• Journal of Korean Medical Science
• /
• 제33권48호
• /
• pp.295.1-295.7
• /
• 2018

Background: Vancomycin-resistant enterococci (VRE) infections have become a major healthcare-associated pathogen problem worldwide. Nosocomial VRE infections could be effectively controlled by screening patients at high risk of harboring VRE and thereby lowering the influx of VRE into healthcare centers. In this study, we evaluated factors associated with VRE colonization in patients transferred to emergency departments, to detect patients at risk for VRE carriage. Methods: This study was conducted in the emergency department of a medical college-affiliated hospital in Korea. Every patient transferred to the emergency department and admitted to the hospital from January to December 2016 was screened for VRE using rectal cultures. In this cross-sectional study, the dependent variable was VRE colonization and the independent variables were demographic and clinical factors of the patients and factors related to the transferring hospital. Patients were divided into two groups, VRE and non-VRE, and previously collected patient data were analyzed. Then we performed logistic regression analyses of characteristics that differed significantly between groups. Results: Out of 650 patients, 106 (16.3%) had positive VRE culture results. Significant variables in the logistic analysis were transfer from geriatric long-term care hospital (adjusted odds ration [aOR]: 8.017; 95% confidence interval [CI]: 1.378-46.651), hospital days (4-7 days; aOR: 7.246; 95% CI: 3.229-16.261), duration of antimicrobial exposure (1-3 days; aOR: 1.976; 95% CI: 1.137-3.436), and age (aOR: 1.025; 95% CI: 1.007-1.043). Conclusion: VRE colonization in patients transferred to the emergency department is associated primarily with factors related to the transferred hospitals rather than demographic and clinical characteristics.

• 한국융합학회논문지
• /
• 제10권1호
• /
• pp.239-244
• /
• 2019

본 연구의 목적은 우리나라 30세이상 성인의 혈청지질분포와 치주질환간의 관련성을 파악하고자 하였다. 본 연구자료는 2013년, 2014년 국민건강영양조사 자료를 병합하여 이용하였으며, 최종분석대상자는 8,854명이었다. 치주질환은 지역사회치주지수를 이용하였으며, 혈청지질분포와 치주질환간의 관련성을 파악하기 위해 로지스틱회귀분석을 이용하였다. 연구결과 HDL 이 ${\leq}40mg/dL$ 인 경우에서 치주질환 교차비가 1.39배(95% CI=1.16-1.66)증가하였으며, Triglyceride가 ${\geq}200mg/dL$ 인 경우에서 치주질환 교차비가 1.14배(95% CI=1.02-1.27) 유의하게 증가하였다. HDL과 Triglyceride가 치주질환과 유의한 관련성이 있음을 확인하였다. 따라서, 향후 연구에서는 혈청지질분포와 치주질환간의 실질적 관련성을 파악하고 인과관계와 직접적인 연관성을 파악해야 할 것이다.

• 한국치위생학회지
• /
• 제19권2호
• /
• pp.265-275
• /
• 2019

Objectives: The aim of this study was to investigate trends of oral health behaviors in Korean adolescents. Methods: From the 2005 to 2017 Korea Youth Risk Behavior web-based Survey (KYRBS) Secondary Data (study to 748,461). Independent variables were the year, gender, grade, and living area. Dependent variables were the rate of tooth-brushing after lunch, scaling, use of sealant, and oral health education within 1 year. Chi-squire tests were used to estimate the rate of oral health behaviors and trends. In addition, multiple logistic regression analysis was used to estimate the association between socio-economic characteristics and oral health behaviors. The analyses were conducted using IBM SPSS statistics 21 (version 21.0, IBM Corporation, New York, NY, USA). Results: The rate of tooth-brushing after lunch and use of sealant have significantly increased every year. Oral health behaviors were significantly associated with socio-economic characteristics. The rate of oral health education was higher among males than females, which was in contrast to other oral health behaviors. The scores for tooth-brushing after lunch, use of sealant, and scaling in females were 2.33 (95% CI; 2.27-2.40), 1.31 (95% CI; 1.29-1.33), and 1.20 (95% CI; 1.18-1.22), which were higher than those in males. The score for use of sealant in the highest household economy group was 1.13 (95% CI; 1.10-1.17), which was higher than the lowest economy group. Conclusions: We found positive trends of oral health behaviors in Korean adolescents.

