• Title/Summary/Keyword: 질병역학

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The Usefulness of a Wearable Smart Insole for Gait and Balance Analyses After Surgery for Adult Degenerative Scoliosis: Immediate and Delayed Effects (척추측만증 환자의 수술 효과 평가 수단으로서 웨어러블 스마트 깔창을 이용한 보행분석의 유용성)

  • Seo, Min Seok;Shin, Myung Jun;Kwon, Ae Ran;Park, Tae Sung;Nam, Kyoung Hyup
    • Journal of Convergence for Information Technology
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    • v.10 no.2
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    • pp.184-192
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    • 2020
  • This study presents a gait analysis method (including time series analysis) using a smart insole as an objective and quantitative evaluating method after lumbar scoliosis surgery. The participant is a degenerative lumbar scoliosis patient. She took 3-min-gait-test four times(before and 8, 16, and 204-days after surgery) and 6-min-gait-test once(204-days after surgery) with smart-insoles in her shoes. Each insole has 8-pressure sensors, an accelerometer, and a gyroscope. The measured values were used to compare the characteristics of gait before and after surgery. The analysis showed that all of the patient's gait parameters improved after surgery. And after 6 months, the gait was more stable. However, after long walk, the swing duration of one leg was slightly shorter than that of the other again. It was a preclinical problem that could not be found in the visual examination by the practitioner. With this analysis method we could evaluate the improvement of patient quantitatively and objectively. And we could find a preclinical problem. This analysis method will lead to the studies that define and distinguish gait patterns of certain diseases, helping to determine appropriate treatments.

Convergence analysis of determinants affecting on geographic variations in the prevalence of arthritis in Korean women using data mining (데이터마이닝을 이용한 여성 관절염 유병률 소지역 간 변이의 융복합 요인분석)

  • Kim, Yoo-Mi;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.277-288
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    • 2015
  • This study aims to identify determinants affecting on geographic variations in the prevalence of arthritis in Korean women using data mining. Data from Korean Community Health Survey 2012 with 249 small districts were analyzed. Socio-demographic, health behavior and status, and morbidity status measures were analyzed using conventional regression model and convergence analysis method such as decision tree for convergence analysis. Rate of workers in agriculture, forestry, and fishing, salaried workers, persons higher than high school graduates, non-treatment of needing care, non-treatment of care because of economic reason, obesity, heavy drunkers, complaining persons of chewing difficulty, persons with experiencing depression, persons with perceiving stress, and persons with diagnosing hypertension and angina pectoris were variation determinants of prevalence of arthritis in 249 small districts and these districts were classified 10 area groups by decision tree model. Our finding suggest that the approach based characteristics by small area groups rather than national wide or individual level would be effective to reduce in variations of prevalence of arthritis.

Detection of Coxiella burnetii in Cattle (소에서 Coxiella burnetii의 검출)

  • Kim, Yo-Han;Kim, Doo
    • Journal of Veterinary Clinics
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    • v.32 no.6
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    • pp.504-507
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    • 2015
  • Coxiella burnetii is an obligate intracellular rickettsial organism and the causative agent of Query fever, a zoonosis that occurs worldwide. In Korea, C. burnetii infection had occurred in humans and animals. However, the studies were only conducted in geographically limited area for detection of C. burnetii. The objective of this study was to detect C. burnetii in Korean native cattle and dairy cattle nationwide by real-time PCR. The total of 807 blood samples from 622 Korean native cattle and 185 dairy cows, 170 individual milk samples of dairy cows, and 348 bulk tank milk samples of dairy herds were collected nationwide. From blood samples, C. burnetii was detected in 17 (2.7%) out of 622 Korean native cattle and 2 (1.1%) of 185 dairy cows. From milk samples, C. burnetii was detected in 27 (15.9%) out of 170 individual milk samples of dairy cows. And C. burnetii was detected in 84 (24.1%) of 348 bulk tank milk samples. In conclusion, this study revealed that the detection rates are considerably high in cattle and the infection of C. burnetii has been continuously occurring in cattle of Korea. In order to prevent the hazards of a zoonosis Q-fever that occur both humans and domestic animals, further studies are needed to clarify the epidemiology of Q-fever of domestic animals and humans in Korea.

