• 제목/요약/키워드: under 40 years old

검색결과 193건 처리시간 0.033초

Estimation of Completeness of Cancer Registration for Patients Referred to Shiraz Selected Centers through a Two Source Capture Re-capture Method, 2009 Data

  • Sharifian, Roxana;SedaghatNia, Mohammad Hossein;Nematolahi, Mohtram;Zare, Najaf;Barzegari, Saeed
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5549-5556
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    • 2015
  • Background: Cancer has important social consequences with cancer registration as the basis of moving towards prevention. The present study aimed to estimate the completeness of registration of the ten most common cancers in patients referred to selected hospitals in Shiraz, Iran by using capture-recapture method. Materials and Methods: This cross-sectional analytical study was performed in 2014 based on the data of 2009, on a total of 4,388 registered cancer patients. After cleaning data from two sources, using capture-recapture common findings were identified. Then, the percentage of the completeness of cancer registration was estimated using Chapman and Chao methods. Finally, the effects of demographic and treatment variables on the completeness of cancer registration were investigated. Results: The results showed that the percentages of completeness of cancer registration in the selected hospitals of Shiraz were 58.6% and 58.4%, and influenced by different variables. The age group between 40-49 years old was the highest represented and for the age group under 20 years old was the lowest for cancer registration. Breast cancer had the highest registration level and after that, thyroid and lung cancers, while colorectal cancer had the lowest registration level. Conclusions: According to the results, the number of cancers registered was very few and it seems that factors like inadequate knowledge of some doctors, imprecise diagnosis about the types of cancer, incorrectly filled out medical documents, and lack of sufficient accuracy in recording data on the computer cause errors and defects in cancer registration. This suggests a necessity to educate and teach doctors and other medical workers about the methods of documenting information related to cancer and also conduct additional measures to improve the cancer registration system.

기귀보신탕 투여가 야뇨증 환아에 미치는 영향에 관한 임상적 연구 (The Clinical Effect of Gikwuibosin-tang on Nocturnal Enuresis)

  • 주봉현;장지혜;정민정;이승연
    • 대한한방소아과학회지
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    • 제20권2호
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    • pp.139-146
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    • 2006
  • Objective : The objective of this study is to assess the clinical effect of Gikwuibosin_tang on nocturnal enuretic children. Methods : This clinical study was carried out with 15 cases of children aged 5 to 10 years old who visited the 00 Oriental Clinic between February 2005 and August 2005 and who were diagnosed as the nocturnal enuresis. The data of present symptom and improvement progress was collected a telephone interviews with their mother. Results : The total number of children was 15, 10 of them were male and 5 were female. Sex ratio was 2:1. Patients under 6 years old were 9(60%). After the treatment of oriental medicine der $2{\sim}3$ months, 6 of the children were improved completely and 7 of them were cured quite well, 2 of them were recovered in a half way. the treatment performed very well so there's no case which were not improved at all. And a ratio of the perfect cure was 40%. Following-up survey by telephone, the treatment were performed completely for 8 of them and 4 of them were almost improved but 3 of them were not improved. And a ratio of the perfect cure was 53.3%. Conclusion : Gikwuibasin-tang is effective in the treatment of nocturnal enuretic children. Further study is needed with more cases.

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식도 및 기도이물의 통계적 고찰 (A Clinical Study of Foreign Bodies in the Food and Air Passages 12-Year Review of 285 cases)

  • 안재신;원유성;서병도
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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    • pp.79-79
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    • 1993
  • 식도 및 기도이물은 이비인후과 영역에서 비교적 흔히 볼 수 있는 질환의 하나로 이물은 대부분 돌발적 사고와 부주의에 의해 발생하며, 이물의 종류, 빈도, 성격 등은 일상생활과 밀접한 관계를 가지고 연령, 성별, 민족 등에 따라 다양하다. 식도 및 기도이물은 내시경적 방법으로 쉽게 치유되지만 진단과 치료가 지연되거나 기도 이물인 경우 심각한 합병증을 일으킬 수 있으므로 응급을 요하는 경우가 많고 이물의 종류, 개재부위, 이물의 상태 등에 따라 수술적 방법이 요구되는 경우도 있어 이비인후과 영역에서 중요한 질환으로 여겨져 왔으므로 이에 관하여 많은 문헌이 발표되었다. 저자들은 1980년 11월부터 1992년 10월까지 만 12년간 강남성모병원 이비인후과에서 경험한 식도 및 기도이물 285례를 대상으로 임상적 통계적 고찰을 시행하였다.