• 대한영양사협회학술지
• /
• 제27권1호
• /
• pp.35-44
• /
• 2021

This study analyzed the intake of calories and nutrients based on the consumption of black beans. The survey was conducted on 124 college students (male: 42, female: 82), of whom 63.7% (79 students) were consumers of black beans. The calorie intake of the black bean intake group (1599.81±555.48 kcal) was significantly higher than that of the non-black bean intake group (1259.99±507.58 kcal) (P<0.01). The black bean intake group also showed a significantly higher intake of crude protein (P<0.05), plant protein (P<0.01), animal protein (P<0.05), crude fiber (P<0.001), plant calcium (P<0.001), plant iron (P<0.001), zinc (P<0.01), vitamin B2 (P<0.01), vitamin C (P<0.01), vitamin E (P<0.01) and folic acid (P<0.001) compared to the non-black bean intake group. There was a positive correlation between the frequency of black bean intake and crude fiber (P<0.05), plant calcium (P<0.05), plant iron (P<0.05), and folic acid (P<0.05). Overall, the black bean intake group was more likely to eat black sesame 13.82 times (95% CI=5.37, 35.55), white beans 10.79 times (95% CI=3.53, 33.02), mung beans 7.22 times (95% CI=2.58, 20.23), and brown rice 4.72 times (95% CI=1.88, 11.84), than the non-black bean intake group. In conclusion, we believe that black beans constitute a vital food ingredient that is necessary to provide Korean college students with a well-balanced diet.

• Clinical and Experimental Emergency Medicine
• /
• 제5권4호
• /
• pp.264-271
• /
• 2018

Objective For patients with acute myocardial infarction (AMI), symptoms assessed by emergency medical services (EMS) providers have a critical role in prehospital treatment decisions. The purpose of this study was to evaluate the diagnostic accuracy of EMS provider-assessed cardiac symptoms of AMI. Methods Patients transported by EMS to 4 study hospitals from 2008 to 2012 were included. Using EMS and administrative emergency department databases, patients were stratified according to the presence of EMS-assessed cardiac symptoms and emergency department diagnosis of AMI. Cardiac symptoms were defined as chest pain, dyspnea, palpitations, and syncope. Disproportionate stratified sampling was used, and medical records of sampled patients were reviewed to identify an actual diagnosis of AMI. Using inverse probability weighting, verification bias-corrected diagnostic performance was estimated. Results Overall, 92,353 patients were enrolled in the study. Of these, 13,971 (15.1%) complained of cardiac symptoms to EMS providers. A total of 775 patients were sampled for hospital record review. The sensitivity, specificity, positive predictive value, and negative predictive value of EMS provider-assessed cardiac symptoms for the final diagnosis of AMI was 73.3% (95% confidence interval [CI], 70.8 to 75.7), 85.3% (95% CI, 85.3 to 85.4), 3.9% (95% CI, 3.6 to 4.2), and 99.7% (95% CI, 99.7 to 99.8), respectively. Conclusion We found that EMS provider-assessed cardiac symptoms had moderate sensitivity and high specificity for diagnosis of AMI. EMS policymakers can use these data to evaluate the pertinence of specific prehospital treatment of AMI.

• The Korean Journal of Pain
• /
• 제35권4호
• /
• pp.447-457
• /
• 2022

Background: Ultrasound-guided genicular nerve radiofrequency (RF) procedures are of interest in the management of chronic knee pain. A wide variety of demographic, clinical, and procedural characteristics can affect treatment success. This study aimed to determine predictive factors to provide superior treatment outcomes. Methods: The demographic, clinical, and technical data of patients who received genicular nerve RF for knee pain between September 2016 and September 2021 were evaluated. A positive outcome was defined as at least 50% pain relief on a pain score for at least 6 months. Logistic regression analysis was performed to determine the factors associated with a successful response to genicular RF. Results: Among 206 patients who underwent genicular RF, 62% of the patients reported successful outcomes at 6 months. In the multivariate model, targeting 5 nerves (odds ratio [OR], 6.184; 95% confidence interval [CI], 2.291-16.690; P < 0.001) was the most significant predictor of successful outcomes. Multivariable logistic regression analysis showed that prognostic genicular nerve block with a 50% cut-off value (OR, 2.109; 95% CI, 1.038-4.287; P = 0.039), no opioid use (OR, 2.753; 95% CI, 1.405-5.393; P = 0.003), and depression (OR, 0.297; 95% CI, 0.124-0.713; P = 0.007) were the predictive factors significantly associated with response to genicular RF. Conclusions: Clinical and technical factors associated with better treatment outcomes were ultimately targeting more nerves, performing prognostic block, no opioid use, and no depression. These results are expected to be considered when selecting patients for genicular RF.

