• Title/Summary/Keyword: 심장지역

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Analysis of characteristics of out-of-hospital cardiac arrest patients by region in Chungcheong buk-do (충청북도 내 지역별 병원 전 심장정지 환자의 특성에 대한 분석)

  • Seong Bin Im;Hyeon Mo Yang;Young Jae Kim
    • Smart Media Journal
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    • v.13 no.5
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    • pp.33-44
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    • 2024
  • Chungbuk has various regional characteristics in terms of population composition by region, industrial facilities, and distribution of emergency medical institutions. However, there are no studies yet that have analyzed regional characteristic factors related to the occurrence characteristics of cardiac arrest patients. Therefore, this study provided basic data to establish a response system for OHCA patients suitable for the characteristics of the Chungcheongbuk-do region by analyzing the characteristics of OHCA patients and the transfer status of 119 paramedics in Chungcheongbuk-do. This study is a retrospective study that analyzed 1,188 cardiac arrest patients transferred by ambulance based on raw data from the survey on acute cardiac arrest in Chungbuk (2020). There are a total of 11 emergency medical institutions in Chungbuk-do, which are concentrated in city-level areas, so the transfer time of patients to hospitals in county-level areas was delayed. In the county-level area, the frequency of dispatch of special paramedics was relatively small, and the frequency of administration of cardiac arrest drugs to help resuscitate cardiac arrest patients was also low. In conclusion, efforts should be made to improve accessibility of emergency medical services (deployment of emergency vehicles in marginal areas, proper placement of emergency medical institutions, etc.), to promote prevention of traumatic cardiac arrest patients, and to expand the scope of work to strengthen the first aid expertise of paramedics.

The Construction of the Trans-Central Asian Railroad and Its Current Implications (중앙아시아 횡단철도의 건설과 그 현재적 함의)

  • Lee, Chai-Mun
    • Journal of the Korean association of regional geographers
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    • v.15 no.1
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    • pp.67-85
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    • 2009
  • The Trans-Central Asian Railway consists of the Trans-Caspian Railroad, the Kazalinsk Route, the Turk-Sib, and the Trans-Kazakhstan Trunk Line. Currently, one-fifth of the residents in Central Asia are living around these railroads on which 70% of the economic activities in the region depends. The construction of the railroads in Central Asia was motivated by the Russian Empire's competition 'with its maritime rival, the United Kingdom, over the Eurasian heartland in a geostrategic sense. Using the railroads, the Russian Empire aspired to connect its central industrial regions in European Russia with the remote frontier areas in the Central Asian republics and to increase economic specialization of the region. After the breakdown of the USSR, however, the rail network, which had well been linked among the regions in the former Soviet nations, has been in a deteriorated linkage with their non-Soviet neighboring nations. Despite a lot of problems to be solved, the Trans-Central Asian rail network is expected to play a crucial role as a land bridge between East Asia and Europe as well as between Russia/the Baltic sea and the Indian Ocean/the Persian Gulf in the long-term.

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Analytical Voice Feature Values Extraction of Heart Sound Based on Donuibogam (동의보감에 근거한 심장 소리의 음성 분석학적 특징값 추출)

  • Minkyoung Ka;Bonghyun Kim;Sehwan Lee;jihyun Kwak;Dong-Uk Cho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2008.11a
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    • pp.125-128
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    • 2008
  • 현대사회에서 건강을 해치는 요인으로 흡연, 당뇨, 비만 및 스트레스 등이 있다. 이와 같은 요인들로 순환기질환의 발병이 증가하고 있으며, 특히 심장 질환 사망률이 점차 증가하고 있는 실정이다. 이를 해결하기 위해 본 논문에서는 심장 질환에 대한 조기 진단을 위한 음성 분석학적 특징 요소를 분석하여 결과값을 추출하고자 한다. 이를 위해 본 논문에서는 대전 지역에 거주하고 있는 성인 남성중에서 심장 질환을 앓고 있는 환자들과 심장에 이상이 없는 정상인들로 피실험자 집단을 구성하고 이들의 음성을 수집하여 음성 분석학적 특징 요소들을 추출하고자 한다. 특히 동의보감에서 제시한 심장의 소리를 음성 공학적으로 입증하기 위해 제 5 포먼트와 지터 등의 출력값을 비교, 분석하고자 한다.

