• Journal of Digital Convergence
• /
• v.11 no.9
• /
• pp.255-265
• /
• 2013

The purpose of this study was to identify the variation factors of hypertension medication rate between regions and to use them as a basic data for establishment of hypertension management business plan which is customized by region. The data were collected from community health survey, National Statistics Office and National Health Insurance Corporation, and were analyzed using the geographically weighted regression. As the result of analysis, the factors that influenced the hypertension medication rate between regions were subjective recognition rate of health level, the rate of medical aid client and the number of health facility per one hundred thousand of population. According to the geographically weighted regression, the total of 230 regional regression models composed of major variables which affected the hypertension medication rate were calculated. However, this study has several limitations that the explanatory power of model is not high and others. Therefore, a follow-up study which is based on the actual data of compliance with hypertension medication will be necessary.

• Clinical and Experimental Pediatrics
• /
• v.53 no.1
• /
• pp.93-96
• /
• 2010

A 47-year-old male patient in whom atrial septal defect (ASD) had been diagnosed 15 years previously was admitted for cardiac catheterization. He had definite cyanotic lips and nail beds and severe pulmonary arterial hypertension (PAH). He had received medical treatment only for the last few years after being diagnosed with Eisenmenger syndrome. After cardiac catheterization, he received iloprost inhalation therapy pre and postoperation and was discharged after successful surgical closure of the ASD.

• Childhood Kidney Diseases
• /
• v.15 no.2
• /
• pp.154-162
• /
• 2011

Purpose: With increasing prevalence of hypertension (HTN) in children and adolescent, pediatricians have become more interested in blood pressure (BP) measurements. The ambulatory blood pressure monitoring (ABPM) is known to be useful to differentiate true HTN and white coat HTN. The object of this study is to assess the clinical usefulness of ABPM in Korean children and adolescents. Methods: A retrospective review of 51 patients in Kyungpook National University Hospital from January 2002 to February 2010 was done. All patients were 6-18 years old and underwent ABPM. We calculated the mean value of ABP, BP load, nocturnal dip and compared the results with the patients' diagnosis and characteristics. Results: The mean age of the 51 patients was $17.8{\pm}1.8$ years and 19 children were obese. 37 patients (72.5%) were truly hypertensive and 1 patient was diagnosed as masked HTN and 7 children (14%) as white coat HTN. The rest of the patients were normotensive. Among patients with white coat HTN, 5 were in a prehypertensive state. Mean systolic and diastolic BP load of patients with true HTN were significantly higher than non-hypertensive children (P<0.001). Although the nocturnal dip of all patients were below 10%, there was no statistical significance. The obese patients showed higher systolic and diastolic BP. Their systolic and diastolic BP load were significantly higher than non-obese patients (P<0.001). Conclusion: ABPM in children and adolescents seems to be a valuable tool in the assessment of white coat HTN and in the confirmation of true HTN. A considerable number of white coat HTN patients are revealed to be in a prehypertensive state and need close follow-up.

• The Monthly Diabetes
• /
• s.174
• /
• pp.33-37
• /
• 2004

• Environmental Analysis Health and Toxicology
• /
• v.18 no.4
• /
• pp.243-247
• /
• 2003

고혈압은 다양한 유전적 요인과 환경적 요인들이 상호작용하여 발병하는 질환으로, 기존의 연구에서 dopamine D3 receptor(DRD3)와 고혈압과의 관련성에 관한 보고들이 있었다. 이에, 본 연구에서는 DRD3 유전자에 존재하는 Bail제한절편길이 다형성이 한국인 집단에서 고혈압과 어떠한 관련성이 있는 지를 조사하였다. 환자-대조군 연구를 수행한 결과 이 유전자에 존재하는 다형성은 한국인 집단에서 고혈압과 유의한 관련성을 나타내지 않았다. 그러나, 이 다형성을 구성하는 대립 유전자의 빈도를 여러 민족집단의 결과들과 비교했을 때, 흑인 집단과 유의한 차이를 나타내었다. 따라서, 이러한 결과는 DRD3유전자에 존재하는 다형성이 고혈압과의 관련성을 나타내는 지를 정확하게 이해하기 위해서는 혹인 집단을 비롯한 다른 민족집단들을 대상으로 하여 광범위한 연구를 수행할 필요가 있을 것으로 생각된다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2012.04a
• /
• pp.1007-1009
• /
• 2012

고혈압과 같은 만성질환 환자들은 약물치료 외에도 운동, 식습관 조절등과 생활습관 개선을 위해 꾸준한 자가관리가 필요하다. 본 논문은 최근 대중적으로 보급되고 있는 스마트폰을 통해 이러한 고혈압 환자들의 자가관리를 돕기 위한 프로그램을 개발하고자 한다.