• Journal of Korean Biological Nursing Science
• /
• 제25권4호
• /
• pp.285-294
• /
• 2023

Purpose: This study aimed to identify the colonization rate of carbapenem-resistant Enterobacteriaceae (CRE), the characteristics of CRE isolates, and risk factors for CRE colonization in patients transferred to the general wards of a small/medium-sized hospital. Methods: This retrospective study was conducted on patients who underwent CRE culture tests within 24 hours of admission among patients transferred to a small/medium-sized hospital. Forty-seven patients confirmed as positive for CRE were classified as belonging to the patient group. For the control group, 235 patients (five times the number of the patient group) were matched by sex, age, and diagnosis, and then selected at random. Data were analyzed using descriptive analysis and multiple logistic regression analysis. Results: The CRE colonization rate was 5% (47 out of 933 patients), and Klebsiella pneumoniae (68.0%) was the most common isolate of CRE. The positivity rate of carbapenemase-producing Enterobacteriaceae was 61.7%. The risk factors for CRE colonization included renal disease (odds ratio [OR]=4.93; 95% confidence interval [CI], 1.49-16.31), heart disease (OR=3.86; 95% CI, 1.35-11.01), indwelling urinary catheters (OR=4.43; 95% CI, 1.59-12.36), and cephalosporin antibiotic use (OR=8.57; 95% CI, 1.23-59.60). Conclusion: Having a comorbid renal or cardiac disease, an indwelling urinary catheter, or a history of exposure to cephalosporin antibiotics could be classified as risk factors for CRE colonization in patients transferred to small and medium-size hospitals. It is necessary to perform active infection control through proactive CRE culture testing of patients with risk factors.

• Annals of Occupational and Environmental Medicine
• /
• 제34권
• /
• pp.43.1-43.11
• /
• 2022

Background: Polycyclic aromatic hydrocarbons (PAHs) have become common pollutants with industrial development. Although the effect of exposure to PAHs on allergic disease in humans has been evaluated, evidence of an association is sparse. The association between PAH exposure and serum total immunoglobulin E (IgE) levels was evaluated in Korean adults. Methods: In total, this study included 3,269 participants in the Third Korean National Environmental Health Survey (2015-2017). Four urinary PAH metabolites were used to assessed exposure to PAHs: 1-hydroxypyrene, 1-hydroxyphenanthrene, 2-naphthol, and 2-hydroxyfluorene. The analyses were performed on 3 cutoff levels (100 IU/mL, 114 IU/mL, and 150 IU/mL) set as the total IgE elevation. Prevalence of total IgE elevation by PAH exposure group and general characteristics (age, sex, BMI, smoking, alcohol drinking, and occupation) were analyzed using the Rao-Scott χ² test. Multiple logistic regression analyses were conducted to calculate adjusted odds ratios (ORs) for total IgE elevation by PAH exposure groups. Results: Total IgE elevation differed significantly by age, sex, smoking status, alcohol drinking status, and occupation. For 2-hydroxyfluorene, the fourth quartile showed a significant association with IgE elevation compared to the first quartile in the analyses of cutoff-level 100 IU/mL (OR: 1.372, 95% confidence interval [CI]: 1.007-1.869) and 114 IU/mL (OR: 1.643, 95% CI: 1.167-2.312). In the analysis of cutoff-level 150 IU/mL, the adjusted ORs of the third and fourth quartile of 2-hydroxyfluorene were significantly higher than the first quartile (3rd quartile: OR: 1.478, 95% CI: 1.034-2.113; 4th quartile: OR: 1.715, 95% CI: 1.161-2.534). However, there were no significant positive associations for the other metabolites. Conclusions: This study implied that PAHs exposure is associated with total IgE elevation in Korean adults. More research is needed to confirm the effect of exposure to PAHs on serum IgE and allergic diseases.

