• Title/Summary/Keyword: 심장지역

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Analysis of the Medication Adherence of Hypertensives and Influential Factors (고혈압 환자의 투약순응도와 이에 영향을 미치는 요인 분석)

  • Jeong, Mi-Ae
    • 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.

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Studies on infection rate and histopathological findings of canine heartworms in Inchon city (인천 지역 사육견의 심장사상충 감염률 및 병리조직학적 연구)

  • 이성모;황현순;김종훈
    • Korean Journal of Veterinary Service
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    • v.22 no.1
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    • pp.25-35
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    • 1999
  • The prevalence of canine heartworm(Dirofilaria immitis) infection in 150 mixed-breed dogs(male : 54, female : 96) from February to December 1997 was investigated by using antigen test kit(ICT $GOLD^{TM}$ HW, Synbiotics, USA) based on immunochromatographic assay in Inchon city. Also, gross and histopathological findings of an antigen positive dog were carried out. The results were summarized as follows ; 1. Four dogs were positive from 150 tested dogs(2.7%). They were all more than 2 years old and infection rates in male and outdoor dogs was higher than those in female and indoor, respectively. Species of infected dogs were Pug(2) , German Sheperd(1) and Great-dane (1). 2. Regional infection rates were closely related with housing system in the city. 3. Pathological findings of antigen-positive dog was excessive enlargement, congestion and hemorrhage of lung and D immitis in heart and histologically hemosiderin, hypertrophy of pulmonary alveoli wall and irregular hypertrophy of pulmonary artery inner wall. Microfilaria was observed in pulmonary artery and arteriole, ventricle and splenic artery.

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Chemical Characteristics of $PM_{2.5}$ Particles in Seoul and Cheongju (서울 및 청주지역 $PM_{2.5}$ 분진의 화학적 특성)

  • Park, Seung-Sik;Kim, Byung-Jin;Kim, Young-Jun;Cho, Su-Heon;Kim, Jae-Yong;Kim, Heon;Kang, Chang-Hee
    • Proceedings of the Korea Air Pollution Research Association Conference
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    • 1999.10a
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    • pp.30-32
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    • 1999
  • 미세입자들은 황산염, 강산, 암모늄, 질산염, 유기화합물, 중금속등의 미량원소, 원소탄소, 및 수분등의 성분으로 이루어져 있으며, 인간의 건강과 사회복지에 악영향을 미친다. 미국을 비롯한 선진국에서 대기분진이 건강에 미치는 연구는 대기중 분진의 농도가 높으면 폐렴, 폐기능손실, 병원 이용율, 천식, 및 다른 호흡기 문제 뿐 만 아니라 호흡기, 심장혈관, 및 암과 관련한 사망의 위험성 증가와 관련이 있음을 보고하였다(U.S. EPA, 1996a).(중략)

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Epidemiological survey on prevalence of Dirofilaria immitis infection in dogs of Ulsan area (울산지역 개의 심장사상충 감염에 관한 조사)

  • Park, Chang-Eun
    • Korean Journal of Veterinary Service
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    • v.33 no.2
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    • pp.157-165
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    • 2010
  • A survey of canine heartworm infections among 83 dogs (Male 42, Female 41) of pet dogs in Ulsan area was performed from March to July 2009 using antigen test. Of 83 dogs, 6 dogs (7.2%) were infected with the Dirofilaria immitis, and 5 dogs (6%) were detected to have microfilaria in the peripheral blood. The infection according to the age of 4~5, 6~7, 7 over years were 7.4%, 12.5%, and 10.5%, Also, A survey of canine heartworm infections among 23 dogs (Male 15, Female 8) of hunting dogs in Ulsan area was performed from July 2008 using antigen test. Of 23 dogs, 11 dogs (47.8%) were infected with the D. immitis, and 6 dogs (26.1%) were detected to have microfilaria in the peripheral blood. The infection according to the age of under 1, 2-3, 4-5, 6-7 over years were 12.5%, 40%, 85.7% and 66.7%, respectively.

