• 제목/요약/키워드: disease severity

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아토피 피부염 심각도에 따른 빈혈 유병률 비교 분석 (Analysis of Prevalence of Anemia according to Severity of Atopic Dermatitis)

  • 윤다이;장지은;유기연
    • 한국임상약학회지
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    • 제30권4호
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    • pp.264-269
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    • 2020
  • Background: Inflammatory diseases can increase the prevalence of anemia. Recent studies confirmed that the prevalence of anemia is increased by atopic dermatitis (AD), a chronic inflammatory disease. Therefore, we aimed to elucidate the correlation between AD severity and prevalence of anemia. Methods: We used data of pediatric patients from the Health Insurance Review and Assessment Service (HIRA-PPS-2016). We included pediatric patients (<18 years) with AD diagnosis who were prescribed medications for AD. We applied a propensity score method with inverse probability of treatment weighting (IPTW) adjusting for differences in prevalence of confounders and performed IPTW logistic regression to evaluate associations between the anemia and severity of AD. Results: In total, 91,501 patients (mild AD: 47,054 patients; moderate-to-severe AD: 44,447 patients) <18 years who were prescribed drugs for AD were analyzed. Analysis of the probability of patients with mild AD and prevalence of anemia as a reference revealed an odds ratio (OR) of 1.159 (95% CI, 1.109-1.212; p<0.001) in moderate-to-severe AD patients, indicating a correlation between anemia prevalence and AD severity. Subgroup analysis according to gender, age group, and type of health insurance revealed there was an association between AD severity and anemia except in patients equal or older than 7 years. Conclusion: The prevalence of anemia increased with AD severity despite adjusting for confounding factors. Our results support the hypothesis that AD can cause anemia, and anemia prevalence could be increased in severe AD patients. Further studies are needed to establish a pathological basis.

오이 흰가루병의 경제적 피해 허용수준 설정 (Determinants of Economic Threshold for Powdery Mildew on Cucumber)

  • 김진영;홍순성;이진구;박경열;김홍기;김진원
    • 식물병연구
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    • 제12권3호
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    • pp.231-234
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    • 2006
  • 오이 흰가루병(Sphaerotheca fusca)이 수량에 미치는 영향을 구명하고자 오이 잎 제거를 통한 시뮬레이션으로 적정 잎수에 관한 모의시험 및 발병도 조절에 따른 흰가루병이 수량에 미치는 영향과 경제적 피해허용수준을 검토하였다. 오이 잎 제거 수준과 수량과의 시뮬레이션 결과 봄작기에서는 오이 잎 수를 10매, 가을작기에서는 13매 정도를 유지하면 표준방제구와 큰 차이가 없었다. 오이 흰가루병 발병도가 증가할수록 수량이 감소하였으며, 특히 상품성 수량의 감소폭이 전체 수량의 감소폭보다 더 커서 상품성 수량에 큰 영향을 미쳤다. 오이 흰가루병 발병도와 수량과의 회귀식은 Y=-57.237x+6143.1, $R^2=0.9628$로 방제비용을 감안하여 수량 3% 지점의 발병도 17.6%를 경제적 피해 허용 수준으로 설정하였다. 오이 흰가루병 방제적기는 경제적 피해 허용수준과 시뮬레이션 결과를 종합할 때 흰가루병으로 발병된 잎이 $1{\sim}2$장일 때 방제를 시작해야 하는 시점으로 생각된다.

급성기 중풍 환자의 증상 경중에 따른 제반특성의 차이 (Differences of overall characteristics depending on Symptom Severity in Acute Stroke Patient)

  • 우수경;;박수경;곽승혁;이은찬;박주영;정우상;문상관;조기호;박성욱;고창남
    • 대한중풍순환신경학회지
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    • 제12권1호
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    • pp.32-40
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    • 2011
  • Objective : The aim of this study was to examine Differences of overall characteristics depending on Symptom Severity in Acute Stroke Patient Method : We studied hospitalized patients within 10days after their ictus who were admitted at Kyunghee University Oriental Medical Center from May 2011 to October 2011. We compared the general characteristics of acute stroke patient according to Scandinavian Stroke Scale score Result : The patient who had mild severity show significant difference for FBS, PP2, Homocysteine, Exercise, Tongue color, Mouth dryness, Chest discomfort, Constipation, Stool hardness. Conclusion : The above result contribute to predict severity of stroke symtoms according to risk factor and general condition of patients. Also, After occurrence of stroke, We will can block worsening of symptoms progression. Further studies will be needed to observation of follow up studies about progression of stroke among acute stroke patients with a serious disability.