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Comparison of elective single cleavage-embryo transfer to elective single blastocyst-embryo transfer in human IVF-ET

  • Kang, Sang-Min;Lee, Sang-Won;Jeong, Hak-Jun;Yoon, San-Hyun;Lim, Jin-Ho;Lee, Seong-Goo
    • Clinical and Experimental Reproductive Medicine
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    • 제38권1호
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    • pp.53-60
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    • 2011
  • Objective: This study was carried out to compare the clinical outcome of elective single cleavage-embryo transfer (eSCET) to that of elective single blastocyst-embryo transfer (eSBET) in human IVF-ET. Methods: This study was a retrospective study which analyzed for 614 women who visited the Daegu Maria Clinic from August 2008 to December 2009. All were under 37 years old and had more than 8 mm of endometrial thickness on the day of hCG administration and at least one good quality embryo on day 3. The eSCETs were performed on day 3 (n=450) and the eSBETs were conducted on day 5 (n=164). Results: The numbers of retrieved oocytes, fertilized oocytes, and day 3 good quality embryos were significantly lower in the eSCET group (12.1${\pm}$6.0, 8.2${\pm}$4.6, and 4.2${\pm}$3.1, respectively) compared to the eSBET group (16.7${\pm}$7.2, 12.1${\pm}$5.0, and 8.5${\pm}$4.5, respectively; p<0.001). However, the clinical pregnancy, implantation, on-going pregnancy, and live birth rates of the eSCET group (46.7, 46.9, 40.0, and 36.7%, respectively) were not statistically different from those of the eSBET group (51.2, 51.8, 45.1, and 43.9%, respectively; p=0.318, 0.278, 0.254, and 0.103, respectively). Conclusion: These results suggested that elective single embryo transfer should be performed regardless of the developmental stage to women less than 37 years old who had more than 8 mm of endometrial thickness on the hCG administration day and at least one good quality embryo on day 3 in order to reduce the twin pregnancy rate without reducing the whole pregnancy rate.

내과 외래환자에 있어서 흡연 양상과 의사의 금연권고의 성공률 (The Smoking Habits among the OPD Patients and The Success Rates of the Physician's Cessation Order)

  • 박기찬;김영효;배성;이상훈;전명호;이상기;전광수;이찬세
    • Tuberculosis and Respiratory Diseases
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    • 제40권3호
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    • pp.292-300
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    • 1993
  • 연구배경 : 흡연으로 인한 건강의 위해를 줄이기위한 금연운동의 일환으로 의사의 금연권고에 대한 환자의 순응도와 효율성을 알아보기 위해 본 연구를 시행하였다. 방법 : 1989년 1월부터 1990년 말까지 2년간 부산 대동 병원 내과에서 통원 치료한 환자 남자 922명, 여자 1059명 도합 1981명을 대상으로 해서 흡연 양상과 의사 권고에 의한 금연 성공률을 조사해 보았다. 결과: 1) 남자 환자에서 현 흡연률은 64.43%, 비흡연자는 27.00%, 기금연자는 8.57% 이었다. 20세이하군에선 흡연률이 36.11% 이였다. 2) 여자 환자에선 현흡연률이 겨우 2.83%, 비흡연자는 96.79%, 기금연자는 0.38% 이였다. 20세 이하군에선 흡연자가 1명도 없었다. 3) 일일 흡연량은 남자에서 10개 이하가 2.69%, 11~20개가 39.23%, 21~39개가 46.30%, 40개 이상이 11.78% 이였으며, 20세 이하에서는 각기 11.54%, 61.54%, 23.08%, 3.84%로서 흡연량이 약간 적었다. 여자에선 흡연자수가 겨우 30명으로 너무 적었으나 각기 3.33%, 60.00%, 30.00%, 6.67% 이였다. 4) 계통적 질환군별 흡연 양상은 여자는 대상수효가 너무 적어서 제외하고 남자만에서 보았는데 기금연자가 호흡기계에서는 15.21%로서 타군에서 4.35%내지 8.11% 인데 비해서 월등히 높았고 (p<0.001), 현 흡연자는 순환기계 질환자군이 81.08%로 가장 높았다 (p=0.23), 소화기계 질환자군이 68.93%로 그 다음이고 호흡기계 질환자군은 60.84% 이었다. 흡연량에 있어서는 호흡기계 질환자군에서 하루에 40개 이상 흡연자가 16.25%로 가장 많았고 (p<0.05), 그 다음이 소화기계 질환자군으로 13.01% 이였다. 5) 금연 성공률은 흡연자로서 3개월 이상 계속 치료하는 자 중에서 여자는 제외했고 남자에서만 보았는데, 총체적으로 62.03% 이였으며 각 연령군별로 큰 차이는 없었으나, 41~60세군에서 75%로 가장 높았다 (p=0.19). 계통적 질병군별로는 호흡기계 질환군에서 78.13% (p<0.03) 인데 비해서 소화기계 질환군에선 41.94%로서 가장 저율이였다. 결론 : 이상을 총괄하면 종합병원 내과에서 통원 치료하는 환자들에서 남여 각기 현 흡연률은 일반인에서와 비슷하였다. 담당 의사의 권유에 의한 금연 성공률은 제한된 소수관찰대상자라는 특수조건이 있지만 과반수 이상의 순응도를 보였으므로 의사의 금연 설득이 상당한 효과를 보였다고 하겠다. 그리고 3개월 이상 치료를 계속하지 않아서 제외된 환자들에 대해서도 금연에 대한 일반 계몽교육이상의 효과는 있었을 것으로 추측된다.

