• Title/Summary/Keyword: 만성 질병

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The Mediating Effect of Dementia Recognition on the Number of Chronic Diseases and Dementia Prevention Behaviors of Elders in Rural Communities (농촌 지역사회노인의 만성질병수와 치매예방행위에 미치는 치매인식의 매개효과)

  • Park, Pilnam
    • Journal of Korean Academy of Rural Health Nursing
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    • v.15 no.2
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    • pp.41-48
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    • 2020
  • Purpose: This study was a descriptive study to identify the factors affecting the dementia prevention behavior of elders in rural communities. Methods: The participants in this study were 125 elders aged 60 or older who lived in Eup or Myeon areas of P city. For data analysis, SPSS/WIN 22.0 was used to perform descriptive statistics, t-test, ANOVA, Pearson correlation, and linear multiple regression and mediated effects. Results: Scores for dementia recognition, dementia attitude and dementia prevention behavior averaged 5.6±2.50 points in the 0~11 range, 38.8±4.59 in 14~56 and 20.2±3.59 in 10~30 respectively. Dementia recognition (a), dementia attitude (b), dementia prevention behavior (c) and the number of chronic diseases of the elders (d) were positively or negatively correlated with each other (rab=.29, p<.01; rbc=.26, p<.01; rac=.36, p<.01; rad=-.29, p<.01; rcd=.19, p<.05). Factors affecting dementia prevention behavior were dementia recognition, dementia attitude, and degree of dementia interest. When the number of chronic diseases affects dementia prevention behavior, dementia recognition has a mediating effect. Conclusion: In order to prevent dementia among elders in rural areas, appropriate management of chronic diseases and provision of appropriate dementia-related education and information to enhance dementia recognition should be provided.

Utilization Rate of Medical Facility and Its Related Factors in Taegu (대구시민의 의료기관 이용률과 연관요인)

  • Kim, Seok-Beom;Kang, Pock-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.1 s.25
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    • pp.29-44
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    • 1989
  • A household survey was conducted to determine the utilization rate of medical facilities and to identify the factors related with the utilization in the South District of Taegu from July 3 to July 15, 1988. Study population included 1,723 family members of 431 households which were selected by one-stage simple cluster random sampling. Well trained medical college students interviewed mainly housewives with a structurized questionnaire. Morbidity rate of acute illness during the 2-week period was 101 per 1,000 persons and it was highest in the age group of 9 years below. The rate for chronic illness was 77 per 1,000 persons, increasing with age, low income and medicaid benefit. During the 2-week period, 689 of 1,000 persons utilized the medical facilities. Of the facilities, most number, 294, used hospital and clinic, and the order ran as pharmacy, health center, and herb medical clinic. The utilization rate was higher in the female, 70-year and older group, medicaid group, the lowest income class and self-employed group than other groups. The average number of visits among users of medical facilities during the 2-week period was 3.25. those who visited medical facilities most frequently were females, the 70-year and older group, the lowest income class and blue collar worker group. During one-year period, admission rate of 1,000 persons was 27.6 and that of female was 38.9, higher than that of male. the eldest group had the highest admission rate. Admission rate of medical insurance beneficiaries was twice or higher than non-beneficiaries. The higher the family monthly income, the more frequently they admitted. During one-year period, average admission days of the persons hospitalized were 22.5 days and males were hospitalized longer than females. The groups which were hospitalized longest were those between the ages of 40 and 49, medical insurance beneficiaries, the lowest income group and unemployed group. During one-year period, average admission days of 1,000 persons were 560 days and those of female were 661 days, more than those of male. The guoups which had the longest admission days were those above 70 years of age, the lowest income and unemployed groups. The medical insurance beneficiaries were three times or longer than non-beneficiaries. In logistic regression analysis of utilization of physician significant independent variables were the 9-year and younger group(+), the 70-year and older group(+), acute illness episode(+), chronic illness episode(+), medical insurance beneficiary(+) and white collar workers(-). Acute and chronic illness episode(+), and medical insurance for government employees and private school teacher(-) were significant variables in analysis of utilization of pharmacy. In multiple regression analysis of the number of physician visits, siginificant variables were acute illnes episode(+), chronic illness episode(+), industrial, occupational and regional medical insurance beneficiary(+), white collar workers(-). Acute and chronic illness episode(+), and medical insurance beneficiary(-) were significant variables in analysis of the number of pharmacy visits. In logistic regression analysis of admission event, significant independent variables were the 9-year and younger group(+), the 70-year and older group(+) , chronic illness episode(+), and medical insurance beneficiary(+).