지역건축탐방(13) - 서울(상)

  • Son, Se-Gwan
    • Korean Architects
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    • no.8 s.364
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    • pp.71-100
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    • 1999
  • 서울은 600년이 넘는 역사와 전통을 간직한 우리 나라의 심장이자 얼굴이 되는 도시이다. 그러나 지난 30년간의 급격한 개발시대를 거쳐오면서 고도로서의 문화적 향기를 상실하였고, 매력과 특징이 없는 도시로 빠르게 변해가는 것은 안타까운 일이다. 이는 다가올 21세기가 서울의 정체성과 고유성을 더욱 필요로 할 것임에 비추어 더욱 그러하다고 할 수 있다. 서울은 급격한 경제성장으로 인하여 세계에서 그 유래를 찾기 어려운 급격한 변화를 보인 도시이다. 서울의 도심부를 둘러싸고 있는 북악, 인왕, 낙산, 남산은 옛 모습을 지니고 있으나 그 내부는 과거의 모습을 찾기 어렵고, 다만 현대적인 모습만이 흘러 넘치고 있을 뿐이다. 또한 서울은 물리적으로 엄청나게 성장하여 그 경계를 찾기 어려운 도시가 되어버렸다. 따라서 서울은 밝고 번영하는 모습과 어둡고 불합리한 모습이 공존하는 이상한 도시로서 인식되고 있다. 서울을 현재의 모습과는 전혀 새로운 환경으로 개발하고 보존할 수 있는 대책과 계획이 더욱 필요한 때이다. 공공과 민간 그리고 시민이 참여하여 600년 고도의 역사성이 드러나고 걷고 싶고 인간적인 분위기를 간직하며 다양한 기능과 형태가 조화롭게 공존하는 도시로 가꾸어갈 수 있는 지혜를 모아야 할 것이다. 이번 특집에서는 서울을 대상으로 하여 그 역사적인 흔적과 오늘의 모습 그리고 미래의 대안을 회고하고 진단하며 모색하는 기회를 갖기 위해 여러 전문가들의 글을 마련하였다.

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The Effects of Slide-Covered of Slide-Covered Contemporary Charging Automated External Defibrillator on Rapidity and Convenience of Defibrillation (슬라이드 커버 동시충전 자동심장충격기가 제세동의 신속성과 편의성에 미치는 효과)

  • Park, Si-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.325-333
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    • 2020
  • This study compares the rapidity and subjective convenience of T-AED and SC-AED for health care providers and the general public. Subjects were randomly allocated to T-AED (n=77) and SC-AED (n=79) groups. Each group conducted defibrillation, with subsequent measurement of the rapidity of defibrillation in peri-shock pause, pre-shock pause, hesitation pause, and post-shock pause. Defibrillation and chest compression delay times for both equipment were analyzed by t-test. On conclusion of the experiment, subjects answered a questionnaire on the subjective convenience of defibrillation, as measured for confidence, convenience, and clear decision. Comparisons of subjective convenience analyzed by t-test revealed significantly shortened peri-shock pause (11.22s), pre-shock pause (11.04s), and hesitation pause (2.15s) in the SC-AED group, as compared to the T-AED group (p<0.001). However, no significant differences were observed for post-shock pause values. Comparing subjective convenience, confidence (T-AED: 7.62±1.25VAS vs. SC-AED: 7.80±0.98VAS, p=0.358) was not significant, whereas convenience (T-AED: 7.05±1.36VAS vs. SC-AED: 8.95±0.89VAS, p<0.001) and clear decision (T-AED: 6.58±1.73VAS vs. SC-AED: 9.08±0.98VAS, p=0.001) showed statistically significant differences. Our results indicate that compared to T-AED, SC-AED has significantly shortened pauses. Moreover, it is more convenient for the user, and significantly aids in clear decisions.

A Pre-Hospital Cardiac Arrest Patient Surviving after Dispather-Assisted Defibrillation by an Untrained Witness (응급의료전화상담원의 도움에 의해 교육 받지 않은 목격자의 제세동 시행 후 생존한 병원 전 심정지 1례)

  • Kim, Jong-Ho;Moon, Jun-Dong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.239-244
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    • 2018
  • A 59-year-old man with no specific medical or family history complained of chest pain and became unconscious. A member of his family, who was a witness, called 119 and gave him dispatcher-assisted cardiopulmonary resuscitation, followed by defibrillation using an automated external defibrillator placed in his apartment. Afterward, he was given two sessions of defibrillation by the 119 emergency squad, then transferred to an emergency medical center with the return of spontaneous circulation. The patient was discharged with cerebral performance category (CPC) 1 15 days later. While dispatcher-assisted cardiopulmonary resuscitation and defibrillation is at its beginning stage in South Korea, this case seems to demonstrate its effectiveness. Moreover, this case suggests it can be particularly useful for helping untrained witnesses use an automated external defibrillator, which may have important implications in regions in which there are delayed responses of the 119 emergency squad to the site. It is also important to develop a plan for improving witness access to and quantitative supply of the South Korean public access defibrillation (PAD) program.

