• Title/Summary/Keyword: hypertension and diabetes

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Relationship between Albuminuria and Uric Acid to High-Density Lipoprotein Cholesterol Ratio in Korean Adults (대한민국 성인에서 알부민뇨와 요산 대 고밀도 지단백 콜레스테롤 비율의 관련성)

  • Hyun YOON
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.167-173
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    • 2023
  • This study assesses the urine microalbumin to urine creatinine ratio (uACR) with uric acid and the association with the high-density lipoprotein cholesterol (UA/HDL-C) ratio in Korean adults. Data from the 2019 Korean National Health and Nutrition Examination Survey was procured and included 5,845 adults aged 20 years or older. Several key findings were obtained in the present study. After adjusting for the related variables (age, gender, hypertension, obesity, type 2 diabetes mellitus, and chronic kidney disease), the uACR was found to be positively associated with the quartiles of the UA/HDL-C ratio (P=0.002). Moreover, after adjusting for related variables, the odds ratio (OR) of albuminuria (uACR≥30.0 mg/g) was not significant in quartile 2 (Q2) (OR, 1.015; 95% confidence interval [CI], 0.757~1.361) and Q3 (OR, 1.090; 95% CI, 0.811~1.465) but was significantly higher in Q4 (OR, 1.416; 95% CI, 1.044~1.921) as compared to Q1 of the UA/HDL-C ratio. We conclude that since the UA/HDL-C ratio is positively associated with albuminuria in Korean adults, an increased UA/HDL-C ratio could be applied as a useful measure to assess albuminuria in Korean adults.

The Hematologic Study on acute stage of Cerebral Infarction Patients and Cerebral Hemorrhage Patients (뇌경색과 뇌출혈의 초기 혈액학적 소견 비교 연구)

  • Kim, Jong-Won;Shim, Jae-Chul;Kim, Jeong-Keun;Kim, Jung-Hyun;Baek, Kyung-Min;Lee, Hyun-Eui;Oh, Byeong-Yeol;Jo, Hyun-Kyung;Yoo, Ho-Rhyong;Kim, Yoon-Sik;Seol, In-Chan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.6 no.1
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    • pp.17-23
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    • 2005
  • 1. Purpose : The purpose of this study was done to compare the sex, past history, hematologic relationship between the Cerebral infarction patients and the Cerebral hemorrhage patients. 2. Methods : We selected the two study groups. The one is 20 Cerebral infarction patients and the other 20 Cerebral hemorrhage patients with confirmed by Brain CT or MRI. We made an investigation into past history. We examined and made a comparative study of CBC, LFT, Na, K, Cl in the both group. 3. Result & Conclusion : In the Cerebral hemorrhage group, there were many patients with Hypertension and Diabetes mellitus than the Cerebral infarction group. In the Cerebral infarction group, there were many patients with abnormal RBC count with no significant. Also, ESR is higher than the other group. Between the Cerebral infarction and the other group, we discovered significant cases with abnormal triglyceride, ALP in the Cerebral infarction group(p<0.05). Abnormal triglyceride is known one of important risk factor of Cerebral infarction, but this study was significant in the Cerebral hemorrhage group. Also, ALP was significant in the Cerebral hemorrhage group. Therefore more extensive research is needed.

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Survey on the Sodium Contents of Nursery School Meals in Gyeonggi-Do (경기도지역 어린이집의 단체급식 중 나트륨 함량 실태조사 연구)

  • Jung, Hong-Rae;Lee, Myung-Jin;Kim, Ki-Cheol;Kim, Jung-Boem;Kim, Dae-Hwan;Kang, Suk-Ho;Park, Jong-Suk;Kwon, Kwang-Il;Kim, Mee-Hye;Park, Yong-Bae
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.4
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    • pp.526-534
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    • 2010
  • The prevalence rate for chronic diseases such as obesity, diabetes, hypertension etc. caused by the increment of national income and the change of food life according to the globalization in Korea have been increased. Especially excess sodium intake may contribute to the development of hypertension, increasing cardiovascular disease risk. The objective of this study was to investigate sodium intake of nursery school meals in Gyeonggi-Do, and to construct database for lesser sodium intake policy. Survey consisted of 601 sample intakes of sodium in summer and in winter. A food weighed record method was used for measuring food intakes. Average intakes of ten children per nursery school were measured. The sodium contents of meals were analyzed by ICP-OES (inductively coupled plasma-optical emission spectrometer) after acid digestion by microwave. The sodium contents on food groups showed that sources (693 mg/100 g), grilled foods (689 mg/100 g) and kimchies (643 mg/100 g) had respectively higher sodium contents and the average sodium intake per meal was $582\pm204$ mg. The sodium contents of soups & hot soups and kimchies had 37.5% and 15.8% of total sodium intakes per meal, respectively. Sodium intakes per meal in summer and winter showed 572.3 mg and 592.3 mg, respectively. Regional ranking of sodium intakes showed the ascending order of apartment (514.3 mg/meal), rural region (540.5 mg/meal), multiplex house (635.9 mg/meal) and industrial complex (696.4 mg/ meal). A habit of excessive sodium intakes in childhood will threaten their health when they grow up to be adults; thus lesser intake of sodium per meal is needed for children in nursery school.