Design and Implementation of a Self-diagnosis System on the Eating Disordered Diet (청소년 식사장애 자가진단을 위한 시스템 구현)

  • Kim Kwang-huy
    • Journal of the Korea Computer Industry Society
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    • v.6 no.3
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    • pp.477-493
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    • 2005
  • The cause of the eating disordered diet, which is a main topic of this study, has not been identified clearly, however, has been affected by an emphasis of western norm of a beauty - being tall and skinny - since the eighties. Another reason would be his/her lack of self-confidence and willingness to resolve his/her unsatisfied mental problem. There are two different of eating disordered diets; anorexia nervosa, bulimia nervosa. firstly, a patient of anorexia nervosa which is characterized by the loss in weight, tends to either deny meals, due to his/her desire to be skinny and a fear of gaining the weight. Secondly, a patient of bulimia nervosa eats much more food than an ordinary person does in around two hours and then removes them by doing vomiting with drugs. obesity is defined as overweight by $20\%$ and more than normal weight. In this case, body mass index(BMI) defined by the ratio of the weight(kg) to the height(m') is used. BMI = Weight(kg) / Height(m) In this paper, a list of questioneire for an adolescent to self-diagnosis the possibility of his/her eating disorder diet is identified and then a multi-media system which incorporates the list is designed and implemented with ASP language as a server language on a local host.

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MACROD2 Polymorphisms Are Associated with Hypertension in Korean Population (한국인에서의 MACROD2 유전자 다형성과 고혈압 상관성 연구)

  • Ko, Bokyung;Jin, Hyun-Seok
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.1
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    • pp.57-63
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    • 2019
  • Hypertension is caused by a combination of genetic and environmental factors. In advanced countries, more than 30% of adults have hypertension. Among the genetic factors affecting hypertension, there are reports from European cohort studies that variants of the MACROD2 gene are correlated with blood pressure and the hypertension status. In this study, genetic polymorphisms of the MACROD2 gene region were selected and extracted based on Korean Genome and Epidemiology data, and logistic regression analysis was then performed for the hypertensive state. Linear regression analysis was also performed for the systolic and diastolic blood pressure. As a result, 16 SNPs showed a statistically significant association with a hypertensive state, and 2 SNPs (rs16996211, rs6034240) showed statistical significance, even in blood pressure. The most significant rs16996211 had a relative risk of hypertension of 0.85 (CI: 0.76~0.95, $P=3.1{\times}10^{-3}$), as well as an association with the systolic blood pressure (beta=-0.75, P=0.024) and diastolic blood pressure (beta=-0.59, P=0.01). These results suggest that polymorphisms of the MACROD2 gene are associated with hypertension in both Caucasians and Koreans, and highlight the potential genetic correlations with the pathogenesis of hypertension.

Recent advances on next-generation probiotics linked to the gut microbiome (장내 마이크로바이옴과 차세대 프로바이오틱스 연구 현황)

  • Choi, Hak-Jong
    • Food Science and Industry
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    • v.52 no.3
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    • pp.261-271
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    • 2019
  • Gut microbiome have recently provided evidence that the gut microbiota are capable of greatly influencing all aspects of physiology and immunology. Although a number of recent studies have shown that probiotics can modulate gut microbiota structure, the mechanism underlying this effect remains to be elucidated. In a disease state, the relative abundances of beneficial gut bacteria are generally reduced, which is restored by constant probiotic supplementation. Oral administration of probiotics improved the disease state by (1) inducing differentiation and function of regulatory T cells, (2) reducing inflammatory response, (3) modulating the gut environment, and (4) increasing the proportions of short-chain fatty acid- or beneficial metabolite-producing gut microbiota including the genera Bifidobacterium, Faecalibacterium, Akkermansia, etc. In this review, current knowledge on how probiotics can influence host's health by altering gut microbiota structure and on how probiotics and beneficial gut bacteria can be applied as next-generation probiotics will be discussed.

Evaluation of Classification Performance of Inception V3 Algorithm for Chest X-ray Images of Patients with Cardiomegaly (심장비대증 환자의 흉부 X선 영상에 대한 Inception V3 알고리즘의 분류 성능평가)

  • Jeong, Woo-Yeon;Kim, Jung-Hun;Park, Ji-Eun;Kim, Min-Jeong;Lee, Jong-Min
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.455-461
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    • 2021
  • Cardiomegaly is one of the most common diseases seen on chest X-rays, but if it is not detected early, it can cause serious complications. In view of this, in recent years, many researches on image analysis in which deep learning algorithms using artificial intelligence are applied to medical care have been conducted with the development of various science and technology fields. In this paper, we would like to evaluate whether the Inception V3 deep learning model is a useful model for the classification of Cardiomegaly using chest X-ray images. For the images used, a total of 1026 chest X-ray images of patients diagnosed with normal heart and those diagnosed with Cardiomegaly in Kyungpook National University Hospital were used. As a result of the experiment, the classification accuracy and loss of the Inception V3 deep learning model according to the presence or absence of Cardiomegaly were 96.0% and 0.22%, respectively. From the research results, it was found that the Inception V3 deep learning model is an excellent deep learning model for feature extraction and classification of chest image data. The Inception V3 deep learning model is considered to be a useful deep learning model for classification of chest diseases, and if such excellent research results are obtained by conducting research using a little more variety of medical image data, I think it will be great help for doctor's diagnosis in future.