Portal Vein Thrombosis in a Dog with Dirofilariasis (심장사상충에 감염된 개에서 발생한 문정맥혈전증)

  • Yun, Seok-Ju;Cheon, Haeng-Bok;Han, Jae-Ik;Kang, Ji-Houn;Chang, Jin-Hwa;Na, Ki-Jeong;Chang, Dong-Woo
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.600-604
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    • 2010
  • A ten-year-old female mongrel dog was presented to Veterinary Medical Center, Chungbuk National University with the signs of anorexia, weakness, and hemoglobinuria. Patient had been diagnosed as dirofilariasis based on heartworm antigen test and treated with adulticide (melarsomine) at local hospital one day before admission. On laboratory examinations, there were hypochromic and microcytic regenerative anemia, thrombocytopenia, moderate neutrophilia, and increase ALT, AST, and ALP. Radiographic exam showed main pulmonary artery bulging, pulmonary infiltration and hypervascularity, reduced abdominal serosal detail and mild hepatomegaly. Abdominal ultrasonographic exam showed mild peritoneal effusion and large hyperechoic thrombi at trifurcation of the porta hepatica and the splenic vein. In addition, intraluminal low density area and intravascular filling defect were confirmed on contrast enhanced CT scanning at the same anatomic locations. Patient was treated with anticoagulant and thrombolytic therapy. On day 42 after treatment, complete resolution of thrombi was confirmed via ultrasonography and improvement of clinical signs was observed.

Knowledge and Educational Experience about CPR in Dental Hygiene Students (치위생과 학생의 심폐소생술(CPR) 관련 지식수준 및 교육실태)

  • Jun, Soo Kyung;Choi, Hye-Jung
    • Journal of dental hygiene science
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    • v.10 no.5
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    • pp.341-347
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    • 2010
  • This paper reports is a descriptive study for analyzing the knowledge level and educational condition of dental hygiene students regarding cardiopulmonary resuscitation(CPR). This study was implemented from May 24, 2010 to June 4, 2010. The results were as follows: 1. The score was low for the knowledge level of CPR (3.72 out of 8.0). 2. The knowledge level of CPR was higher in the students with heart disease in their family than in those without(t=5.725, P<0.05). 3. While students had a high percentage of correct answers e.g. 93.5% and 73.8% for the mouth-to-mouth CPR and hand position in pressing the upper part of the belly, they had low percentage of correct answers, e.g. 8.2%, 28.9%, 25.4%, and 49.2% for consciousness and breathing check, maintaining the airway and the time to brain damage from a heart attack, respectively. 4. The students used TV(55.2%) and the Internet(20.1%) as the medium for observing CPR. 5. 60.2% of students did not have any training in CPR. 6. More than 90.0% of students required training in CPR. Most of the students requested CPR training when they attended middle and high school. They had hoped to receive CPR training at school or a specialized training organization. In conclusion, the knowledge level of CPR of dental hygiene students is low, and the need for training and participation is high. Therefore, dental hygiene students should receive CPR training.

The Developing Trend of Cardiovacular Drug Coated Balloon Catheter (심장혈관용 약물코팅풍선카테터의 개발 동향)

  • Park, Junghun;Jo, Won-Il;Byeon, Dae-Heung;Kang, So Young;Nam, Choong-hyun;Seo, Kyoung-Woo;Park, Jun-Kyu
    • Applied Chemistry for Engineering
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    • v.33 no.5
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    • pp.545-550
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    • 2022
  • As a result of the rapid entry into an aging society and westernized eating habits, the number of heart disease patients caused by angina pectoris, myocardial infarction, and high blood pressure has increased by more than 100,000 over five years. Heart disease has consistently ranked second in the cause of death in Korea over the past eight years, and medical expenses consumed annually reach 6 trillion won. While various treatments are being proposed for more patients, drug-coated balloon catheters have been developed and gradually commercialized to solve the disadvantages of stent implantation such as restenosis and increased risk of bleeding due to long-term double antiplatelet medication. In Korea, it began to use a drug-coated balloon catheter with the first release of it called "SeQuent Please (Bibrown Korea)" in 2010. Its demand increased gradually as insurance benefits were applied in 2012. Drug-coated balloon angioplasty is increasing in use not only in Korea but also around the world, especially in the Asia-Pacific region, including Japan. Until now, the demand for domestic products is increasing, and if the efficiency in vivo and clinical trials is proven in the future, it is expected to be an effective procedure compared to high-risk stent implantation.