• Title/Summary/Keyword: hypertension and diabetes

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Replication of the Association of the 6q22.31c Locus near GJA1 with Pulse Rate in the Korean Population

  • Kim, Nam-Hee;Kim, Young-Jin;Oh, Ji-Hee;Cho, Yoon-Shin
    • Genomics & Informatics
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    • v.10 no.2
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    • pp.106-109
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    • 2012
  • Pulse rate is known to be related to diverse phenotypes, such as cardiovascular diseases, lifespan, arrhythmia, hypertension, lipids, diabetes, and menopause. We have reported two genomewide significant genetic loci responsible for the variation in pulse rate as a part of the Korea Association Resource (KARE) project, the genomewide association study (GWAS) that was conducted with 352,228 single nucleoride polymorphisms typed in 8,842 subjects in the Korean population. GJA1 was implied as a functionally causal gene for pulse rate from the KARE study, but lacked evidence of replication. To re-evaluate the association of a locus near GJA1 with pulse rate, we looked up this signal in another GWAS conducted in a Health Examinee-shared cohort of 3,703 samples. Not only we were able to confirm two pulse rate loci (1q32.2a near CD46 and 6q22.13c near LOCL644502) identified in the KARE GWAS, we also replicated a locus (6q22.31c) near GJA1 by the lookup in the Health Examinee GWAS. Considering that the GJA1-encoded protein is a major component of cardiac gap junctions, a functional study might be necessary to validate its genuine molecular biological role in the synchronized contraction of the heart.

An Investigation on the Development of Healthcare Smart Clothing (건강관리 지원형 스마트 의류 제품 개발을 위한 가능성 탐색)

  • Moon Hui-Sung;Cho Hyun-Seung;Lee Joo-Hyeon;Jung Hyo-Il
    • Science of Emotion and Sensibility
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    • v.9 no.1
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    • pp.77-84
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    • 2006
  • In this study, there was emphasis in presenting a basic direction for the development of a healthcare smart clothing that could monitor diseases. It was also important that the clothing be user-friendly, for everyday life. For achieving this purpose , we studied major health indicators and essential technologies for developing healthcare smart clothing, and carried out the consumer research regarding healthcare smart clothing so it would appeal to consumers. As a result, there was a high demand for clothing that could diagnose diseases such as hypertension, diabetes and metabolic diseases, for all age groups. Thus, its marketability was predicted to be high. The results of this study will become an important index in developing future healthcare smart clothing.

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Cranioplasty Results after the Use of a Polyester Urethane Dural Substitute (Neuro-Patch®) as an Adhesion Prevention Material in Traumatic Decompressive Craniectomy

  • Jeong, Tae Seok;Kim, Woo Kyung;Jang, Myung Jin
    • Journal of Trauma and Injury
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    • v.32 no.4
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    • pp.195-201
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    • 2019
  • Purpose: This study was conducted to investigate the usefulness of a polyester urethane dural substitute (Neuro-Patch®, B. Braun, Boulogne, France) as an anti-adhesion agent in subsequent cranioplasty by analyzing the use of Neuro-Patch® during decompressive craniectomy in traumatic brain injury patients. Methods: We retrospectively analyzed patients with traumatic brain injury who underwent decompressive craniectomy followed by cranioplasty from January 2015 to December 2018. Patients were analyzed according to whether they received treatment with Neuro-Patch® or not (Neuro-Patch® group, n=71; control group, n=55). Patients' baseline characteristics were analyzed to identify factors that could affect cranioplasty results, including age, sex, hypertension, diabetes mellitus, use of antiplatelet agents or anticoagulant medication, the interval between craniectomy and cranioplasty, and the type of bone used in cranioplasty. The cranioplasty results were analyzed according to the following factors: operation time, blood loss, postoperative hospitalization period, surgical site infection, and revision surgery due to extra-axial hematoma. Results: No significant difference was found between the two groups regarding patients' baseline characteristics. For the cranioplasty procedures, the operation time (155 vs. 190 minutes, p=0.003), intraoperative blood loss (350 vs. 450 mL, p=0.012), and number of surgical site infections (4 vs. 11 cases, p=0.024) were significantly lower in the Neuro-Patch® group than in the control group. Conclusions: The use of Neuro-Patch® was associated with a shorter operation time, less blood loss, and a lower number of surgical site infections in subsequent cranioplasties. These results may provide a rationale for prospective studies investigating the efficacy of Neuro-Patch®.