Bone mineral density in type 2 diabetic patients aged 50 years or older in men and postmenopausal women in Korea

  • Cho, Jeong-Ran;Chung, Dong Jin
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.8
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    • pp.197-207
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    • 2021
  • Relationship between bone mineral density (BMD) and type 2 diabetes is still inconsistent. Recently, many epidemiologic data show that fracture risk is increased in type 2 diabetic patients regardless of BMD status. In this study, we used nation-wide data from 2008 to 2011 Korea National Health and Nutrition Examination Survey (KNHANES) to analyze the BMD status in patients with type 2 diabetes compared to non-diabetics. We included subjects aged 50 years or older in men (N=2,959, 2,430 without diabetes, 529 with type 2 diabetes) and postmenopausal women (N=2,902, 2,479 without diabetes, 423 with type 2 diabetes). Subjects with history of medication for osteoporosis or with illness or malignancy affecting bone metabolism were excluded. Data of anthropometric measurements and demographic characteristics were collected by trained examiner. Serum was separated from peripheral venous blood samples obtained after 8 hours of fasting. BMD was measured at lumbar spine and femur using dual-energy X-ray absorptiometry (DXA). There was a significant positive association between lumbar spine BMD and type 2 diabetes after adjusting age, gender, body mass index, monthly house income, education level, physical activity, daily calcium intake and vitamin D concentration by multiple regression analysis in all subjects. In the subgroup analysis by gender, this association was maintained both in male and female after adjusting those confounding factors. However, femur BMD was not different between type 2 diabetic and non-diabetic subjects. In conclusion, lumbar spine BMD was significantly higher in type 2 diabetic patients aged 50 years or more in men and postmenopausal women compared to non-diabetic subjects.

Prediction Model of Hypertension Using Sociodemographic Characteristics Based on Machine Learning (머신러닝 기반 사회인구학적 특징을 이용한 고혈압 예측모델)

  • Lee, Bum Ju
    • KIPS Transactions on Software and Data Engineering
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    • v.10 no.11
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    • pp.541-546
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    • 2021
  • Recently, there is a trend of developing various identification and prediction models for hypertension using clinical information based on artificial intelligence and machine learning around the world. However, most previous studies on identification or prediction models of hypertension lack the consideration of the ideas of non-invasive and cost-effective variables, race, region, and countries. Therefore, the objective of this study is to present hypertension prediction model that is easily understood using only general and simple sociodemographic variables. Data used in this study was based on the Korea National Health and Nutrition Examination Survey (2018). In men, the model using the naive Bayes with the wrapper-based feature subset selection method showed the highest predictive performance (ROC = 0.790, kappa = 0.396). In women, the model using the naive Bayes with correlation-based feature subset selection method showed the strongest predictive performance (ROC = 0.850, kappa = 0.495). We found that the predictive performance of hypertension based on only sociodemographic variables was higher in women than in men. We think that our models based on machine leaning may be readily used in the field of public health and epidemiology in the future because of the use of simple sociodemographic characteristics.

Molecular Characterization of Vibrio parahaemolyticus Isolates from Seawater, Fish Tanks, and Distributed Fishery Products in Jeju (제주지역 해수, 수족관물, 유통수산물에서 분리된 장염비브리오균의 분자생물학적 특성)

  • Man Jae Cho;Eunok Kang;Ye-seul Heo;Eun A Koh
    • Journal of Food Hygiene and Safety
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    • v.38 no.4
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    • pp.246-254
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    • 2023
  • V. parahaemolyticus causes waterborne and foodborne disease such as acute diarrhea. In this study, V. parahaemolyticus isolates from seawater, fish tanks, and distributed fishery products in Jeju were investigated for potential toxin or species-specific genes (tdh, trh, tlh, and toxR) using RT-PCR and their genetic characteristics were analyzed using Pulsed-field gel electrophoresis (PFGE). Overall, V. parahaemolyticus of 90 strains (36.7%), including 33 strains from seawater, 8 strains from fish tanks, and 50 strains from fishery products, were isolated from 245 samples. All V. parahaemolyticus strains did not detect the tdh gene, whereas all strains detected tlh or toxR genes. In addition, trh genes were detected in 3 strains from seawater and 1 strain from fishery products. Monthly quantitative testing of seawater revealed that V. parahaemolyticus was positively correlated with water temperature. The 90 strains of V. parahemolyticus obtained in this study showed by gene homology between types, ranging from 64.0-97.3%. Among these, thirteen types showed 100% homology between genes. These results indicate that continuous monitoring is needed to facilitate food poisoning epidemiological investigations because some isolated V. parahaemolyticus strains harbored toxin genes and V. parahaemolyticus strains isolated from seawater, fish tanks, and distributed fishery products showed genetic similarity.