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성인 여성의 모유수유 예측요인: 국민건강영양조사 제7기 3차년도(2018)의 2차 자료 분석 (Predictors of Breastfeeding in Adult Women: a Secondary Data Analysis of The Seventh Korea National Health and Nutrition Examination Survey(KNHANES VII-3), 2018)

  • 성지숙
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.440-448
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    • 2020
  • 본 연구는 제7기 3차년도(2018) 국민건강영양조사 통계 자료 중 건강 설문 조사 결과를 토대로 인구사회학적 특성 및 건강관련 특성이 성인 여성의 모유수유에 미치는 영향요인을 파악하고자 시행되었다. 자료는 가중치를 적용하여 SPSS Win 22.0 프로그램의 복합표본 분석방법을 이용하여 분석하였다. 성인 여성의 모유수유에 영향을 미치는 요인을 알아보기 위하여 복합표본 다중 로지스틱 회귀분석을 한 결과, 연령, 교육 수준, 흡연이 모유수유에 영향을 미치는 것으로 나타났다. 30-39세 연령군인 경우 19-29세 연령군인 경우보다 3.06배, 초등학교 이하의 학력인 경우가 대학 이상의 학력인 경우보다 4.70배, 비흡연자가 흡연자에 비해 2.51배 모유수유율이 높았다. 따라서 30세 미만의 연령의 경우 모유 수유에 대한 교육을 더욱 강화하고 40세 이상의 연령의 경우 모유생산량을 높이고 돌봄 제공서비스를 제공해야 한다. 또한 학력이 높은 경우에는 직장생활 등의 제한된 환경에서의 효율적인 모유수유 방법을 익히고 수유부를 배려하는 사회적 분위기 조성이 필요할 것이다. 뿐만 아니라 여성 흡연자의 금연프로그램에는 임신 및 수유와 관련된 교육이 포함되어야 할 것이다.

PSC-Box 교량에 적용된 탄성고무 받침과 납-고무 받침의 노후화 효과를 고려한 지진응답의 평가 (Evaluation of Seismic Response Considering the Ageing Effect of Rubber and Lead-Rubber Bearings Applied to PSC Box Bridge)

  • 정연희;송종걸;신수봉
    • 한국지진공학회논문집
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    • 제23권6호
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    • pp.311-319
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    • 2019
  • The number of aged bridges is increasing so that bridges over 30 years old account for about 11% of all bridges. Consequently, the development of a seismic performance evaluation method that considers the effects of ageing is essential for a seismic retrofitting process for improvement of the seismic safety of existing old bridges. Assessment of the damage situation of bridges after the recent earthquakes in Korea has been limited to the bearings, anchor, and concrete mortar on piers. The purpose of this study is to evaluate the seismic responses of PSC box girder bridges by considering the ageing effect of rubber bearings (RBs) and lead-rubber bearings (LRBs). The modification factor proposed by AASHTO is used to take into account the ageing effect in the bearings. PSC box girder bridges with RBs and LRBs were 3D modeled and analyzed with the OpenSEES program. In order to evaluate the ageing effect of RBs and LRBs, 40 near fault and 40 far field records were used as the input earthquakes. When considering the effect of ageing, the displacement responses and shear forces of bridge bearings (RBs and LRBs) were found to increase mostly under the analytical conditions. It was shown that the effect of ageing is greater in the case of RBs than in the case of LRBs.