Clinical Analysis of Coronary Artery Bypass Graft Surgery According to Cardiac Protection (관상동맥 우회로술시 심근보호법에 따른 수술결과의 임상분석)

  • 이서원;이계선
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.961-965
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    • 1997
  • From October 1991 to April 1996, 27 patients underwent aortocoronary bypass graft. There were 17 men, 10 women. The mean age was 65 years(range 45 to 76). The preoperative clinical status were chronic stable angina in 11 cases, unstable angina in 13 cases and postinfarction angina in 3 cases. The involved ri k factors were as follows: Hypertension in 7 cases, Diabetes Mellitus in 5 cases and any other diseases in 3 cases We divided these patients into two groups in this survey: The A group was 15 patients who were managed with cardioplegia from 1991 to 1994. The B group of 12 patients was done with intermittent aortic clamping without cardioplegia from 1995 to 1996. The mean numbers of graft per patient was 2.0 in A group and 2.83 in B group. The ischemic time per graft was 27.3 minute in A group and 18.5 minute in B group respectively. The morbidity was occlusion of grafted vessel in one patient and one of postoperative angina in A group. The total mortality was 14.8%(4/27), but mortality of B group was 8.35 (1/12)

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A study on the Associations between life style of Obese Patients and Sasang Constitutions (비만인(肥滿人)의 생활행태(生活行態)와 사상체질(四象體質)의 상관성(相關性)에 관(關)한 연구(硏究))

  • Kim, Eun-young;Kim, Jong-won
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.1
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    • pp.185-199
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    • 1999
  • Purpose Obesity goes on increasing rapidly because of the change of dietary life, various stresses and convenience of life, that cause heart disease, diabetes mellitus, hypertension, fatty liver, arteriosclerosis these days. As obesity is disease, I think there will be constitution to easily become obese, so I began to study this. Methods (1) Subjects The subjects of this study were 101 female patients visited Nara oriental medical hospital during 2months from April 1 to May 30 in 1999. (2) I determined finally classification of sasang constitution according to diagnosis and questions made in Nara oriental medical hospital. Results (1) 81.2% of obese patients are Taeumin, 15.8% of those are Soeumin, 3% of those are Soyangin. (2) Soeumin has significant difference that it takes over 30 minutes to have a meal. (3) Significant difference is that Soeumin goes to bed earlier in the evening than Taeumin and Soyangin. (4) From obesity of whole body point of view, Taeumin has more significant and from obesity of abdomen and leg point of view, Soeumin has more significant difference.

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Severe hyponatremia and seizures after bowel preparation with low-volume polyethylene glycol plus ascorbic acid solution (저용량 polyethylene glycol 용액에 아스코르빈산을 첨가한 장정결제로 대장내시경 전처치 후 발생한 발작을 동반한 저나트륨혈증)

  • Lee, Jae Young;Jang, Byung Ik;Nam, Yoon Jeong;Song, Jay;Kim, Min Cheol;Chung, Seung Min;Jang, Jong Geol;Cho, Jae Ho
    • Journal of Yeungnam Medical Science
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    • v.32 no.1
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    • pp.55-59
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    • 2015
  • The widely used polyethylene glycol (PEG)-based solutions have been proven effective for bowel preparation when 4 L of the solution is administered before colonoscopy. However, large volumes of the solutions are generally poorly tolerated. A new PEG-based solution consisting of 2 L of PEG and a high dose of ascorbic acid has recently become available. Electrolyte abnormalities caused by PEG-based solutions have rarely been reported. We report on a case of acute severe hyponatremia with associated generalized tonic-clonic seizures after bowel preparation with a low-volume PEG plus ascorbic acid solution in a 74-year-old woman with no history of seizures. She took a beta blocker, an angiotensin-converting enzyme inhibitor, and glimepiride for hypertension and diabetes mellitus. She showed general weakness, nausea, agitation, muscle cramping, and seizures after ingestion of the PEG plus ascorbic acid solution. Her serum sodium level was 112 mEq/L. Her symptoms improved after intravenous administration of hypertonic saline. Physicians should pay attention to screening for electrolytes and development of neurological symptoms during bowel preparation.

Analysis of research trends on mobile health intervention for Korean patients with chronic disease using text mining (텍스트마이닝을 이용한 국내 만성질환자 대상 모바일 헬스 중재연구 동향 분석)

  • Son, Youn-Jung;Lee, Soo-Kyoung
    • Journal of Digital Convergence
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    • v.17 no.4
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    • pp.211-217
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    • 2019
  • As the widespread use of mobile health intervention among Korean patients with chronic disease, it is needed to identify research trends in mobile health intervention on chronic care using text mining technique. This secondary data analysis was conducted to investigate characteristics and main research topics in intervention studies from 2005 to 2018 with a total of 20 peer reviewed articles. Microsoft Excel and Text Analyzer were used for data analysis. Mobile health interventions were mainly applied to hypertension, diabetes, stroke, and coronary artery disease. The most common type of intervention was to develop mobile application. Lately, 'feasibility', 'mobile health', and 'outcome measure' were frequently presented. Future larger studies are needed to identify the relationships among key terms and the effectiveness of mobile health intervention using social network analysis.