The Knowledge, Attitude, and Practices Related to Noncommunicable Diseases Among Korean Adults Residing in Urban and Rural Areas -Focusing on Hypertension, Diabetes, and Cancer- (도시 및 시골에 거주하는 성인들의 성인병에 대한 지식, 태도 및 실천 - 고혈압, 당뇨병 및 암을 중심으로 -)

  • Kim, Byung-Sung;Kim, Kong-Hyun;Lee, Chae-Un;Shin, Hae-Rim;Park, Hyung-Jong
    • Korean Journal of Health Education and Promotion
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    • v.9 no.1
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    • pp.14-29
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    • 1992
  • 의학이 발달하고 수명이 연장되고, 그리고 식사가 보다 서양화되는 등 생활양식이 변화됨에 따라 성인병이 1970년대부터 한국에 보다 늘어나게 되었다. 본 연구는 면접 및 설문지법을 이용하여 성인병, 특히 고혈압, 당뇨병 및 암에 관하여 도시 및 시골 거주자들의 지식, 태도 및 실천을 비교 연구하였다. 연구기간은 1990년 1월 부터 12월까지 1년동안이었고 대상은 전체 716명으로 그중 360명은 부산시 거주자였고 356명은 부산 근교의 시골거주자였다. 고혈압, 당뇨병 및 암에 대해 알고 있다고 응답한 대상자는 각각 92.6%, 92.0% 및 74.7%였다. 고혈압, 당뇨병 및 암의 지식도에 있어서 도시 거주자들이 시골 거주자보다 유의하게 더 많이 알고 있었다(각각 p<0.001). 그러나 성인병에 관한 태도와 지식에 있어서는 도시 거주자와 시골 거주자 사이에 유의한 차이가 없었다(p<0.05). 고혈압의 지식도는 거주지(r=0.2159, p<0.01) 및 수입 (r=0.1882, p<0.01)과 유의한 상관관계가 있었고, 당뇨병에 관한 지식도는 거주지(r=0.3952, p<0.001), 수입(r=0.3663, p<0.001) 및 직업(r=0.2576, p<0.001), 수입(r=0.4138, p<0.001), 직업(r=0.3044, p<0.001) 및 성별(r=-0.1887, p<0.01)과 유의한 상관관계가 있었다. 성인병에 관한 태도는 성별(r=0.4748, p<0.001), 경제상태(r=0.2209, p<0.01) 및 고혈압 지식도(r=0.1844, p<0.01)와 유의한 상관관계를 나타내었다. 성인병에 관한 실천은 본 연구에서 어떤 변수와도 상관관계가 없는 것으로 나타났다. 성인병이 이전보다 더 많아짐에 따라 연령이 증가하는 나라와 개발국가에서 성인병이 주요한 대상질환이 될 것이고, 질병예방과 건강증진의 차원에서 성인병을 예방하기 위해 보건교육에 보다 중점을 두어야 할 것이다.

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Field Map Estimation for Effective Fat Quantification at High Field MRI (고자장 자기공명영상에서 효율적인 지방 정량화를 위한 필드 맵 측정 기술)

