• Title/Summary/Keyword: hypertension and diabetes

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Association Between Health Status and Physical Activity among Korean Older Adults (노인의 건강상태와 신체활동에 관한 연구)

  • Park, Yoon-Soo;Yoo, Wang-Keun;Han, Sam-Sung;Kong, Mi-Jin
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.93-103
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    • 2019
  • Objectives: The purpose of this study was to analyze the association between health status and physical activity levels in older adults (over 65 years) in Korea. Methods: The participants were selected from the database of the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), conducted by the Korea Centers for Disease Control and Prevention in 2017. A chi-square test and logistic regression analysis were used to analyze data. Results: The findings showed that health conditions such as hypertension and diabetes were related to physical activity levels of the older adults. In addition to health status, social and economic factors such as gender, age, and geographic region should be considered in order to initiate the practice of aerobic and strength exercise in the older adults. Conclusions: To initiate physical activity levels in the older adults, it is necessary to consider support for costs involved, policies required for the development of integrated exercise programs, expansion of public exercise facilities, and improved facilities.

Antioxidative Activity of Water Extract of Different Parts of Acanthopanax divaricatus var, albeofructus (흰털오가피 부위별 물추출물의 항산화활성)

  • Lyu, Su-Yun;Kim, Ji-Young;Noh, Bin-Na;Park, Won-Bong
    • YAKHAK HOEJI
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    • v.50 no.3
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    • pp.191-198
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    • 2006
  • Acanthopanax species have traditionally been used as a tonic, a sedative as well as in the treatment of rheumatism, hypertension and diabetes. In the present study, oxidative stress was induced in Vero cells by incubating the cells with glucose and the cell viability was measured by MTT assay. The concentration of glucose which 50% of cell viability was 125 mM $(IC_{50})$ and the cell viability was increased to $87.6{\pm}8.8%$ by treatment of the extracts of Acanthopanax divaricatus var. albeofructus. The antioxidative activity of water extract of different parts of the Acanthopanax plant was investigated by DPPH (1,1-diphenyl-2-picrylhydrazyl) assay, xylenol orange assay, TBARS (thiobarbituric acid reactive substances) assay and enzyme (superoxide anion and catalase) assay. Each extract (leaves, root, stem and fruits) of the plant showed free radical and $H_2O_2$ scavenging activity. The extract also inhibited lipid peroxidation and recovered enzyme (superoxide anion dismutase and catalase) activity in Vero cells treated with glucose.

A Clinical Study on the Factors that Influence Functional Evaluation of Stroke (중풍의 기능평가에 영향을 미치는 요인에 관한 임상적 고찰)

  • 박숙자;권정남;김영균
    • The Journal of Korean Medicine
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    • v.23 no.4
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    • pp.73-90
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    • 2002
  • Objectives: This study investigated significant factors that influence functional evaluation of stroke so as to be a fundamental data for estimating prognosis of stroke patients. Methods: 204 patients were studied within 7 days of admission, after the diagnosis of stroke through brain CT scan, brain MRI scan and clinical observations. They were hospitalized in the oriental medical hospital of Dongeui University from February to July in 2001. They were examined at the early stage of onset, after 2 weeks, 4 weeks and 6 weeks, and measured for average mark and the degree of improvement by using the Activity Index. Results: Ischemic stroke, past history of stroke, hypertension, diabetes mellitus, risk factor of obesity, non-professional emergency treatment and hospitalizing time after 1 day from onset, high blood pressure, tachycardia pulse and high blood sugar in abnormal vital sign in acute stage, conscious, cognitive or communication disorder, motor aphasia, dysphagia, constipation for more than 3 days, urinary incontinence, visual field defect, insomnia, and chest discomfort in early stage of onset had a negative influence on functional evaluation. Conclusions: Type of stroke, past history, risk factors, emergency treatment and hospitalizing time after onset, abnormal vital sign and intercurrent symptoms in Acute stage were relevant factors in predicting functional evaluation of stroke.