The Awareness of Cardiovascular Risk Factors and Its Correlates in Patients with Coronary Artery Diseases (관상동맥질환자의 위험요인 인식 및 관련요인)

  • Yang, In-Suk;Choi, Dong-Hoon;Kang, Youn-Hee
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.499-508
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    • 2010
  • Purpose: Cardiovascular risk factor modification is important for patients with coronary artery disease to prevent poor progression of the disease. Without an understanding and an awareness of risk factors, patients with coronary artery disease are not able to reduce their risk by the lifestyle modification. The aims of this study were to assess patient's awareness of risk factors and to identify predictors of awareness of risk factors. Methods: A descriptive correlational study using a cross-sectional survey method was performed. The sites of the study were three hospitals in Seoul, Korea. The sample consisted of 214 subjects. The awareness of risk factors and other subjects' characteristics were measured by a questionnaire developed for this study. Results: A range of subjects (gender: 72.0%; hyperlipidemia: 51.9%; hypertension: 40.7%; obese: 37.4%; age: 35.5%; smoking: 22.4%; diabetes: 19.2%; family history: 18.2%) were not able to accurately identify the risk factors. Among predictors, gender (${\beta}$=-.17) and diabetics (${\beta}$=-.25) had statistically significant influences on awareness of risk factors. Conclusion: Our findings highlight the lack of awareness of risk factors for coronary artery disease. The findings have important implications for nursing practice in terms of guiding educational strategies for the modification of risk factors for coronary heart disease.

The Prognostic Factors That Influence Long-Term Survival in Acute Large Cerebral Infarction

  • Cho, Sung-Yun;Oh, Chang-Wan;Bae, Hee-Joon;Han, Moon-Ku;Park, Hyun;Bang, Jae-Seung
    • Journal of Korean Neurosurgical Society
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    • v.49 no.2
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    • pp.92-96
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    • 2011
  • Objective : We retrospectively evaluated the prognostic factors that can influence long-term survival in patients who suffered acute large cerebral infarction. Methods : Between June 2003 and October 2008, a total of 178 patients were diagnosed with a large cerebral infarction, and, among them, 122 patients were alive one month after the onset of stroke. We investigated the multiple factors that might have influenced the life expectancies of these 122 patients. Results : The mean age of the patients was $70{\pm}13.4$ years and the mean survival was $41.7{\pm}2.8$ months. The mean survival of the poor functional outcome group ($mRS{\geq}4$) was $33.9{\pm}3.3$ months, whereas that of the good functional outcome group ($mRS{\leq}3$) was $58.6{\pm}2.6$ months (p value=0.000). The mean survival of the older patients (270 years) was $29.7{\pm}3.4$ months, whereas that of the younger patients (<70 years) was much better as $58.9{\pm}3.2$ months (p value=0.000). Involvement of ACA or PCA territory in MCA infarction is also a poor prognostic factor (p value=0.021). But, other factors that are also known as significant predictors of poor survival (male gender, hypertension, heart failure, atrial fibrillation, diabetes mellitus, a previous history of stroke, smoking, and dyslipidemia) did not significantly influence the mean survival time in the current study. Conclusion : Age (older versus younger than 70 years old) and functional outcome at one month could be critical prognostic factors for survival after acute large cerebral infarction. Involvement of ACA or PCA territory is also an important poor prognostic factor in patients with MCA territorial infarction.

Clinical Observation of Stroke Patients Admitted to Hospital of Oriental Medicine (한방병원에 입원한 중풍 환자에 대한 임상적 관찰)

  • Kim, Dong-Min;Kim, Hyee-Kwon;Ha, Seon-Yun;Kim, Yong-Suk;Nam, Sang-Soo
    • Journal of Acupuncture Research
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    • v.24 no.5
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    • pp.43-52
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    • 2007
  • Objective : The purpose of this study is to present the epidemiological data on stroke patients admitted to Department of Acupuncture & Moxibustion, Kang-Nam Korean Medicine Hospital Kyunghee University and comparison to past stroke patient studies. Methods : Research was conducted by surveys and charting of patients with a stroke admitted to Department of Acupuncture & Moxibustion Gang-Nam Korean Medicine Hospital Kyunghee University from Jan. 1. 2005 to Dec. 31. 2006. Results : There was 2.3 times more cerebral infarction than cerebral hemorrhage and 1.5 times more female patients. Older patients showed more infarction than hemorrhage. Patient range was mostly in the 70year old range. Preceding diseases were hypertension>diabetes>hyperlipidemia. Gait condition improved during hospitalization. Most patients were admitted after 61 days of stroke onset and hospitalization period exceeded 71days. 76% of patients received treatment from other medical facilities before admittance. Most patients came from western medicine hospitals. Triglyceride levels were high at 32.3% at the time of admittance. The most common symptom in admission time was headache. Conclusion : Acute stroke patients decreased, long term patients increased, and patients who came from other medical facilities increased.

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