• Title/Summary/Keyword: 발병 위험도

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Risk Assessment for Cardiocerebrovascular Disease in Middle Age Women Workers (중년여성 근로자의 뇌심혈관질환 발병위험도 평가)

  • Choi, Jun-Young;Jeon, Mi-Yang;Seo, Yeong-Mi;Choi, So-Young
    • Journal of the Korea Convergence Society
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    • v.8 no.8
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    • pp.137-145
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    • 2017
  • The purposed of this study was to identify cardiocerebrovascular disease risk assessment and the factors that affect cardiocerebrovascular disease risk. The subjects of this study were 1340 middle age women worker in one shipyard. This study was base on worker health check up data. Data were analyzed using SPSS18.0 program. "healthy group" were 1078(80.4%), "low risk group" were 45(3.4%), "moderate risk group" were 150(11.2%), "high risk group" were 67(5.0%). Age, HDL, LDL, smoking, family history of stroke, hypertension were the factors that affected the risk cardiocerebrovascular disease. Results of this study can be used as fundamental data for developing cardiocerebrovascular disease preventive program in middle aged women.

비례위험모형분석을 위한 한글멀콕스(HMULCOX)

  • Lee, Sang-Bok;Park, Eui-Jun
    • Journal of the Korean Data and Information Science Society
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    • v.7 no.1
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    • pp.145-159
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    • 1996
  • 다변량 발병시간자료는 각 개개 환자에게 있어 합병증이 발생되거나 혹은 유사 환자군(집락) 내의 발병시간이 상관되어진 생의학자료에서 흔히 볼 수 있다. HMULCOX는 그런 자료를 분석하기 위한 한글 통계 패키지 가운데 하나이다. 이 프로그램은 관련된 발병시간들이 독립이 아닐때에도 COX 비례 위험 모형의 주변확률분포를 계산해 준다. 주어진 조건으로는 주변확률모형의 기본위험율은 일정한 상수, 흑은 변수라도 관계없다. 또한 치료실패율의 치료변수들(공변량)의 효과에 대해 다양한 통계적 추론이 가능하다. 기본적으로 주변확률분포접근법으로 설계되었지만 HMULCOX는 여러 가지 추론 방법을 선택하는 데 일반적으로 충분하다. 이 프로그램으로 2개의 예를 들어 실행하겠다.

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Follow-Up Method in Patients with Kawasaki Disease who had No Coronary Artery Abnormalities in the Convalescent Period (회복기 심초음파 검사상 관상동맥 내경 크기가 정상 범위인 가와사끼병 환자에서 추적관찰 방법에 대한 고찰)

  • Joo, Hee Jung;Song, Min Seob;Kim, Chul Ho
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.165-173
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    • 2005
  • Purpose : We performed the study to evaluate the value of the follow-up echocardiogram performed 6 months to 1 year after the onset of Kawasaki disease(KD), as recommended by American Heart Association(AHA) guidelines, when echocardiograms in the convalescent period were normal. Methods : Patients were selected from 147 cases diagnosed with KD at Pusan Paik hospital from January 2000 to October 2003. A total of 45 KD patients belonged to AHA risk level I and II were performed follow-up echocardiography. The patient's medical records and echocardiogram were reviewed. Additionally, we sought the opinion of pediatric cardiologists on the subject by means of a multiple-choice survey. Results : 37 children were belonged to AHA risk level I and the remaining 8 patients were belonged to risk level II. Of these 45 children, none were noted to have abnormalities on later follow-up echocardiogram. In the results of questionnaire, 37 percent of the participants advocate no follow-up after convalescent period for risk level I, and 33.3 percent favor periodic follow-up with echocardiography for risk level II up to one year. But there were no consensus about the diagnostic criteria of coronary abnormalities and how to follow-up these patients. Conclusion : All children with KD should have an echocardiogram at present and a follow-up study 6 to 8 weeks after the onset of fever. However, additional echocardiographies are not justified if the 6- to 8-week follow-up echocardiogram is normal. We would recommend that the more reasonable diagnostic criteria for coronary abnormalities and the Korean guidelines for long-term cardiovascular management and follow-up of KD need to be established.

Risk of Death and Occurrence of Secondary Disease of Cancer and Cardiovascular Disease Patient by Income Level in Korea (암, 심뇌혈관 질환자의 소득수준에 따른 사망 및 이차 질환 발생 위험)

  • Kang, Minjin;Son, Kangju
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.145-157
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    • 2018
  • In this study, we analyzed the effect of the income level of cancer, stroke, and myocardial infarction on mortality by using National Health Insurance Service(NHIS) Cohort 2.0 DB. Patients who newly developed the disease in 2007 were observed till 2015. The analysis used the Cox probability proportional risk model and the competing risk model. The income level used information at the time of the onset of the disease in 2007, categorized into low / mid / high. The results showed that there were differences in the risks of death and secondary disease in patients with cancer, stroke, or myocardial infarction according to the income level. In addition to the need for a social safety net to lower the incidence of early deaths in low-income families, it seems necessary to continue to strengthen universal protection for serious diseases similar to the current policy.