• Journal of Preventive Medicine and Public Health
• /
• v.24 no.2 s.34
• /
• pp.221-231
• /
• 1991

A case-control study was conducted to investigate the risk factors (Part of job, Obesity, Alcohol, Smoking, Milk, Salt. and Family history) for hypertension. We selected 330 hypertension cases (male;247, female;83) and 1,336 controls (male;887, female;449) from employees in Taegu city from 1 May to 30 November, 1908. Data was analysed using a logistic regression model. Statistically significant elevated odds ratio were noted for alcohol (odds ratio=3.23), obesity (odds ratio=2.31), salt(odds ratio=1.75) in male (p<0.05) and those in female were noted for alcohol (odds ratio=16.49), family history(odds ratio=3.70), obesity (odds ratio=1.74) and salt (odds ratio=1.73) (p<0.05). Statistically significant reduced odds ratio was noted for milk in both sexes (odds ratio=0.69 for male and 0.65 for female)(p<0.05) and the dose-response relationship between milk intake and hypertension was confirmed (p<0.05). Therefore, milk seems to be preventive factor for hypertension. Smoking was not significantly associated with hypertension in both sexes. The part of job was significantly associated with hypertension in female by simple analysis (P<0.05) but the relationship was disappeared when multivariate analysis (logistic regression analysis) was done.

• Journal of the Korean Society of Food Science and Nutrition
• /
• v.25 no.6
• /
• pp.1045-1049
• /
• 1996

Purpose of this study was to investigate correlation between blood pressure(systolic and diastolic) and dietary Na, K intake pattern in the family members of normal and hypertension disease patients, besides patients themselves. Mean values of $systolic(126.6\pm18.0$ vs $119.3\pm17.2mmHg)$ and diastolic $(77.6\pm14.6$ vs $71.6\pm12.5mmHg)$ blood pressure in the family members of hypertension patients were significantly higher than those of normal subjects. Systolic blood pressure in normal subject group was positively correlated with age, body weight, sodium in soybean paste, and was negatively correlated with potassium in hotpepper paste, soybean paste and meats. Systolic blood pressure in the family member of hypertension patient was positively correlated with age, body weight, sodium in soybean Paste, and table salt intake, but urinary potassium excretion was negatively correlated. Diastolic blood pressure was positively correlated with age, body weight, and table salt intake, and was negatively correlated with potassium in hotpepper paste and soybean paste in normal subjects groups. In the family members of hypertension patients group, diastolic blood pressure was positively correlated with age, body weight, and table salt intake, and was negatively correlated with sodium in hotpepper Paste and soybean paste and urinary potassium excretion. In total, tendency of negative correlation between Na intake pattern and systolic blood pressure in normal subjects was much obvious than that in the family members of hypertension patients. Urinary potassium excretion in the family members of hypertension patients was also negatively correlated with both systolic and diastolic blood pressure.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.10
• /
• pp.7078-7088
• /
• 2015

This study examined effects of health behaviors and sleep related factor on cognitive function in the elderly hypertensive patients. Data were collected through a face to face interview survey with structured questionnaire form 140 elderly with hypertension ($age{\geq}65years$) from February 5 to May 1, 2013. Research instruments included Pittsburgh Sleep Quality Index(PSQI), Epworth Sleepiness Scale(ESS) and Korean version the Mini-Mental State Examination(MMSE-K). Cognitive function was negatively related to degradation in quality of sleep(r=-.29, p<.001). Sleep duration were negatively related to body mass index(r=-.18, p=.032) and degradation in quality of sleep(r=-.59, p<.001). Sleep duration was positively related to daytime sleepiness(r=.22, p=.008). Hierarchical multiple regression showed that age, education levels and living arrangement were associated with cognitive function(F=8.56, p<.001, Adjusted $R^2=.14$). After controlling for demographic characteristics and health behaviors, degradation in quality of sleep(${\beta}=-.27$, p=.008) was identified as significant predictors of cognitive function. This final model explained 17.0% of the cognitive function in the elderly hypertensive patients(F=4.09, p<.001). Therefore, as a strategy improving cognitive function of the elderly with hypertension, therapeutic intervention should be developed to improve quality of sleep considering age, education levels and living arrangement.

• Proceedings of the KSCN Conference
• /
• 2004.05a
• /
• pp.426.2-427
• /
• 2004

이 연구는 안동시 농촌지역 주민들을 대상으로 식생활 및 생활습관과 만성 질환 발생 양상을 조사하여 그 관련성을 분석하고, 이를 토대로 지역 주민을 대상으로 영양 교육을 하여 잘못된 식생활 개선을 도모하고자 수행된 사업 중 일부로, 고혈압 노인을 대상으로 영양교육자료를 개발하고 그 효과를 평가하기 위한 것이다. 실태조사는 농업을 생업으로 하는 경북지역 안동군 농촌지역 14개 지역의 50세 이상 장년 및 노년층 1,472명(전체인구의 약 6%에 해당)을 대상으로 만성질병과 식습관에 관하여 이루어졌으며, 그 결과 전체 대상자의 53.3%가 고혈압 환자로 다른 질병에 비해 이환율이 높았다.(중략)