• Journal of Digital Convergence
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• v.14 no.7
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• pp.309-319
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• 2016

There is a need to develop a data quality management algorithm in order to improve the quality of health care data. In this study, we developed a data quality control algorithms associated diseases related to diabetes in patients with hypertension. To make a data quality algorithm, we extracted hypertension patients from 2011 and 2012 discharge damage survey data. As the result of developing Data quality management algorithm, significant factors in hypertension patients with diabetes are gender, age, Glomerular disorders in diabetes mellitus, Diabetic retinopathy, Diabetic polyneuropathy, Closed [percutaneous] [needle] biopsy of kidney. Depending on the decision tree results, we defined Outlier which was probability values associated with a patient having diabetes corporal with hypertension or more than 80%, or not more than 20%, and found six groups with extreme values for diabetes accompanying hypertension patients. Thus there is a need to check the actual data contained in the Outlier(extreme value) groups to improve the quality of the data.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.3
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• pp.552-558
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• 2010

This is an example of ABSTRACT format. This study proposes a hypertension management system that implements a signal collision avoidance algorithm for RFID tags and enables accurate medical services for hypertension patients. The proposed system enables the mobile RFID reader to accurately recognize the RFID tag signals emitted from the patient by using OR logic. Moreover, the system adopts a multi-agent approach to provide and manage information on patient condition and automated medical service in a mobile environment.

• Journal of dental hygiene science
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• v.16 no.1
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• pp.101-109
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• 2016

The purpose of this study was to examine the impact of the oral health behaviors and lifestyle of hypertension patients on their perceived periodontal diseases. The data of the 2013 community health survey were used, and the data of 55,632 patients who suffered from hypertension and who were at the ages of 19 and over was analyzed. The analying methods used in this study were chi-square test and multiple logistic regression analysis. Gender, age, marital status, education, economic activity, income level and subscription to private medical insurance were identified as the factors to affect the perceived periodontal disease of the hypertension patients, and lifestyle and oral health behaviors were found to have exerted a significant influence on perceived periodontal disease. As this study found that not only the socioeconomic characteristics of the hypertension patients but their oral health care and lifestyle were all correlated with perceived periodontal disease, how to promote the oral health of those who are susceptible to periodontal diseases should carefully be considered.

• Korean Journal of Clinical Pharmacy
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• v.21 no.3
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• pp.243-248
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• 2011

낙상은 노인의 건강을 위협하는 가장 심각한 문제 중의 하나이며, 조기사망, 신체손상, 운동장애, 심리학적 기능장애를 유발하는 원인이기도 하다. 본 연구의 목적은 국내 노인전문 요양병원 입원 환자들의 의약품 사용이 낙상에 미치는 영향을 평가하는데 있다. 후향적으로 원내 의무기록 정보를 이용하여 환자-대조군 연구를 수행하였고, 2008년 1월부터 2010년 12월까지 3년 기간에 입원한 65세 이상을 대상으로 하였다. 입원기간 중 낙상을 경험한 34명의 노인환자들을 환자군으로 선택하였으며 낙상을 경험하지 않은 68명의 노인환자들을 무작위 추출하여 1:2의 환자군:대조군비율로 연구 대상 환자들을 선정하였다. 환자군이 복용한 의약품을 대조군이 복용한 의약품과 비교하였으며 각 계열별 의약품과 낙상위험도 관계를 평가하였다. 두 그룹간의 인구통계학적 특성은 유사하였고 연령, 성별, 복용 의약품수, 고혈압 유무, 혈중 크레아티닌 수치, 혈중 나트륨 수치, 혈압 또는 심박수에 유의한 차이는 없었다. 항히스타민제와 본 연구에서 유일하게 기타 수면보조제로 분류된 졸피뎀이 유의하게 낙상위험도를 증가시켰다.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.1
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• pp.1-15
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• 2024