특집: 당뇨병과 안과질환 -만화로 쉽게 이해하는 당뇨망막병증

  • 공안과
    • The Monthly Diabetes
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    • s.255
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    • pp.12-17
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    • 2011
  • 최근 조사에 따르면 당뇨병 발병 10년을 기점으로 실명위험이 높아지는 것으로 분석됐다. 그 원인은 당뇨망막병증 때문. 대한안과학회가 지난 1년간 조사한 결과 당뇨병이 발병한 지 10년 이하의 환자들은 눈질환이 나타나지 않거나(25%), 비교적 실명위험이 적은 비증석성 당뇨망막병증(45%)이 발견됐다. 하지만 11년부터는 당뇨망막병증의 발생이 급격히 증가해 20년이 넘으면 최대 72%까지 그 위험성이 높아진다. 당뇨망막병증은 일단 발생하면 혈당조절이 잘 돼도 시력이 만힝 손상되고 교정도 힘들어 당뇨병에 걸리면 초기부터 안과진료를 받아 실명 위험을 줄여야한다. 이에 공안과에서 당부하는 당뇨망막병증에 관한 내용을 판화를 통해 쉽게 이해해보고자 한다.

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A Cohort Study on Risk Factors for Chronic Liver Disease: Analytic Strategies Excluding Potentially Incident Subjects (만성간질환 위험요인에 대한 코호트연구: 잠재적 발병자 집단을 감안한 분석전략)

  • Kim, Dae-Sung;Kim, Dong-Hyun;Bae, Jong-Myun;Shin, Myung-Hee;Ahn, Yoon-Ok;Lee, Moo-Song
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.4
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    • pp.452-458
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    • 1999
  • Objectives: The authors conducted the study to evaluate bias when potentially diseased subjects were included in cohort members while analyzing risk factors of chronic liver diseases. Methods: Total of 14,529 subjects were followed up for the incidence of liver diseases from January 1993 to June 1997. We have used databases of insurance company with medical records, cancer registry, and death certificate data to identify 102 incident cases. The cohort members were classified into potentially diseased group(n=2,217) when they were HBsAg positive, serum GPT levels higher than 40 units, or had or has liver diseases in baseline surveys. Cox's model were used for potentially diseased group, other members, and total subjects, respectively. Results: The risk factors profiles were similar for total and potentially diseased subjects: HBsAg positivity, history of acute liver disease, and recent quittance of smoking or drinking increased the risk. while intake of pork and coffee decreased it. For the potentially diseased, obesity showed marginally significant protective effect. Analysis of subjects excluding the potentially diseased showed distinct profiles: obesity increased the risk, while quitting smoking or drinking had no association. For these intake of raw liver or processed fish or soybean paste stew increased risk; HBsAg positivity, higher levels of liver enzymes and history of acute liver diseases increased the risk. Conclusions: The results suggested the potential bias in risk ratio estimates when potentially diseased subjects were included in cohort study on chronic liver diseases, especially for lifestyles possibly modified after disease onset. The analytic strategy excluding potentially diseased subjects was considered appropriate for identifying risk factors for chronic liver diseases.

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어린이 백혈병 - 아버지가 받은 방사선과 아무런 관계가 없다.

  • 송명재
    • Nuclear industry
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    • v.14 no.7 s.137
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    • pp.30-37
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    • 1994
  • '방사선 피폭으로 태어나는 자손에게는 백혈병의 발병이 많다.'는 이른바$\ulcorner$마틴$\cdot$가드너$\lrcorner$가설은 많은 오류를 범하고 있음이 판명되었다. 이 가설은 또한 방사선 유전학이나, 어린이 백혈병의 유전성에 대해 그동안 알려진 사실하고도 일치하지 않는다. 특히 일본의 히로시마(廣島), 나가사끼(長崎) 원폭 피해자의 출생자녀에게서 조차 백혈병 발병 위험도와 그들 아버지가 받은 방사선량과의 관계에 대해 이 가설의 적용은 들어맞지 않는다는 사실이 입증되고 있다.

