• Title/Summary/Keyword: 노인 천식

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The ecological analysis of asthmatic occurrence in patients : Using the national health insurance data (천식환자 발생의 생태학적 요인 분석 -국민건강보험공단 자료를 중심으로-)

  • Kim, Mun Nyeon;Lee, Won Kee;Park, Jae Yong
    • Journal of the Korean Data and Information Science Society
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    • v.24 no.4
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    • pp.679-688
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    • 2013
  • This study figured out the influential factors of region-based characteristic factors in our country upon asthmatic occurrence. Research subjects were 2,266,451 people who were confirmed the diagnosis of asthma (J45~J46) among patients in national health insurance for the year in 2010. The influence in each of factors upon the asthmatic occurrence was analyzed through hierarchical regression after comparing difference in asthmatic occurrence by basic local government. As a result of hierarchical regression, the whole asthmatic occurrence had significant difference in infants ratio, $SO_2$,Temperature, basin and dam area. The asthmatic occurrence had significant difference in subjective awareness of health level, $SO_2$, basin and dam area. A case of asthmatic occurrence had significant difference in infants ratio, temperature, $NO_2$ and coastal area. Diverse characteristic factors by region were indicated to have influence upon the asthmatic occurrence by causing or weakening asthma through mutually complex action. Accordingly, a region-based customized environmental health measure will need to be arranged that infants and elderly people, who are vulnerable classes, can be protected and prevented from harmful environment of asthma.

Depression and Health Status in the Elderly (노인의 우울과 건강수준과의 관련성)

  • Kim, Jimee;Lee, Jung-Ae
    • 한국노년학
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    • v.30 no.4
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    • pp.1311-1327
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    • 2010
  • This study was conducted to identify the relationship between depression and subjective/objective health status, and to examine predicting factors on depression in the elderly in Korea. This study was a secondary analysis using the data of Korea National Health and Nutrition Examination Survey(VI-1) 2007. A total of 939 data from the subjects ≥60 years who completed health-related survey were used for analysis. Data were analyzed using SAS (version 9.1) PC program. Depression was identified in the 20.3% of the older subjects. Multiple logistic regression analysis showed that women (OR=2.04), senior high school graduation (OR=0.27) and lowermiddle household income (OR=2.83) were significant associating factors(p<0.05). After adjustment for socio-demographic factors, hypertension (OR=1.93) and asthma (OR=3.32) as objective health status, and stress (OR=7.27), limited activity in daily living due to fracture or joint injury (OR=6.59) and poor self-rate health (OR=1.64) as subjective health status were found as factors predicting depression in the elderly(p<0.05). According to the type of health status, the subjects who had chronic disease or perceived poor physical health were 5.94 times more likely to have disposition to depression than the subjects who had no chronic disease or perceived good physical health (p=0.001). These findings suggest that preventive education and intervention focus on preventing and managing chronic diseases such as hypertension, asthma, fracture and joint injury should be needed to decrease depression in the elderly.

A CASE OF ADENOID CYSTIC CARCINOMA OF THE TRACHEA (기관에 발생한 선낭포성 암 1례)

  • 민헌기;나인국;노영수;임현준
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.37-37
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    • 1991
  • 선낭포성 암은 대부분 타액선에 발생하는 질환으로 원발성으로 기관에 발생하는 경우는 매우 드물다. 이는 증상이 없이 서서히 진행할 수 있어 진단이 어렵고 늦어질 수 있으며, 기질적 질환을 발견하지 못하는 경우 기관지 천식으로 진단하에 치료를 하는 경우도 있다. 서서히 진행하기 때문에 치료 후의 판정에도 어려운 점이 있다. 저자들은 2년전 기관지 천식 진단 하에 호흡곤란이 있어 기관절개술 시행 후 기관탈관 곤란증으로 이비인후과에 입원한 례에서 기관에 발생한 선낭포성 암을 후두적출술로 치험하였기에 보고하는 바이다.

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환경성질환의 이해 및 예방법

  • Seo, Seong-Cheol
    • Bulletin of Korea Environmental Preservation Association
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    • s.414
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    • pp.19-22
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    • 2014
  • 환경성질환은 19세기 이후 산업화 등으로 인한 특정 물질 등으로 인한 오염이 집중, 심화되면서 그 악영향에 대한 관심 및 중요성이 더욱 커지고 있는 실정이다. 대표적인 환경성질환인 아토피피부염, 알레르기비염, 천식 등 알레르기질환이 지속적으로 증가하는 추세이며, 특히 면역력이 약한 어린이, 청소년 및 노인층을 중심으로 꾸준히 발생하고 있어, 이에 대한 예방관리에 더욱 더 많은 관심을 기울일 필요가 있다.

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Clinical Validation of Nebulized Budesonide and Effect of Nebulized Budesonide on the Hypothalamic-Pituitary-Adrenal Axis in Adult Patients Admitted with Acute Asthmatic Attack (급성 발작으로 내원한 성인 천식 환자에서 Nebulized Budesonide의 임상적인 효과와 시상하부-뇌하수체-부신 축에 대한 작용)