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국민건강진단조사(National Health Examination Survey) 내용선정에 관한 연구 (A Study on Major Health Components of National Health Examination Survey in Korea)

  • 이순영;김혜경;박주원;신승수
    • Journal of Preventive Medicine and Public Health
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    • 제31권2호
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    • pp.167-182
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    • 1998
  • The purpose of this study was to identify the major health components and measurements to be conducted in National Health Examination Survey(KNHES). The prevalence and severity of disease, acceptability of population and the possibility of standardization of measurement were considered as guideline for selecting the components. On the base of magnitude and severity of disease, chronic liver disease, hepatic cancer, gastric ulcer, stomach cancer, essential hypertension, cerebrovascular disease, ischemic heart disease, pulmonary tuberculosis, lung cancer, DM, breast cancer, cervical cancer, arthritis and intervertebral disc disorder were selected as the preliminary target diseases. Questionnaire survey for 648 persons in 'K' city and medical specialists in five clinical societies were conducted for evaluation the acceptability of general population for the measurements and the possibility of standardization for the procedures. In conclusion, the major target diseases were chronic liver disease, hypertension and DM and the total cholesterol, high density lipoprotein, triglyceride, total protein, albumin, hemoglobulin, hematocrit, platlet count, anti-HBs, HBsAg, height and weight were selected for basic physical components.

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건강신념모형을 적용한 사무직 근로자의 근골격계질환에 대한 인식도 및 예방프로그램 요구도 조사 (A Study on the Perception and Needs of Prevention Program for Musculoskeletal Disease of Office Workers Based on the Health Belief Model)

  • 박상순;정혜선
    • 한국직업건강간호학회지
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    • 제15권1호
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    • pp.50-57
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    • 2006
  • Purpose: The purpose of this study was to research the health belief, perception and need of prevention program for musculoskeletal disease of office workers in a public corporation. Method: We surveyed 339 office workers at a industry based in Ahn Yang, Kyunggi Province, with questionnaires, during the period June 3rd - June 18th, 2004. Result: Forty-four percent of the subjects said they had musculoskeletal symptoms, and 10.9% said they had received medical treatment for musculoskeletal disease in the last year. Factors that affected perception of musculoskeletal disease were appeared to be perceived severity, perceived barrier, cue to action, marital status, regular exercise and age, and they explained 23.2% of perception of musculoskeletal disease. Factors that affected need of prevention program appeared to be perceived susceptibility, perceived severity, perceived benefit and PC using hours, and they explained 20.8% of need of prevention program. Conclusion: In conclusion, we suggested that in management the prevention of musculoskeletal disease for office workers, it should be considered nursing intervention strategies to reinforce health belief.

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대두(大豆)갈색무늬병의 병진전(病進展)과 품종간저항성(品種間抵抗性) 검정(檢定) (Evaluation of Septoria Brown Spot Disease and the Disease Resistance in Soybean Cultivars)

  • 오정행
    • 한국응용곤충학회지
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    • 제24권2호
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    • pp.103-106
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    • 1985
  • 대두(大豆) 갈색무늬병에 대한 저항성(抵抗性)의 포장검정(圃場檢定)에 적합한 생육시기(生育時期)를 결정하고 수집재래종(蒐集在來種)으로부터 저항성인자원(抵抗性因子源)을 찾기 위 하여 본실험(本實驗)을 수행하였던 바, 1. 갈색무늬병에 대한 저항성(抵抗性) 품종간(品種間)에 차이(差異)가 현저하였으며 수직감염율(垂直感染率)과 병반면적율간(病斑面積率間)에는 상관(相關)이 있었다. 2. 병반면적율(病斑面積率)과 병진전곡선면적(病進展曲線面積)과의 상관도(相關度)는 대두(大豆) 생육기중(生育期中) 개화기(開花期)에서 가장 높아 포장에서의 저항성 검정시기는 개화기(開花期)가 적당한 것으로 보였다. 3. 수집재래종(蒐集在來種) 1,428계통의 저항성(抵抗性) 검정결과(檢定結果) 고도저항성(高度抵抗性) 계통(系統)은 발견할 수 없었고 중도저항성(中度抵抗性)인 4 계통(系統)을 선발할 수 있었다.