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Medical review on the First-degree disability cases (1급장해 사례들의 의적 검토)

  • Kim, Yong-Eun
    • The Journal of the Korean life insurance medical association
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    • v.20
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    • pp.53-61
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    • 2001
  • 1999년 1월-1999년 10월까지 당사에서 1급장해로 인해 보험금이 지급된 1,297 건을 대상으로 하여 성별 & 연령대별 분포, 1급장해 각 항의 원인별 분포, 다빈도원인별 1급장해 각 항의 분포상황등을 중심으로 조사하였다. 1. 1급장해지불건들의 성별분포를 보면 남자가 여자보다1.7배 많았다. 연령대별로는 30대가 29.3%로 가장 높았고 다음으로 40대 23.7%, 20대 18.6%, 10세미만 17.6% 순서 였다. 2. 1급장해 각항별 점유율을 보면 1급3항이 56.9%로 가장 높았고 다음으로 1급4항이 16.0%로 많았다. 3. 1급장해의 원인별 분포를 보면 '교통사고' 및 '교통사고외의 외상'이 597건(40.6%)으로 가장 많이 차지하였고 다음으로 '기타질병' 256건(19.7%) '뇌혈관사고' 245건(18.7%), '만성신부전' 194건(15.0 %), 그리고 '악성종양' 36건(2.8%)의 순서였다. 1) 1급 1항 : 두눈의 시력을 완전영구히 잃었을 때 원인중 가장 많은 것은 '기타질병' 74건(64%)이었고 다음으로는 '당뇨병' 17건(14.9) 그리고 '교통사고'의 순서였다. '기타질병'에 해당하는 병중에서 눈의 질환들을 더 분류하여 볼 때 '맥락막 및 망막의 장애'가 25건(35.7%)으로 가장 많았고 다음으로 '시신경 및 시각경로의 장애' 20건(28.6%) 그리고 '수정체의 장애'의 순서였다. 2) 1급 3항 : 중추신경계, 정신에 뚜렷한 장해를 남겨서 평생토록 항상 간호를 받아야 할 때 원인으로는 '교통사고' 245건(33.2%)이 가장 많았고 다음으로 '뇌혈관사고' 215건(29.1%) 그리고 '교통사고외의 외상'의 순서였다. 뇌혈관사고 215건에 대해서 원인별분포를 보면 '뇌내출혈'이 131건(60.9%)로 '뇌경색 ' 57건(26.5%)에 비해 2.3배 정도 많았다. 3) 1급 4항 : 흉복부장기에 뚜렷한 장해를 남겨서 평생토록 항상 간호를 받아야 할 때 원인으로는 '만성신부전'이 215건(86.5%)으로 가장 많이 차지하고 있었고 다음으로 '기타질병' 14건(6.7%)의 순서였다. 4) 1급 6항 : 두다리의 발목이상을 잃었거나 완전영구히 사용하지 못하게 되었을 때 원인으로는 '교통사고' 41건(41.0%)로 가장 많았고 다음으로 '교통사고외의 외상' 32건 (32.0%) 그리고 다음으로 '근골격계, 결합조직의 질환' 순서였다. 4. 장해원인별 1급장해 각 항의 분포를 보면 '만성신부전'은 1급 4항, '악성종양'은 1급 3항과 1급2항 그리고 1항의 장해를 주로 일으키고 '당뇨병'은 1급 1항, '뇌혈관사고'는 1급3항과 1급2항의 장해를 주로 일으켰다. 한편 '교통사고'나 '교통사고외의 외상'은 주로 1급3항과 1급6항의 장해를 주로 일으켰다.

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Prediction Model for Hypertriglyceridemia Based on Naive Bayes Using Facial Characteristics (안면 정보를 이용한 나이브 베이즈 기반 고중성지방혈증 예측 모델)

  • Lee, Juwon;Lee, Bum Ju
    • KIPS Transactions on Software and Data Engineering
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    • v.8 no.11
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    • pp.433-440
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    • 2019
  • Recently, machine learning and data mining have been used for many disease prediction and diagnosis. Chronic diseases account for about 80% of the total mortality rate and are increasing gradually. In previous studies, the predictive model for chronic diseases use data such as blood glucose, blood pressure, and insulin levels. In this paper, world's first research, verifies the relationship between dyslipidemia and facial characteristics, and develops the predictive model using machine learning based facial characteristics. Clinical data were obtained from 5390 adult Korean men, and using hypertriglyceridemia and facial characteristics data. Hypertriglyceridemia is a measure of dyslipidemia. The result of this study, find the facial characteristics that highly correlated with hypertriglyceridemia. FD_43_143_aD (p<0.0001, Area Under the receiver operating characteristics Curve(AUC)=0.652) is the best indicator of this study. FD_43_143_aD means distance between mandibular. The model based on this result obtained AUC value of 0.662. These results will provide a basis for predicting various diseases with only facial characteristics in the screening stage of disease epidemiology and public health in the future.