  • Eun, Sung-Jong;Whangbo, Taeg-Keun
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.558-574
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    • 2014
  • The number of fatty liver patients is sharply growing due to the rapid increase in the incidence of metabolic syndrome, which can lead to diseases such as abdominal obesity, hypertension, diabetes, and hyperlipidemia. Early diagnosis requires examinations using magnetic resonance imaging (MRI), wherein quantitative analyses are implemented through a professional water-fat separation method in many cases, as the intensity values of the areas of interest and non-interest are considerably similar or the same. However, such separation method generates inaccurate results in high magnetic fields, where the inhomogeneity of the fields increases. To overcome the limits of such conventional fat quantification methods, this paper proposes a field map estimation method that is effective in high magnetic fields. This method generates field maps through echo images that are obtained using the existing IDEAL sequences, and considers the wrapping degree of the field maps. Then clustering is performed to separate calibration areas, the least square fits based on the region growing method schema of the separated calibration areas, and the histograms are adjusted to separate the water from the fats. In experiment results, our proposed method had a superior fat detection rate of an average of 86.4%, compared to the ideal method with an average of 61.5% and Yu's method with an average of 62.6%. In addition, it was confirmed that the proposed method had a more accurate water detection rate of 98.4% on the average than the 88.6% average of the fat saturation method.

Characteristics of patients with decreased mental status while staying in an emergency department: Comparative study with alert patients (응급실 체류 중에 의식이 저하된 환자의 특성: 의식명료 환자와의 비교연구)

  • Moon, Sun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.222-230
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    • 2018
  • This was a retrospective study that compared the characteristics of patients with decreased mental status (DMS) during their stays in an emergency department (ED) with that of patients with alert mental status (AMS). The participants in this study consisted of 90 patients with DMS who were staying in an ED along with 100 randomly selected patients with AMS. The DMS group contained more instances of cerebrovascular disease, liver disease, diabetes, and hypertension compared to the AMS group (p=0.001, p=0.003, p<0.001, and p=0.002, respectively). With regard to triage, the DMS group had higher severity than the AMS group (p<.001). The final diagnosis for the DMS group was as follows: 64.9% neurological and 63.3% related to the digestive system, which differed from that of the AMS group (p<.001). Fifty-six (62.2%) patients with DMS had their statuses discovered by nurses, while nine patients in the DMS group had received cardiopulmonary resuscitation. These results suggest that ED nurses frequently assess the consciousness of patients who they suspect may have neurologic or digestive diseases and are classified as high severity, even when the patients are alert.

Convergence study of the Disease Management Educational Experience and Cardiovascular Health Behaviors of Elderly Living Alone having Risk Factors of Metabolic Syndrome (대사증후군 위험 요인을 가진 독거노인의 질병관리교육 경험과 심혈관건강행태에 대한 융합적 연구)

  • Kim, Jong Im;Kim, Yu Mi;Park, Keum Ok;Kim, Tae Hui
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.329-337
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    • 2018
  • This study was designed to investigate the effect of medical education on the health behavior of elderly people aged 65 years or older who have the diagnosis of metabolic syndrome. From 2014 community health survey data, 9042 people with hypertension and diabetes who had disease management education experience in elderly people over 65 years old were used as the final analysis data. Data were analyzed by Chi-square test and multi-variable logistic regression. The results of the study showed that the perceived rate of cardiovascular health factors was higher in the elderly living alone with disease management education (p <.001), and the probability of walking more than 3 days per week was 1.145(P = .002), not drinking at the present time was 1.212 times (p <.001), eating thinly was 1.184 times (p = .002). From the results of this study, it is required to develop the health promotion policy that reflects the importance of education by health care providers and the health information provided to the elderly living alone.

Clinical study of Bangpoongtongsungsan on body weight change in subjects with obesity (방풍통성산이 비만인에 미치는 영향에 대한 임상적 연구)

  • Shin, Dae-Hee;Cho, Guk-Hyun;Lee, Hyuck;Moon, Mi-Kyung;Kang, Dae-Gill;Yun, Young-Gab;Park, Do-Shim;Juhng, Seon-Kwan;Lee, Ho-Sub
    • Herbal Formula Science
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    • v.16 no.2
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    • pp.133-144
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    • 2008
  • Recently, people are becoming fatter in most parts of the world. Obesity is regarded as an important risk factor to adversely affect the health of humans, associated with hypertension, hyperlipidemia, diabetes, and cardiovascular diseases. In the present study, therefore, we tested the short time efficiency and safety of Bangpoongtongsungsan as a drug to decrease body weight in subjects with obesity. A total 48 volunteers (24 man, 24 woman) with body mass index (BMI : weight in kg divided by square of height in meters) of $23㎏/m^2$ participated in clinical study for 12 weeks, from 2008, March 01 to 2008, Jun 30. The subjects was received a dietary supplement of 12 pieces hard capsules per day (4 pieces in one, 3 times in a day) during the clinical study. At the end of clinical study, body weight of subjects was significantly decreased from $72.21{\pm}11.44\;kg$ to $70.53{\pm}11.67\;kg$ (p<0.05). Waist circumferences of subjects were reduced $91.58{\pm}6.43\;cm$ to $85.25{\pm}7.70\;cm$ (p<0.05). Also, a BMI of subjects was significantly decreased $26.07{\pm}2.35\;kg/m^2$ to $25.63{\pm}2.63\;kg/m^2$ (p<0.05). Particularly, a decrease in body weight, waist circumferences, and BMI was more significant in woman than man. But, other biochemical levels including lipid and glucose in plasma had no changes at the end of clinical study. In conclusion, administration of Bangpoongtongsungsan in subjects with high body weight fat could inhibit obesity associated with a decrease in body weight, waist circumferences, and BMI.