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Automatic Segmentation of Retinal Blood Vessels Based on Improved Multiscale Line Detection

  • Hou, Yanli
    • Journal of Computing Science and Engineering
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    • v.8 no.2
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    • pp.119-128
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    • 2014
  • The appearance of retinal blood vessels is an important diagnostic indicator of serious disease, such as hypertension, diabetes, cardiovascular disease, and stroke. Automatic segmentation of the retinal vasculature is a primary step towards automatic assessment of the retinal blood vessel features. This paper presents an automated method for the enhancement and segmentation of blood vessels in fundus images. To decrease the influence of the optic disk, and emphasize the vessels for each retinal image, a multidirectional morphological top-hat transform with rotating structuring elements is first applied to the background homogenized retinal image. Then, an improved multiscale line detector is presented to produce a vessel response image, and yield the retinal blood vessel tree for each retinal image. Since different line detectors at varying scales have different line responses in the multiscale detector, the line detectors with longer length produce more vessel responses than the ones with shorter length; the improved multiscale detector combines all the responses at different scales by setting different weights for each scale. The methodology is evaluated on two publicly available databases, DRIVE and STARE. Experimental results demonstrate an excellent performance that approximates the average accuracy of a human observer. Moreover, the method is simple, fast, and robust to noise, so it is suitable for being integrated into a computer-assisted diagnostic system for ophthalmic disorders.

Factors Related to Cognitive Function Decline by Socio-demographic and Health-related Characteristics : Based on Korean Longitudinal Study of Ageing(KLoSA) Panel Data (인구사회학적 요인 및 건강관련 특성에 따른 인지기능저하 관련 요인 연구 -고령화연구패널 조사 자료를 이용하여-)

  • Kim, Kyeong-Na;Lee, Hyo-Young;Kim, Soo-Jeong
    • The Korean Journal of Health Service Management
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    • v.14 no.1
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    • pp.137-146
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    • 2020
  • Objectives: The aim of this study was to investigate cognitive function decline by socio-demographic and health-related characteristics (health behaviors and health status) using 5th Korean Longitudinal Study of Aging panel data. Methods: The subjects were 4,440 community-dwelling people aged over 57 years. The data were analyzed with descriptive statistics, frequency analysis, χ2-test, and binary logistic regression analysis using SPSS ver. 25.0. Results: The findings revealed that socio-demographic characteristics (gender, age, area of residence, educational level, marital status, number of children, number of grand-children) and health-related characteristics (smoking, drinking, regular exercise, weight category by body mass index, hypertension and diabetes mellitus) were factors that influenced cognitive function decline (p<.05). Conclusions: Cognitive function decline was closely related to health behaviors and disease types. Future studies must examine related constructs to accurately determine these relationships among various populations. The present study could be used as a tool for the development and implementation of health promotion and prevention strategies.

Health Care Needs and Health Problems of the Subjects in a Health Center (보건소 방문간호 대상자의 건강문제와 방문간호 요구)

  • Kim, Soon-Lae;Lee, Kyeong Yeao
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.1
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    • pp.103-108
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    • 1999
  • In order to investigate the basic data for the visiting nursing care plan of Health Center in Korea, the questionnaire survey in regard to health care needs and health problems of the subjects with visiting nursing care was carried out on 131 subjects with visiting nursing care. The results were as follows : 1. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job. 2. In the health problem, the subjects symptoms were 31.2% of hypertension, 20.6% of arthritis, and 19.1% of diabetes and other chronical illness. Utilization of medical care facilities were 61.8% of private clinics or general hospitals and 29.0% of Health Center. 3. 10 areas of health care needs that subjects wanted were disease management(19.5%), demand for welfare concerns(15.7%), health promotion and disease prevention(14.2%), information for medical institution(12.3%), health management for the aged(10.8%), hospice care(8.0%), prevention of dementia(8.0%), care for mental hygiene(6.7%), management for drinking, smoking and drug abuse(3.3%), home care nursing and rehabilitation nursing(1.2%).