Comparison of nomogram construction methods using chronic obstructive pulmonary disease (만성 폐쇄성 폐질환을 이용한 노모그램 구축과 비교)

  • Seo, Ju-Hyun;Lee, Jea-Young
    • The Korean Journal of Applied Statistics
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    • v.31 no.3
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    • pp.329-342
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    • 2018
  • Nomogram is a statistical tool that visualizes the risk factors of the disease and then helps to understand the untrained people. This study used risk factors of chronic obstructive pulmonary disease (COPD) and compared with logistic regression model and naïve Bayesian classifier model. Data were analyzed using the Korean National Health and Nutrition Examination Survey 6th (2013-2015). First, we used 6 risk factors about COPD. We constructed nomogram using logistic regression model and naïve Bayesian classifier model. We also compared the nomograms constructed using the two methods to find out which method is more appropriate. The receiver operating characteristic curve and the calibration plot were used to verify each nomograms.

Proposed Integrated Management Platform for Chronic Disease Management (만성질환 관리를 위한 통합 관리 플랫폼 제안)

  • Jeon, Gang-min;Kim, Ro-sa;Kim, Ki-su;Kim, Da-hyun;Baek, Song-i;Hong, Min-kyung;Im, Chul-hoo;Kim, ByungWan;Lee, ByongKwon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.07a
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    • pp.289-291
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    • 2021
  • 최근 삶의 질이 향상된 것과는 다르게 만성질환을 겪게 되는 사람의 수는 점점 증가하고 있으며 만성질환은 꾸준히 관리해야 하는 질병이지만 일반 사람들이 스스로 모든 것을 관리하면서 꾸준하게 동기를 부여하기에는 쉽지 않다. 본 논문은, 이에 관해 관심을 가지며 사람들이 항상 사용하는 핸드폰에서 쉽게 개선을 할 수 있는 식습관을 계획하고 실천할 수 있는 동기를 부여하며 최종적으로 사람들의 식습관을 개선함과 동시에 건강개선도 할 수 있는 애플리케이션을 제작했다.

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Experiences of Medication Misuse and Abuse Behaviors in Elderly People with Chronic Disease in Community (지역사회에 거주하는 만성질환 노인의 약물 오·남용행위 경험)

  • Kim, Jeong Sun
    • The Journal of the Korea Contents Association
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    • v.16 no.9
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    • pp.791-805
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    • 2016
  • The purpose of this study was to understand the essential meanings in experiences of medication misuse and abuse behavior in elderly people with chronic disease in community. The participants were 10 patients with chronic disease over 65 ages who were selected by convenience sampling. Data were collected through individual in-depth interviews from February to May 2014, and were analyzed using Colaizzi (1978)'s phenomenological analysis method. As a results, the essential meanings and structure of medication misuse and abuse behavior experience in elderly people with chronic disease were derived into five clusters of themes as follows: 'Burden on the medications', 'Anxiety about the side effect of the medications or the disease exacerbation', 'There is no alternative other than the medications', 'Expectations of the medications effect for my criteria', 'Lack of understanding on the correct medication use'. The results of this study contributed to promoting a deeper understanding of medication misuse and abuse behaviors in elderly people with chronic disease, and provided for the basic data of strategic development for the prevention of medication misuse and abuse behaviors from the perspective of elderly people with chronic disease in community.