Etiology and Patterns of Maxillofacial Fractures in 518 patients in Korea

  • Chung, Il-Hyuk;Lee, Eun-Kyung;Yoo, Chung-Kyu;Park, Chang-Joo;Song, Seung-Il;Hwang, Kyung-Gyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권1호
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    • pp.83-89
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    • 2008
  • Purpose: Different patterns in the causes of maxillofacial injury are thought to correlate with socioeconomic status and regional environment. This study investigated maxillofacial fractures in order to analyze maxillofacial trauma characteristics and the relationship between the causes and injury patterns in Korea. Material and methods: A total of 518 patients with maxillofacial fractures who were treated at the Seoul National University Boramae Hospital between 1996 and 2004 were retrospectively analyzed. Data were obtained from the patients' medical records and radiographs. The male to female ratio in the patient group was 2.78:1, and the mean age was 32.3 years. Results: Midfacial fractures were the most common location of injury (46.1%). The most common etiologic factor was an activity associated with daily life (42.6%) including falls, stumbling, and collisions. The second most common cause was assault (32.4%), followed by traffic accidents (13.7%). In the case of midfacial fractures and mandibular fractures, assault was the most common etiologic factor, whereas in the case of alveolar bone fractures, activities associated with daily life were the most common cause. With regard to age groups, assault was the most common cause for patients between 10 and 39 years old and an activity associated with daily life was the most common cause in those under 10 years and over 40 years. Conclusions: This study concluded that activities associated with daily life and assault causes a large proportion of Korean maxillofacial injuries and that preventive measures should be implemented in order to minimize these risks.

경남지역 간호사의 영양교육에 대한 인식조사 (A Study on Nurses' Perception for Nutrition Education Working in Kyungnam Area)

  • 최윤영;윤현숙
    • 대한영양사협회학술지
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    • 제9권4호
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    • pp.278-287
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    • 2003
  • This study was performed to investigate nurses’ perception for nutrition education. The subjects of this study were 197 nurses and 94 nursing assistants working at hospitals in the Kyung-nam area. The survey was conducted by using a self-administered questionnaire in November, 2001. The results were as follows : Sixty-seven point seven percent of the subjects were nurse, 32.3% were nursing assistant. Average age of subjects was 26.9 years old, average nursing experience was 5.7 years, and 70.7% of the subjects graduated from a junior college. The average nutrition knowledge score was 14.3$\pm$2.5 out of possible 20 points. Seventy-four point two percent of the subject responded that nutrition education is very necessary for patient, and positive responses in the nurse were higher than that nursing assistant(p<0.001). Only 8.6% of the subjects had nutrition education training. The perceptions about a suitable person for nutrition counseling and nutrition education indicated dietitian(69.3%) and nurse(21.3%). Fifty-two point eight percent of the subjects responded that they would not participate in nutrition education themselves and the main reason for this was that they believed lack of expert knowledge(43.4%), and that such courses should be taught by specialist(40.5%). Forty-eight point eight percent of subjects had nutrition counseling experience for patient, and nurses, married nurses and those over 2 years of nursing careers had significantly higher nutrition counseling experience for patient than nursing assistant, unmarried nurses and those under 2 years of nursing careers(p<0.05-p<0.001)

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외식업체에서 성인의 스트레스 및 식습관을 고려한 메뉴 개발 필요성에 관한 기초연구 (A Basic Study of the Needs for Menu Development Considering Stress and Eating Habit of Adult in Restaurants)

  • 이영남;김경희
    • 동아시아식생활학회지
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    • 제15권6호
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    • pp.773-781
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    • 2005
  • Menu-development is one of the important parts in restaurant business. Menu in restaurant has to be developed by customer's net which is the key for the success in restaurant management, The purpose of this study is to determine stress level, food intake, food habit, food preference of employees in certain companies and to develop proper menus for employees who are under high stress state. This study also determine whether the customers under stress will visit restaurant which provide stress-release-menu or not This study was conducted to people who live in Seoul and its adjunct area, including Gyunggi Province. The subjects were selected at random and the Questionnaires were sent to the subject by mail. The surveys included personal information, extent of stress, food habits related to the stress. The statistical tests were performed with SPSS computer software program. The male subjects were $44.9\%$ and females were $55.1\%$, aged between $30\~40$ years old. The percentages of no risk, borderline, and at risk, in the stress level of subjects, were 48.3, 16.5 and $35.2\%$, respectively. Most of the subjects, $61.8\%$, had normal food habit and $29.2\%$ had bad food Habits. The ideal costs of meals were $3,000\~5,000Won$ for breakfast$(57.3 \%)$, $5,000\~10,000Won$ for lunch$(54.7\%)$, and $10,000\~20,000Won$ for dinner$(38.2\%)$. Subjects under high stress answered 0 need a dietary supplementation for stress release. This study also showed that $92\%$ of the subjects under stress were willing to visit restaurants which have stress-release menus. In conclusion, adults who are under stress are shown to be interested in stress and nutrition management and they are willing to visit restaurants providing stress-release menus.

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