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Design and Implementation of a Robot Analyzing Mental Disorder Risks for a Single-person Household Worker through Facial Expression-Detecting System (표정 감지 시스템을 통한 직장 생활을 하는 1인 가구의 정신질환 발병 위험도 분석 로봇 설계 및 구현)

  • Lee, Seong-Ung;Lee, Kang-Hee
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.1
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    • pp.489-494
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    • 2020
  • We propose to designs and to implements a robot analyzing the risk of occurrence of mental disorder of single-person households' workers through the facial expression-detecting system. Due to complex social factors, the number and proportion of single-person households continues to increase. In addition, contrast to the household of many family members, the prevalence of mental disorder among single-person household varies greatly. Since most patients with mental can not detect the disease on their own, counseling and treatment with doctors are often ignored. In this study, we design and implement a robot analyzing the risk of mental disorder of single-person households workers by constructing a system with Q.bo One, a social robot created by Thecorpora. Q.bo One is consisted of Arduino, ar raspberry pie, and other sensors designed to detect and respond to sensors in the direction users want to implement. Based on the DSM-5 provided by the American Psychiatric Association, the risk of mental disorder occurrence was specified based on mental disorder. Q.bo One analyzed the facial expressions of the subjects for a week or two to evaluate depressive disorder, anxiety disorder. If the mental disorder occurrence risk is high, Q.bo One is designd to inform the subject to counsel and have medical treatment with a specialist.

Effect of Rainfall During the Blossom Infection Risk Period on the Outbreak of Fire Blight Disease in Chungnam province (꽃감염 위험기간 중의 강우가 충남지역 과수 화상병 발병에 미치는 영향)

  • Byungryun Kim;Yun-Jeong Kim;Mi-Kyung Won;Jung-Il Ju;Jun Myoung Yu;Yong-Hwan Lee
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.25 no.4
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    • pp.302-310
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    • 2023
  • In this study, the extent of the impact of rainfall on the outbreak of fire blight during the blossom infection risk period was explored. In the Chungnam province, the outbreak of fire blight disease began in 2015, and changes in the outbreak's scale were most pronounced between 2020 and 2022, significantly escalating from 63 orchards in 2020 to 170 orchards in 2021, before decreasing to 46 orchards in 2022. In 2022, the number of incidence has decreased and the number of canker symptom in branches has also decreased. It was evaluated that the significant decrease of fire blight disease in 2022 was due to the dry weather during the flowering season. In other words, this yearly fluctuation in fire blight outbreaks was correlated with the presence or absence of rainfall and accumulated precipitation during the blossom infection risk period. This trend was observed across all surveyed regions where apples and pears were cultivated. Among the weather conditions influencing the blossom infection risk period, rainfall notably affected the activation of pathogens from over-wintering cankers and flower infections. In particular, precipitation during the initial 3 days of the blossom infection risk warning was confirmed as a decisive factor in determining the outbreak's scale.

A Study on the Presentation of Entrance Surface Dose Model using Semiconductor Dosimeter, General Dosimeter, Glass Dosimeter: Focusing on Comparative Analysis of Effective Dose and Disease Risk through PCXMC 2.0 based on Monte Carlo Simulation (반도체 선량계, 일반 선량계, 유리 선량계를 이용한 입사표면선량 모델 제시에 관한 연구: 몬테카를로 시뮬레이션 기반의 PCXMC 2.0을 통한 유효선량과 발병 위험도의 비교분석을 중심으로)

  • Hwang, Jun-Ho;Lee, Kyung-Bae
    • Journal of the Korean Society of Radiology
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    • v.12 no.2
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    • pp.149-157
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    • 2018
  • One of the purposes of radiation protection is to minimize stochastic effects. PCXMC 2.0 is a Monte Carlo Simulation based program and makes it possible to predict effective dose and the probability of cancer development through entrance surface dose. Therefore, it is especially important to measure entrance surface dose through dosimeter. The purpose of this study is to measure entrance surface dose through semiconductor dosimeter, general dosimeter, glass dosimeter, and to compare and analyze the effective dose and probability of disease of critical organs. As an experimental method, the entrance surface dose of skull, chest, abdomen was measured per dosimeter and the effective dose and the probability of cancer development of critical organs per area was evaluated by PCXMC 2.0. As a result, the entrance surface dose per area was different in the order of a general dosimeter, a semiconductor dosimeter, and a glass dosimeter even under the same condition. Base on this analysis, the effective dose and probability of developing cancer of critical organs were also different in the order of a general dosimeter, a semiconductor dosimeter, and a glass dosimeter. In conclusion, it was found that the effective dose and the risk of diseases differ according to the dosimeter used, even under the same conditions, and through this study it was found that it is important to present an accurate entrance surface dose model according to each dosimeter.