종계의 생산성 향상을 위한 질병.위생 관리

  • 송창선
    • Proceedings of the Korea Society of Poultry Science Conference
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    • 2003.05a
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    • pp.73-82
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    • 2003
  • 본 연구에서는 국내 종계의 생산성 저하요인들을 평가·분석하였으며, 국내사육 종계의 실질적인 생산성을 극대화 시킬 수 있는 방안을 제시하고자 시험을 수행하여 다음과 같은 결론을 얻었다. 1. 혈청검색에 의한 품종별 종게군 질병 모니터링을 실시 한 결과, SE, MS 등 2종의 난계대성 세균성 질병과 REV, APV, CAV, ORT, REO 등 5종의 만성소모성 질병을 유발하는 질병이 종계군의 산란기에 감염되어 이들이 단독 또는 중복감염되어 나타나는 피해가 예상되었으며, 이들의 감염을 효과적으로 예방 할 수 있는 백신의 개발 및 도입의 필요성이 대두되었다. 2. 집중관리 모니터링 대상농장에 대한 ND, IB, IBD 등 3종의 생독백신에 대한 접종효능을 평가해 본 결과 산란종계, 육용종계를 막론하고 전반적으로 니플급수기를 이용한 음수접종법 적용시 5주령 이하 계군에 2내지 3회의 음수접종을 실시하였음에도 불구하고 항체가 거의 형성되지 못하거나 매우 불균일한 면역반응이 나타나는 것으로 조사되어 국내 야외농장에 대한 분무접종 유도 등 기존의 백신접종법에 대한 시급한 개선대책 마련이 요구되었다. 3. 육성기 및 산란기 종계 질병·위생관리 프로그램 확립을 위하여 ND, IB, IBD에 대한 개선된 백신접종 프로그램을 모델계군에 적용한 후, 주령별로 생독백신 접종효능을 조사한 결과 백신접종 후 ND, IB, IBD에 대한 평균 항체가와 항체의 균일도 (%CV)가 표준 목표치 이상 상승하여 개선의 효과를 볼 수 있었다. 4. 산란기 종계 질병·위생관리 프로그램 확립을 위하여 실시된 변이형 IB에 대한 방어능 시험결과 정기적인 Mass type IB 생독백신의 분무접종은 국내 유행 호흡기형 IBV 유전형 VI에 대한 방어효과는 다소 떨어지는 것으로 조사되어 국내분리주를 이용한 IB 생독백신의 개발이 요구되었다. 5. 종계장 살모넬라 및 마이코플라즈마 조기 검출을 위하여 실시한 종계장 살모넬라 및 마이코플라즈마 환경 모니터링 실시 결과 기존의 평판응집반응이나 ELISA에 의한 혈청검색법에 비하여 검출효율이 매우 높은 것으로 조사되어 향후 국내 종게군에 대한 살모넬라 및 마이코플라즈마 조기검출과 방제연구에 큰 도움이 될 것으로 사료되었다.

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Related Factors of Quality of Life in Middle-male with Chronic Liver Disease (중년기 남성 만성 간 질환자의 삶의 질 관련요인)

  • Do, Eun-Su;Lee, Sun-Mi;Seo, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.267-277
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    • 2015
  • Purpose: The purpose of the study was to examine the related factors of quality of life (QOL) among middle-male with chronic liver disease. Method: The participants in this study were 110 patients with chronic liver disease who were recruited from the outpatient clinic of hospital. Between March and May 2014, data were collected through questionnaires and medical record review. Data analysis was performed using PASW (SPSS) 19.0 program, and one-way ANOVA, Pearson correlation coefficients, and enter multiple regression analysis. Results: The mean QOL of this study was 48.16/100. The significant correlates of QOL were anxiety-depression (${\beta}$=.33, p<.001), symptom experience (${\beta}$=.15, p=.001), health perception(${\beta}$=.31, p<.001), disease status(${\beta}$=.17, p=.022), spouse (${\beta}$=.23, p=.001), and these variables explained 68.6% of variance in QOL. Conclusion: The study suggests that psychological aspects are an important factor in explaining QOL of the middle-male with chronic liver disease. Screening and minimizing anxiety-depression could be effective strategies in enhancing QOL of middle-male with chronic liver disease.

A Study on the Prevalence and Risk of Family History for Chronic Diseases: Findings from the Korea National Health and Nutrition Examination Survey 2019 (만성질환에 대한 가족력의 유병률과 위험도에 관한 연구: 국민건강영양조사(2019)를 중심으로)

  • Lee, Nan-Cho;Kim, Min-Ju;Choi, Hee-Jin;Lee, Jongseok;Jung, Deuk
    • Journal of Convergence for Information Technology
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    • v.11 no.8
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    • pp.160-167
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    • 2021
  • This study was conducted to empirically analyze the prevalence and risk of chronic diseases in the family history of chronic diseases using data from the Korea National Health and Nutrition Examination Survey 2019. Based on 5,691 people, after controlling for socio-demographic variables that were related to family history of chronic diseases, logistic regression analysis was performed to verify the odds ratio, which was the risk of family history of chronic diseases for the prevalence of chronic diseases. The main results were founded that Odds ratio, which was the risk of chronic diseases in groups with a family history compared to those without a family history, was statistically significant at hypertension(2.623), dyslipidemia(1.868), diabetes(1.964), and arthritis(1.435) when gender, age, income status, education level and residence were controlled. These results suggest that it is not only necessary to develop a standardization tool for family history tests, but also a health and disease management system for members with a family history in terms of preventive medicine in health care. This study is significant in that it proposed a practical plan in terms of health care by controlling variables that affect the prevalence of chronic diseases and empirically identifying the risk of family history of chronic diseases.