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파킨슨병의 중증도에 따른 수면 장애 (Sleep Disturbances in Patients with Parkinson's Disease according to Disease Severity)

  • 이수윤;천상명;김재우
    • Annals of Clinical Neurophysiology
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    • 제17권1호
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    • pp.17-23
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    • 2015
  • Background: Sleep-related disturbances and sleep disorders are common in Parkinson's disease (PD) and have a great impact on daily life of PD patients. This study was done to find the sleep characteristics and sleep disturbing factors in PD patients according to disease severity through clinical interview and polysomnographic (PSG) study. Methods: Fifty patients with PD (22 males, age $60.6{\pm}6.4$, Hoehn and Yahr (HY) stage $2.7{\pm}1.0$) were recruited and thoroughly interviewed about their sleep. PSG was performed on the patients taking routine antiparkinsonian medications. Patients were grouped into mild and moderate/severe group according to HY stage, and the results were compared between each group. Results: Ninety-four percent of total patients had one or more sleep-related disturbances based on the interview or PSG. On interview, the moderate/severe group complained more insomnia and REM sleep behavior disorder (RBD) than mild group. In PSG findings, the moderate/severe group showed lower sleep efficiency, longer sleep latency, REM sleep latency, waking time after sleep onset, and higher prevalence of RBD. Conclusions: In this study, most patients with PD had sleep disturbances. Clinical interview and PSG findings revealed deterioration of sleep quality along the disease severity. Our results suggest that sleep disturbances in PD patients are prevalent and warrant clinical attention, especially to the patients with advanced disease.

퇴행성 대동맥판 협착증의 중증도 평가: 증례보고 3례 (Assessment of the Severity of Degenerative Aortic Stenosis: Three Case Reports)

  • 김성희
    • 대한임상검사과학회지
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    • 제51권2호
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    • pp.270-275
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    • 2019
  • 노령 인구의 기대 수명이 증가함에 따라 퇴행성 판막 질환이 많아지고 있다. 류마티스성 판막 질환인 승모판 협착증과 대동맥판 역류가 점차적으로 감소하고 석회화된 퇴행성 대동맥판 협착증, 승모판 탈출증 및 허혈성 심장 질환으로 인한 승모판막 폐쇄 부전의 빈도가 증가하고 있다. 심장초음파는 심장판막질환의 진단은 물론, 치료방법 및 수술 시기와 더불어 예후 평가에서도 매우 중요한 도구이며, 판막질환을 평가할 때 모든 판막을 자세하게 관찰하는 이면성 심장초음파가 우선해야 한다. 흔히 접하는 퇴행성 판막질환에 대한 이해와 함께 임상적 특성을 파악하여 심장초음파를 정확하게 시행하는 것이 가장 중요하다. 아울러 대동맥판 협착증의 중증도 평가가 수술적 적응증을 판단하는 데 꼭 필요한 검사인만큼 정확한 판단 기준에 따라 평가하여 환자의 정확한 진단 및 치료가 이루어지도록 해야 한다. 퇴행성 대동맥판 협착증 환자 3례를 통해 심장초음파 검사의 중증도 평가를 쉽게 이해할 수 있기를 바라며 퇴행성 판막 질환의 심초음파 소견을 숙지하는 것이 심장초음파검사를 정확하게 수행하는 것에 수반되어야할 것으로 사료된다.

Gene Regulations in HBV-Related Liver Cirrhosis Closely Correlate with Disease Severity

  • Lee, Se-Ram;Kim, So-Youn
    • BMB Reports
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    • 제40권5호
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    • pp.814-824
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    • 2007
  • Liver cirrhosis (LC) is defined as comprising diffuse fibrosis and regenerating nodules of the liver. The biochemical and anatomical dysfunction in LC results from both reduced liver cell number and portal vascular derangement. Although several studies have investigated dysregulated genes in cirrhotic nodules, little is known about the genes implicated in the pathophysiologic change of LC or about their relationship with the degree of decompensation. Here, we applied cDNA microarray analysis using 38 HBsAg-positive LC specimens to identify the genes dysregulated in HBV-associated LC and to evaluate their relation to disease severity. Among 1063 known cancer- and apoptosis-related genes, we identified 104 genes that were significantly up- (44) or down- (60) regulated in LC. Interestingly, this subset of 104 genes was characteristically correlated with the degree of decompensation, called the Pugh-Child classification (20 Pugh-Child A, 10 Pugh-Child B, and 8 Pugh-Child C). Patient samples from Pugh-Child C exhibited a distinct pattern of gene expression relative to those of Pugh-Child A and B. Especially in Pugh-Child C, genes encoding hepatic proteins and metabolizing enzymes were significantly down-regulated, while genes encoding various molecules related to cell replication were up-regulated. Our results suggest that subsets of genes in liver cells correspond to the pathophysiologic change of LC according to disease severity and possibly to hepatocarcinogenesis.