  • Seo, Ki-Hyun;Moon, Seung-Hyug;Kim, Yong-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.5
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    • pp.529-538
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    • 2002
  • Background : Many clinicians are reluctant to prescribe systemic corticosteroids to manage an asthmatic attack because of many complications such as osteoporosis, cushing's syndrome, diabetes, hypertension and bleeding tendency. The use of nebulized budesonide may be of value in some infants, old men, and in particular adult asthmatic patients who complain of severe dyspnea. A clinical validation and steroid-sparing effect of nebulized budesonide in asthmatic adults and COPD were evaluated, and the short-term effects of budesonide use on the HPA axis were assessed. Materials and Methods : Study A was prospectively done with 41 patients diagnosed with pure asthma and 30 patients diagnosed with COPD (including asthmatic component) in Soonchunhyang Hospital, Chunan from June. 2000 to Sep. 2001. They were treated with nebulized budesonide including systemic steroids (Group 1), a budesonide tubuhaler including a systemic steroid (Group 2), or only the systemic steroid(Group 3). The peak flow rate, arterial blood gas in room air, pulmonary function test, symptom scoring, steroid amount and hospital stay were analyzed. Study B was conducted with 19 patients to evaluate the short-term effects on the HPA axis of treatment with nebulized budesonide 1mg twice daily and a budesonide turbuhaler 5 puffs twice daily. The adrenal function was assessed prior to budesonide inhalation and after 7 days of budesonide inhalation. Results : In the pure asthmatic patients, the mean value of the symptoms (dyspnea, wheezing, cough, night asthma) or the arterial BGAs, total amounts of steroid or hospital stay and the difference in the results of the pulmonary function tests or peak expiratory flow rate were similar in the three groups. In COPD with an asthmatic component, there were no significant differences among the three groups. Although nebulized budesonide suppressed HPA function,(p=0.006) the HPA responses from the nebulized budesonide and turbuhaler budesonide were similar (p=0.288) Conclusion : This result suggests that systemic steroid should only be made available for acute asthmatic patients irrespective of the inhaled budesonides. Nebulized budesonide at the therapeutic dose has similar effects on the HPA axis compared to that of turbuhaler budesonide.

A Study on the Senior Quality of Life Factors (노인 삶의 질에 미치는 요인에 관한 연구)

  • Choi, Hyang-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.314-321
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    • 2019
  • Based on data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) conducted by Korea Centers for Disease Control & Prevention (KCDC), this study analyzed the relationship between existence of the spouse, number of family members, and disease afflictions of the Korean elderly, and factors affecting their quality of life. The collected data were analyzed by Chi-square test, t-test and One-way Anova, using the SPSS / WIN 25. Our comparative analysis on the health status and quality of life revealed that individuals in the singles group had significantly more diseases than the married group. The singles group considered their health was subjectively poor, whereas the quality of life of the married group was higher. Analyzing the characteristics of chronic disease and activity restriction showed significantly higher prevalence of several diseases in the singles group. Besides, the singles group revealed significantly higher limitations of activity. Taken together, our results reveal a difference in the health status, quality of life, and the presence of chronic diseases in accordance to existence of the spouse, indicating that having a spouse increases the level of health and quality of life of the elderly.

Mediastinal Bronchogenic Cyst Misdiagnosed as Asthma and Dysphagia in a Child - One Case Report - (소아에서 천식과 연하곤란으로 진단된 종격동 기관지 낭종 - 1예 보고 -)

  • Lee, Seock-Yeol;Jeon, Cheol-Woo;Lee, Seung-Jin;Lee, Cheol-Sae;Lee, Kihl-Rho
    • Advances in pediatric surgery
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    • v.14 no.1
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    • pp.94-97
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    • 2008
  • A 19-month-old boy suffered from stridor and dysphagia. He was taking asthma medication for a few months, but symptoms did not improve. After admission, a chest CT showed a posterior mediastinal mass, which compressed the trachea and esophagus. The removed mass via open thoracotomy was a bronchogenic cyst on histopathology. Postoperatively, stridor and dysphagia disappeared. In case of persistent and refractory stridor or dysphagia in children, congenital lesions including bronchogenic cyst need to be ruled out.

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A Prediction Model of Asthma Diseases in Teenagers Using Artificial Intelligence Models (인공지능 모델을 이용한 청소년들의 천식 질환 발생 예측 모델)

  • Noh, Mi Jin;Park, Soon Chang
    • Journal of Information Technology Applications and Management
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    • v.27 no.6
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    • pp.171-180
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    • 2020
  • With the recent increase in asthma, asthma has become recognized as one of the diseases. The perception that bronchial asthma is a chronic disease and requires treatment has been strengthened. In addition, asthma is recognized as a dangerous disease due to environmental changes and efforts are made to minimize these risks. However, the environmental impact on asthma is hardly a factor that individuals in asthmatic patients can cope with. Therefore, this study was conducted to see if the asthma disease could be replaced by the individual efforts of asthma patients. In particular, since the management of asthma is important during adolescence, we conducted research on asthma in teenagers. Utilizing support vector machines, artificial neural networks and deep learning techniques that have recently drawn attention, we propose models to predict the asthma of teenagers. The study also provides guidelines to avoid factors that can cause asthma in teenagers.

Relationship Between Prevalence of Allergic Diseases and Recognition of Food Nutrition Labeling (알레르기 질환 진단 경험과 식품 영양표시 인지의 관련성)

  • Han, Yun-su;Jung, Woo-young;Hwang, Yun-tae;Kim, Ji-yeon;Lee, Yejin;Kwon, Ohwi;Noh, Jin-won
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.434-444
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    • 2019
  • Prevalence of allergic diseases is influenced by environment and dietary life. It is key to improve daily food life to relieve them. Food nutrition labeling is useful to do it by offering nutrition information. The purpose of the study is to find relationship between experience of diagnosis of allergic diseases and recognition of food nutrition labeling. The data of 4,928 people with experience on diagnosis allergic rhinitis, asthma, atopic dermatitis of 2016 Korea National Health and Nutrition Survey was used. According to the result of binary logistic regression analysis, those who had experience in being diagnosed with an allergy showed high awareness in food labels. There were differences between allergy diagnosis groups and allergy non-diagnosis in affecting factors of residence, income level, subjective health status and body-shape perception. Support measures are needed to enhance access and convenience to nutrition education and nutrition labeling to support nutrition labeling utilization.