The Factors Influencing Survival of Out-of-hospital Cardiac Arrest with Cardiac Etiology (병원 밖에서 발생한 심인성 심장정지환자의 생존 관련 요인 7년간 국가심장정지조사사업 자료 활용)

  • Jeong, Su-Yeon;Kim, Chul-Woung;Hong, Sung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.560-569
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    • 2016
  • Purpose The purpose of this study was not only to explore the factors associated with the survival of OHCA(Out-of-hospital Cardiac Arrest), but to provide ideas for improving the operation of emergency medical system in Korea. Method 90,734 OHCAs(Out-of-hospital Cardiac Arrest) with a cardiac etiology, who had been transported by 119 EMS ambulances for seven years from 2006 to 2012 in Korea, were analyzed. The data had a multilevel structure in that patient's survival in the same region is interrelated, so two-level (patient-region) logistic regression analysis was applied to adjust this correlation. Results The adjusted OR in group who were given CPR(Cardiopulmonary Resuscitation) by a bystander were 1.40 for survival to discharge. In addition, the adjusted OR in the group with an implementation of AED (automated external defibrillator) before arriving in hospital was 2.98 for survival to discharge. we categorized some continuous variables (number of emergency physician, OHCAs volume fo hospital, area deprivation level) into five quintiles. The adjusted OR in the number of emergency physician compared with Q1(lowest) was 1.29(Q2), 2.89(Q3), 3.39(Q4), 4.07(Q5), respectively. the adjusted OR in OHCAs volume of each hospital compared with Q1(lowest) was 2.06(Q2), 3.06(Q3), 3.46(Q4), 4.36(Q5), respectively. Lastly, the adjusted OR in deprivation level compared with Q1(least deprived area) was 0.72(Q4), 0.64(Q5) so that the adjusted OR of survival to discharge tended to decrease in more deprived districts. Conclusion The survival to discharge was better significantly in group given CPR by a bystander and with the implementation of AED before arriving in hospital. The survival to discharge tended to be significantly better in hospitals with a larger number of emergency physicians and higher volume of OHCAs in less deprived districts.

고지혈증 중년 남성의 영양소 섭취상태와 생활습관

  • 최미자
    • Proceedings of the KSCN Conference
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    • 2004.05a
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    • pp.414.1-414
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    • 2004
  • 2001년 사망원인 통계결과를 보면 암, 뇌혈관질환, 심장질환, 당뇨병 등의 사망자가 전체의 50.4%를 차지하여 우리나라가 식생활의 변화로 질병의 양상과 사망원인이 변하고 있으며 선진국형 질병양상을 보여주고 있다. 심장순환기계질환의 위험인자 중 고지혈증, 고혈압, 흡연, 신체활동 부족 등이 중요 인자로 포함된다. 따라서 본 연구는 대구지역 평균 연령 46 $\pm$ 3.4 세의 성인 남성 중 공복의 혈 중 콜레스테롤이 200 mg/dl 혹은 중성지방이 200 mg/dl를 기준으로 그 이상인 사람을 고지혈증으로 간주한 43명과 그 이하인 정상인 76명을 대상으로 영양소 섭취상태와 운동습관 및 식습관을 조사하여 영양교육의 기초자료를 제공하고자 하였다.(중략)

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Change Pattern of Heart Age in Korean Population Using Heart Age Predictor of Framingham Heart Study (Framingham Heart Study의 Heart Age Predictor를 활용한 한국인 심장나이 추이분석)

  • Cho, Sang Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.331-343
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    • 2019
  • The purpose of this study is to observe the trends of heart age of Koreans by using the predictor of heart age of the Framingham Heart Study. The subjects were 20,012 adults aged 30~74 years who were enrolled in the Korean National Health and Nutrition Examination Survey from 2005~2013. They filled in the determinants data and they had no history of cardiovascular disease (CVD). The heart age was calculated using a non-laboratory based model of prediction. The difference of heart age and chronological age, and the rate of excessive heart age over 10 years were calculated. The annual trend, the difference according to gender, the age bracket and geographic region, the heart age were all evaluated. Data analysis performed using the SAS program (version 9.3). Complex designed analysis was done. The heart age showed differences according to gender, age bracket and geographic region. The heart age is a useful comprehensive indicator for predicting the CVD events in the near future. So, it could be used for the purposes of exercising caution and guidance on CVD for administering medical care. It is strongly recommended to use heart age as an indicator for customized medical management to focus efforts on relatively vulnerable subjects and their factors for CVD. Further study on Koreans' customized heart age is needed.

Social-environment factors by region for cause of death of elderly people in Korea (노인의 사망원인에 대한 거주지역간 사회 환경요인분석)

  • Kim, Jong-In
    • 한국노년학
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    • v.25 no.2
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    • pp.1-14
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    • 2005
  • Objectives. The purpose of this study is to analyze the social-environment factors by region for cause of death elderly people in Korea and to study the factors of longevity. Methods. The study included 16 regions with a total of 177,585 elderly peoples. The data in this study was collected from The National Statistical Office, Republic of Korea. Results. Those regions the highest cerebrovascular disease were Incheon County in that order. The correlation of social-environment by cause of death factors were divorce (+0.832), air pollution of Pb ; lead (+0.879), smoking (+0.895), fatness (+0.666), local tax revenue (+0.756), air pollution of SO2 (+0.602) and dirt road (+0.863). Conclusions. We should learn to live long and healthily from residence harmonized with natural environment. Longevity of elderly peoples is to be fostered for the promotion of health by control the social-environment factors.