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Development and Application of a Nursing Assessment Tool for Senior Center Nurses (노인복지관 간호사를 위한 간호사정조사도구 개발 및 적용)

  • Ko, Ha Na;Song, Misoon
    • Perspectives in Nursing Science
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    • v.13 no.2
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    • pp.96-109
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    • 2016
  • Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

Synchronization of Synovial Chondromatosis and Mycobacterium intracellurae Infection in Olecranon Bursitis: A Case Report

  • Kim, Dong Hyun;Min, Seunggi;Lee, Hyun Joo;Kim, Hee-June;Lee, Hoseok;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.46-49
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    • 2019
  • A 73-year-old woman presented with a recurrent cystic mass around her left olecranon. She had a history of 8 steroid injections due to elbow pain beginning 3 years ago and twice had undergone aspiration of olecranon bursitis that developed two months prior to presentation. She had been taking medications for hypertension and diabetes with no pertinent past history. On magnetic resonance imaging (MRI), there were multiple nodules in the olecranon bursa, which were isointense to muscle on T1-weighted images and hyperintense to muscle on T2-weighted images. Our initial diagnosis was synovial chondromatosis. On bursoscopy, masses of gray-white colored nodules were observed in the bursa. Finally, synovial chondromatosis and non-tuberculous mycobacterial infection were concurrently diagnosed. In conclusion, uncalcified synovial chondromatosis and rice bodies can have similar visual and MRI characteristics; therefore, we suggest that clinicians should be aware of the possibility of other infections in cases of this type.

Relationship between Overall and Oral Health Status and Obesity in Middle-Aged Women in Jeju (제주지역 중년여성의 건강 및 구강건강상태와 비만과의 관련성)

  • Park, Chung-Soon;Park, So-Young
    • The Korean Journal of Health Service Management
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    • v.13 no.2
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    • pp.81-92
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    • 2019
  • Objectives: The purpose of this study was to discuss the overall and oral health conditions that affect obesity in middle-aged women in Jeju and to help them operate the effective obesity program in the future. Methods: Participants of this study were 171 middle-aged women living in Seogwipo City, Jeju Special Self - Governing Province. Data were collected through the convenience sampling method. Body mass index and waist circumference of each participant were measured, and a self-report questionnaire was applied. Results: The overall health status of obesity comprised depression, stress, diabetes, and menopause. The oral health conditions affecting obesity were bad breath and chewing. Hypertension was the main factor affecting body mass index and depression was the main factor influencing waist circumference. Obesity was more influenced by overall health status factors than by oral health status factors. Conclusions: The results of this study are expected to be useful as basic data for efficient health care services in the prevention of obesity.

A Study on Finding Emergency Conditions for Automatic Authentication Applying Big Data Processing and AI Mechanism on Medical Information Platform

  • Ham, Gyu-Sung;Kang, Mingoo;Joo, Su-Chong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.8
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    • pp.2772-2786
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    • 2022
  • We had researched an automatic authentication-supported medical information platform[6]. The proposed automatic authentication consists of user authentication and mobile terminal authentication, and the authentications are performed simultaneously in patients' emergency conditions. In this paper, we studied on finding emergency conditions for the automatic authentication by applying big data processing and AI mechanism on the extended medical information platform with an added edge computing system. We used big data processing, SVM, and 1-Dimension CNN of AI mechanism to find emergency conditions as authentication means considering patients' underlying diseases such as hypertension, diabetes mellitus, and arrhythmia. To quickly determine a patient's emergency conditions, we placed edge computing at the end of the platform. The medical information server derives patients' emergency conditions decision values using big data processing and AI mechanism and transmits the values to an edge node. If the edge node determines the patient emergency conditions, the edge node notifies the emergency conditions to the medical information server. The medical server transmits an emergency message to the patient's charge medical staff. The medical staff performs the automatic authentication using a mobile terminal. After the automatic authentication is completed, the medical staff can access the patient's upper medical information that was not seen in the normal condition.