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Clinical Observation on C.V.A. (뇌졸중(腦卒中)에 관(關)한 임상통계적(臨床統計的) 연구(硏究))

  • Yun, Jin-Goo;Cho, Ki-Ho;Kim, Young-Suk;Lee, Kyung-Sup
    • The Journal of Internal Korean Medicine
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    • v.10 no.1
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    • pp.25-38
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    • 1989
  • Clinical observation was done on 1092 cases of cerebrovascular disease which were confirmed by Brain CT scan in Oriental Medical Hospital in Kyung Hee Univ. from May 1987 to May 1988. Specially, clinical prognosis of 250 patients who had been hospitalized for over 4 weeks, were obserbed. The results were obtained as follows; 1. In this study, Occlusive CVD was 77.9%, Cerebral hemorrhage was 18.8%, Subarachnoid hemonhage was 0.8%. 2. The ratio of male to female was 1.4:1. In the age distribution, 60th decade, 50th decade, 40th decade, 30th's, 20th's were in order of frequency and specially 60th decade was 35.53% over 70th decade was 17.1% in ratio. 3. The most common preceding disease of CVD was hypertension (54.21%) and diabetes mellitus (19.96%) was second. 4. Almost, the duration of hospitalization was 2-4 weeks in 34.8%, within 4 weeks in 78.02%. 5. Primary attack was 75.7%, 2nd attack was 17.9%, over 3rd attack was 3.1% in ratio of recurrence. 6. The level of consciousness was Grade I in 96.4%, Grade II in 3.2%, Grade III in 1% at attack. 7. A few complications of C.V.A. were observed in the studies: pneumonia was noted frequently in 3.2%, bed sore, urinary tract infection, gastro intestinal bleeding in order of frequency. 8. The ratio of neurologic deficiency in occlusive CVD decreased from 51.9% to 29.3% in upper limb, 52.6% to 24.4% in lower limb, and that in cerebral hemorrhage decreased from 69.5% to 25% in upper limb, 50% to 20% in lower limb. 9. The ratio of left side hemiplegia to right was 1.04:1 in male, 1:1.18 in female. 10. The herb medications for C.V.A. were various Chungg-Paesagantang, Sunghanggeonggisan were used most frequently to Chungyeold, Geopung, Soongi, Haldam and Chungsimtang, the drugs for Bogiheol were used as discharge. In these oriental medical therapy of C.V.A. objective diagnosis and more various therapeutic method must be obtained through east-west medical co-operation.

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Doctors' Perception and Intention of the U-healthcare Service (의사들의 유헬스케어 서비스에 대한 인식과 사용의도)

  • Lee, Yun-Kyung;Park, Ji-Yun;Rho, Mi-Jung;Wang, Bo-Ram;Choi, In-Young
    • The Journal of the Korea Contents Association
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    • v.12 no.2
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    • pp.349-357
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    • 2012
  • Although u-healthcare service is emerged as an alternative method for effective chronic disease management services, the service has not yet been applied for real healthcare setting. The objective of this study is to explore the doctors' perception and influential factors on intention to use u-healthcare service. We conducted survey for physicians about u-healthcare service provision to compare characteristics by different groups. In addition, logistic regression analysis is conducted to find out factors affecting the usage intention. As a result, doctors responded only 16.0% of total respondents had experience of u-healthcare services, but also showed that as high as 70.1% had intention to use service. Also, respondents answered that u-healthcare services is appropriate to apply for chronic disease prevention and diabetes and hypertension are suggested as the most appropriate diseases in order. The intention to use the u-healthcare service by non-university hospital doctors was 3.7 times higher than university hospital doctor. This study shows that identifying the differences of doctors' awareness and also the intention to use about the u-healthcare services will contribute to develop more effective business model.