• 한국응용곤충학회지
• /
• 제58권2호
• /
• pp.89-99
• /
• 2019

2012~2017년까지 강원도 3개 시 군(춘천시, 강릉시, 횡성군)에서 채집된 모기는 총 6속 13종, 654,362마리가 채집되었다. 채집된 모기는 분류하여 얼룩날개모기속을 제외하고 종별, 채집일, 채집 장소에 따라 최대 50마리를 1개 실험군으로 reverse transcription-polymerase chain reaction, 염기서열 분석방법으로 플라비바이러스 감염여부를 조사하였다. 채집모기 276,224마리에 대해 7,721개 실험군을 검사한 결과 68개 실험군(0.9%)에서 플라비바이러스 유전자가 검출되었다. 검출된 플라비바이러스의 염기서열 분석결과 4개 실험군은 일본뇌염바이러스(Japanese encephalitis virus), 64개 실험군은 차오양바이러스(Chaoyang virus)로 확인되었다. 일본뇌염바이러스는 2012년 춘천시에서 채집된 2,728마리의 빨간집모기 중 1개 실험군, 2013년 횡성군에서 채집된 19마리의 동양집모기 중 1개 실험군, 2017년 춘천시에서 채집된 1,111마리의 빨간집모기 중 1개 실험군, 강릉시에서 채집된 빨간집모기 724마리 중 1개 실험군에서 검출되었다. 검출된 일본뇌염바이러스의 유전형은 모두 V형 바이러스였다. 차오양바이러스는 강원도 내에서 6년간 채집된 금빛숲모기 232,871마리, 5,055개 실험군을 대상으로 검사한 결과 63개 실험군에서 검출되었으며, 춘천지역에서 채집된 빨간집모기 585개 실험군 중 1개 실험군에서 검출되었다. 채집지역별 금빛숲모기의 차오양바이러스 감염률이 가장 높은 지역은 MIR (최소감염률) 0.32, MLE (최대우도법) 0.33 (CI 0.23~0.46) 감염률을 보인 춘천시였다. 그 뒤로 횡성군 MIR 0.30, MLE 0.30 (CI 0.16~0.52)과 강릉시 MIR 0.21, MLE 0.21 (CI 0.13~0.31)순이었다. 월별 금빛숲모기의 차오양바이러스 감염률은 10월에 MIR 0.38, MLE 0.38 (CI 0.07~1.25)로 가장 높은 감염률을 나타내었다.

• Journal of Preventive Medicine and Public Health
• /
• 제32권4호
• /
• pp.443-451
• /
• 1999

Objective: To examine the relationship between hypertension prevalence and the four commonest anthropometric measurements for obesity(body mass index(BMI), wasit-hip ratio(WHR), waist circumference(WC) and body fat in Korean adults. Methods: We studied the cross-sectional association of the anthropometric indices and blood pressure in 1,197 individuals(who were participants in the population-based cohort study). Hypertension was defined as blood pressure $\geq160/95\;mmHg$ or current use of antihypertensive medication. Informations on life-style factors were obtained from personal interview. Results: There were close associations between BMI, WHR and WC with blood pressure in both men and women. After age adjustment, BMI and WC showed significantly positive correlation with systolic and diastolic blood pressure levels in both men and women. Odds ratio(ORs) of being hypertensive were estimated comparing the highest to the lowest quantile, adjusting for age, smoking status, alcohol intake levels, education attainment. The simultaneously adjusted ORs of being hypertensive, comparing the highest vs the lowest categories, was for BMI 2.0(95% confidence interval(CI)=0.9-3.2) in men and 3.2 (95% CI=1.7-6.1) in women, for WC 2.1(95% CI=1.0-4.4) in men and 3.1 (95% CI=1.6-5.9) in women, for fat(%) 4.2(95% CI=1.9-9.5) in men and 2.1(95% CI=1.2-3.6) in women. Conclusion: In addition to measures of overall obesity(BMI) as well as central obesity(WHR, WC), body fat(%) was independently associated with prevalence of hypertension. Among obesity indices, body fat was the most predictor variable in hypertensive state in male and BMI was in female.