Objectives: This study aims to examine the general characteristics and physical activity characteristics of young and middle-aged individuals with hypertension, with the goal of identifying key influencing factors and providing public health policy recommendations. Methods: Participants in this study used data from the 2021 Community Health Survey. The study participants include 5,511 individuals diagnosed with hypertension in the young and middle-aged group (aged 19 to 49). The collected data were analyzed using SPSS 26.0. Results: Model 1 is the influencing factors of young and middle-aged hypertensive patients according to general characteristics. The explanatory power is R²= .065. The influencing factors are as follows. Economic activity (𝛽= -.219, p<.001), breakfast per week (𝛽= .117, p<.001), gender (𝛽= .090, p<.001), subjective health status (𝛽= .073, p<.001), and education level (𝛽= .069, p<.001). Model 2 is the influencing factors of young and middle-aged hypertensive patients, including physical activity characteristics. The explanatory power is R²= .076. The influencing factors are as follows. Strength exercises (𝛽= -4.791, p<.001), the walking activity (𝛽= -2.694, p<.01), and the high-intensity physical activity (𝛽= -2.629, p<.01). Conclusion: The active management of young and middle-aged hypertension is essential to prevent progression to serious disease. To prevent hypertension in young and middle-aged people, health education is needed to develop and utilize health promotion programs that take into account general characteristics and physical activity characteristics.

• Proceedings of the Korean Journal of Food and Nutrition Conference
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• 2002.06a
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• pp.32-32
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• 2002

• Proceedings of the Korean Society of Food and Cookery Science Conference
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• 1987.06a
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• pp.92-106
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• 1987

$Na^{+}$는 체내에서 세포외액 (extracellular fluid)의 주요 양이온으로 세포내액과 세포외액은 세포막을 사이에 두고 $Na^{+}$와 $K^{+}$의 높은 농도의 차이를 유지하고 있다. 이러한 농도차이는 세포막에 있는 $Na^{+}$-K$^{+}$ATP ase의 활동에 의하여 유지되며 $Na^{+}$는 체액의 osmolarity와 혈장의 부피 유지, 신경흥분, 근육수축 및 영양소등의 이동에도 중요한 역할을 한다. 체내의 Na balance는 renin-aldosterone system에 의하여 신장에서의 배설조절로 이루어지며, 최근 Na대사에 관여하는 natriuretic hormone이 발견되고 있다. Na의 과잉섭취는 역학적 연구와 동물실험에서 고혈압의 유발인자로 제시되고 있으나, 임상적 연구에서는 Na제한이 혈압강하효과가 있다는 보고와 없다는 보고가 있어 결과가 뚜렷하지 않다. 이는 고혈압 환자중에는 salt-sensitive한 group자 salt-resistant group이 있다는 것과 산업화된 사회들의 Na 섭취량이 이미 너무 높은 수준으로 Na섭취증가와 혈압상승간의 관계를 현재의 연구 방법들로는 찾아내기 어렵다는 ‘saturation effect’로 설명한다. 그러나 Na섭취를 1일 70~100mEq.(NaCl 4.0~5.8g)이하로 줄이면 고혈압 발생이 현저히 감소하고 Na 섭취량이 1일 30mEq.(NaCl 1.7g)이하이면 고혈압은 거의 발생하지 않는다. 그러나 Na섭취가 1일 400mEq.(NaCl 23.2g)이상이 되더라도 인구 중 50~80%는 고혈압에 걸리지 않아 고혈압의 발생은 유전적 인자, 신장 기능의 부족에 의해 지배되고, Na이외에도 K, Ca등의 식이 인자 및 stress, 운동등의 환경적 요인들이 영향을 미친다. Na 섭취량은 자연식품에 들어있는 양 뿐 아니라, 가공과정, 조리가정, 식사 중에 첨가되는 양에 의하여 좌우되므로, Na 섭취량을 측정하기 매우 어렵다. 가장 널리 사용되는 방법은 24시간 소변 중 배설되는 Na의 양으로부터 추정하는 방법으로 우리나라의 경우, 이러한 방법으로 섭취량을 환산할 경우 1일 200~260mEq. (NaCl 11.6~15.1g) 정도이며 이중 80% 이상이 discretionary intake인 것으로 추정된다. 따라서 앞으로 Na섭취를 줄이도록 많은 노력을 기울여야 하겠다.

