heartworm disease. The purpose of this study is to investigate the change in the concentration of each biomarker, severity of pulmonary hypertension and the correlation between biomarkers according to the severity of clinical signs. Five healthy dogs and 10 heartworm-infected dogs were recruited for the study. The heartworm-infected group was classified based on the history, clinical signs, and blood assay, thoracic radiography, and echocardiography after confirming the infection according to the results of the commercial ELISA kit (SNAP test, IDEXX Laboratories, Maine, USA). NT-proBNP was higher in the severely infected group than the control group (p < 0.05); cTnI was also higher in the severely infected group than the control group (p < 0.05). The pressure gradient of pulmonary hypertension was higher in the severe group than the mild group (p < 0.05). The severity of pulmonary hypertension was correlated with NT-proBNP (r = 0.818, p < 0.01), cTnI (r = 0.894, p < 0.01). When the correlation of the two serum values for each group was examined, a correlation was not found in the mild group (r = 0.707, p = 0.182), but a correlation was found in the severe group (r = 0.9, p < 0.05). NT-proBNP and cTnI were significantly increased and correlated with severe clinical signs. Pulmonary hypertension was significant higher in the severe group than in the mild group (p < 0.05). Evaluation of blood biomarker concentration and severity of pulmonary hypertension and referring to each correlation between these indicators may be helpful to assess the severity of the heartworm disease.

뇌졸중 환자의 인지기능, 질병의 심각도 및 장애 정도가 일상생활수행능력에 미치는 영향 (The Impacts of Cognitive Function, Disease Severity, and Disability on Ability to Perform Activities of Daily Living after Stroke)

  • 오은영;김민숙;소희영;정미숙
    • 재활간호학회지
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    • 제16권2호
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    • pp.90-99
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    • 2013
  • Purpose: This study aimed to examine influence of cognitive function, disease severity and disability on ability to perform activity of daily living (ADL) after ischemic stroke. Methods: A total of 88 patients with ischemic stroke were recruited from January 1, 2008 to December 31, 2012 and assessed with the standardized cognitive test battery and self-reports about disease severity, disability, and ADL. To analyze the data, ANOVA, Pearson correlation coefficients and multiple regression were conducted using SPSS/WIN program. Results: Significant correlations were found between ADL and visuospatial function, visual memory, executive function, and disability (r=.29~.38). Executive function and disability explained 17.3% of total variability in ADL performance after ischemic stroke. Conclusion: Executive function may be a promising target for cognitive rehabilitation after ischemic stroke. Thus, effective therapeutic interventions such as cognitive training for stroke patients should be considered to improve their ability to perform ADL.

벼 품종의 잎집무늬마름병 저항성연구 IV. 발병정도와 수량감소률의 품종간 차이 (Studies on Varietal Resistance to Sheath Blight Disease in Rice IV. Varietal Difference in Disease Severity and Grain Yield Loss)

  • 김광호;이상복
    • 한국작물학회지
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    • 제34권1호
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    • pp.14-22
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    • 1989
  • 벼 잎집무늬마름병에 대하여 저항성반응이 다른 품종을 시험하여 병균접종구, 자연구 및 약제방제구를 두어 병 발생에 의한 수량감소률의 품종간 차이를 2년간에 걸쳐 조사한 결과를 요약하면 다음과 같다. 1. 시험한 품종 중에서 가야벼는 병균접종구나 자연구에서의 발병정도가 가장 낮았으며 태백벼, 관악벼 및 Labelle은 균발생이 심하였고, 약제방제구에서는 병이 거의 발생하지 않았다. 2. 중반저항성품종인 가야벼는 2년간에 걸쳐 병균접종구 및 자연구에서의 수량감소률이 0.3∼5%로 공시품종 중에서 가장 낮았으며 이병성품종인 태백벼는 6.8∼25.8%로 가장 높았고 관아벼와 Labelle도 각각 10%내외의 수량감소률을 보였다. 3. 시험품종의 저항성정도에 관계없이 동일한 품종내에서 잎집무늬마름병의 병반이 지엽까지 진전된 분얼경에서는 등숙비육과 정조천립중이 감소하여 건전경에 비하여 이삭무게가 25%이상 감소하였다. 4. 잎집무늬마름병에 대하여 상위엽으로의 병반진전이 더디게 되었기 때문에 수량감소율이 낮았다.

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