• Tuberculosis and Respiratory Diseases
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• v.46 no.6
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• pp.846-855
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• 1999

Background : Secondary pulmonary hypertension is an important final endpoint in patients with chronic hypoxic lung disease, accompanied by deterioration of pulmonary hemodynamics. The clinical diagnosis of pulmonary hypertension and/or cor pulmonale could be difficult, and simple noninvasive evaluation of pulmonary artery pressures has been an relevant clinical challenge for many years. Doppler echocardiography might to be a more reliable method for evaluating pulmonary hemodynamics in such patients in terms of the accuracy, reproducibility and easiness for obtaining an appropriate echocardiographic window than M-mode echocardiography. The aim of this study was to assess echocardiographic parameters associated with pulmonary arterial hypertension, defined by increasing right ventricular systolic pressure(RVSP), calculated from trans-tricuspid gradient in patients with chronic hypoxic lungs. Method : We examined 19 patients with chronic hypoxic lung disease, suspected pulmonary hypertension under the clinical guidelines by two dimensional echocardiography via the left parasternal and subcostal approach in a supine position. Doppler echocardiography measured RVSP from tricuspid regurgitant velocity in continuous wave with 2.5MHz transducer and acceleration time(AT) on right ventricular outflow tract in pulsed wave for the estimation of pulmonary arterial pressure. Results : On echocardiography, moderate to severe degree of pulmonary arterial hypertension was defined as RVSP more than 40mmHg, presenting tricuspid regurgitation. Increased right ventricular endsystolic diameter and shortened AT were noted in the increased RVSP group. Increased RVSP was correlated negatively with the shortening of AT. Other clinical data, including pulmonary functional parameters, arterial blood gas analysis and M mode echocardiographic parameters were not changed significantly with the increased RVSP. Conclusion : These findings suggest that shortened AT on pulsed doppler can be useful when quantifying pulmonary arterial pressure with increased RVSP in patients with chronic lung disease with hypoxemia. Doppler echocardiography in pulmonary hypertension of chronic hypoxic lungs is an useful option, based on noninvasiveness under routine clinical practice.

• Proceedings of the Korea Contents Association Conference
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• 2010.05a
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• pp.207-209
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• 2010

본 연구는 행정자료인 건강보험 및 의료급여비용 청구자료를 이용하였으며, 일개지역(2개도, 남북)에 개설되어있는 전체 의료기관을 대상으로 진료일 기준 '08.7월~'08.12월(184일)동안 외래 방문이 1회 이상인 30세 이상의 수진자 432,915명을 대상으로 하였다. 투약순응도와 영향 요인을 분석하였다. 투약순응도에 영향을 미치는 요인으로는 남성, 55~64세, 건강보험 가입자가, 종합전문, 종합병원, 보건기관을 주 이용기관으로 방문하는 환자와 심장질환, 당뇨병을 동반상병으로 가지고 있는 환자에서 투약순응도가 높았다. 본 연구 결과 투약 순응도가 낮은 환자에 대한 다양한 요인분석이 필요하며, 투약 순응도를 높이기 위한 고혈압관리사업의 정책적 검토 및 대안이 필요할 것이다.

• Journal of the East Asian Society of Dietary Life
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• v.18 no.6
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• pp.918-926
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• 2008

It is well known non-drug therapy for hypertension patients can reduce blood pressure. These types of therapy include maintaining ones ideal body weight, quitting smoking, consuming large amounts of fruits and vegetables consuming low levels of saturated fat and salt and regular exercise. Fermented milk protein derived biologically active peptides such as isoleucine-proline-proline_(IPP) or valine-proline-proline_(VPP) have been shown to lower blood pressure in hypertensive subjects. This study was conducted to investigate the antihypertensive effects of medical nutritional therapy _(MNT) in accordance with the consumption of fermented milk enriched with IPP and VPP. To accomplish this, we conducted a randomized case-controlled study of 43 subjects who had blood pressure levels greater than 120/80 mmHg. The subjects in the study group were randomly allocated into two groups, an MNT + fermented milk (100mL/day) group (n=21) and an MNT+L. helveticus fermented milk with tripeptides (IPP=2.2mg, VPP=2.6mg/100mL) group (n=22). The MNT included weight management, reduction of sodium, total fat and saturated fat intake, increased intake of fruits and vegetables, and increased intake of low fat dairy products. The treatments were administered for 12 weeks during which time no drug interventions were conducted. The daily intakes of total calories, fats, cholesterol and Na decreased significantly after 12 weeks of MNT in the control and the experimental groups. In addition, the systolic blood pressure de creased significantly in the control and experimental groups; however, the diastolic blood pressure only decreased significantly in the experimental group. Overall, the results of this study indicate that the intake of fermented milk containing IPP and VPP in conjunction with MNT exerted positive effects on the blood pressure of pre- and hypertensive subjects.