• Title/Summary/Keyword: Cohort Analysis

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The Relationship between Family History and Hypertension by Serum Glucose Levels and Age in Korean Men and Women

  • Mikyung Ryu;Il-Hoon Cho;Jae Woong Sull;Sun Ha Jee
    • Biomedical Science Letters
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    • v.28 no.4
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    • pp.284-289
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    • 2022
  • Hypertension is associated with cardiovascular disease. The environmental and genetic factors can cause the development of hypertension. In this study, the relationship between hypertension and family history of hypertension in Koreans was analyzed in consideration of serum fasting blood glucose levels and age. The study subjects were 2,484 subjects who had a medical examination at a university hospital. The main statistical analysis method was multiple logistic regression analysis. Hypertension prevalence was 16.4% of all subjects, and subjects with a family history of hypertension were 23.5%. The risk of hypertension was 2.36 times higher in subjects with a family history of hypertension than subjects without a family history of hypertension. In addition, in the subjects with fasting blood glucose levels more than 120 mg/dL, the risk of hypertension was 4.44 times higher in subjects with a family history of hypertension compared with subjects without a family history of hypertension. The relationship between family history and hypertension was slightly higher in the older group than in the younger group. To assess the association between hypertension and family history, further cohort study is necessary in the future.

Longitudinal Relationships between Cigarette Smoking and Increases Risk for Incident Metabolic Syndrome: 16-year Follow-up of the Korean Genome and Epidemiology Study (KOGES)

  • Sang Shin Pyo
    • Biomedical Science Letters
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    • v.29 no.4
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    • pp.355-362
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    • 2023
  • This study aimed to determine whether smoking affects the metabolic syndrome and its components through long-term follow-up. Of the 10,030 cohort subjects in the community-based Korean Genome and Epidemiology Study (KoGES) from 2001 to 2018, 2,848 people with metabolic syndrome and 4,854 people with insufficient data for analysis were excluded for this study. The study population comprised 2,328 individuals (1,123 men, 1,205 women) who were eligible for inclusion. The mean age of the participants was 49.2±7.5 years, and 21.9% were current smoker. In log rank test, current smoker had a significantly higher cumulative incidence of metabolic syndrome compared with non smoker (P<0.001). In the Cox proportional hazards model adjusted for key variables, metabolic syndrome (hazard ratio [HR] 1.57, P<0.001), high fasting glucose (HR 1.40, P<0.01), hypertriglyceridemia (HR 1.60, P<0.001), low HDL-cholesterol (HR, 1.30, P<0.01), and abdominal obesity (HR 1.32, P<0.01) in current smoker compared with non smoker were statistically significant, respectively, but not hypertension (HR 1.00, P>0.05). After adjustment for confounders, the time (P-time<0.001) and group (P-group<0.001) effects on metabolic syndrome score change were statistically significant. Furthermore, the interaction analysis of time and smoking group on the change in metabolic syndrome score was statistically significant (P-interaction<0.001). In long-term follow-up, smoking worsens metabolic syndrome.

The Seoul Neuropsychological Screening Battery (SNSB) for Comprehensive Neuropsychological Assessment

  • Hui Jin Ryu;Dong Won Yang
    • Dementia and Neurocognitive Disorders
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    • v.22 no.1
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    • pp.1-15
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    • 2023
  • The Seoul Neuropsychological Screening Battery (SNSB) is known as a representative comprehensive neuropsychological evaluation tool in Korea since its first standardization in 2003. It was the main neuropsychological evaluation tool in the Clinical Research Center for Dementia of South Korea, a large-scale multi-center cohort study in Korea that was started in 2005. Since then, it has been widely used by dementia clinicians, and further solidified its status as a representative dementia evaluation tool in Korea. Many research results related to the SNSB have been used as a basis for the diagnosis and evaluation of patients in various clinical settings, especially, in many areas of cognitive assessment, including dementia evaluation. The SNSB version that was updated in 2012 provides psychometrically improved norms and indicators through a model-based standardization procedure based on a theoretical probability distribution in the norm's development. By providing a score for each cognitive domain, it is easier to compare cognitive abilities between domains and to identify changes in cognitive domain functions over time. Through the development of the SNSB-Core, a short form composed of core tests, which also give a composite score was provided. The SNSB is a useful test battery that provides key information on the evaluation of early cognitive decline, analysis of cognitive decline patterns, judging the severity of dementia, and differential diagnosis of dementia. This review will provide a broad understanding of the SNSB by describing the test composition, contents of individual subtests, characteristics of standardization, analysis of the changed standard score, and related studies.

A Study on the Stock Assessment and Management Implications of the Hairtail, Trichiurus lepturus Linne in Korean Waters 2. Variations in Population Biomass of the Hairtail, Trichiurus lepturus Linne in Korean Waters (한국 연근해 갈치의 자원평가 및 관리방안 연구 2. 한국 연근해 갈치의 자원량 변동)

  • ZHANG Chang Ik;SOHN Myoung Ho
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.30 no.4
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    • pp.620-626
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    • 1997
  • Annual biomasses of the hairtail, Trichiurus lepturus, were estimated from the biomass-based cohort analysis (Zhang, 1987), using data of annual catch in weight at age during $1970\~1988$ in Korean waters. Annual biomass of the hairtail was peaked at about 240,000 mt in 1975, and thereafter declined with a slight fluctuation. Adult biomass showed a peak in 1978 with about 55,000 mt. However, it has continuously decreased untill 1980 to the level of 9,000 mt and remained at this level till 1988. Age compositions of the hairtail in the 1980s differed greatly from those in the 1970s. The proportions of older hairtail (>4 years) were very low in the 1980s and even the biomasses of young hairtail $(1\~3\;years)$ were at a low evel in the 1980s compared with the level in 1970s. The 1973 and 1974 year classes appeared to be relatively dominant. The mean value of instantaneous rate of fishing mortality (F) in the 1980s was significantly different from that of the 1910s (P<0.05). Recruitment of the hairtail exhibited a similar trend with stock biomass until 1974, indicating the density-dependent Ricker curve.

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ST6Gal-I Predicts Postoperative Clinical Outcome for Patients with Localized Clear-cell Renal Cell Carcinoma

  • Liu, Hai-Ou;Wu, Qian;Liu, Wei-Si;Liu, Yi-Dong;Fu, Qiang;Zhang, Wei-Juan;Xu, Le;Xu, Jie-Jie
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10217-10223
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    • 2015
  • Hyperactivated ${\alpha}2$-6-sialylation on N-glycans due to overexpression of the Golgi enzyme ${\beta}$-galactoside: ${\alpha}2$-6-sialyltransferase (ST6Gal-I) often correlates with cancer progression, metastasis, and poor prognosis. This study was aimed to determine the association between ST6Gal-I expression and the risk of recurrence and survival of patients with localized clear-cell renal cell carcinoma (ccRCC) following surgery. We retrospectively enrolled 391 patients (265 in training cohort and 126 in validation cohort) with localized ccRCC underwent nephrectomy at a single center. Tissue microarrays were constructed for immunostaining of ST6Gal-I. Prognostic value and clinical outcomes were evaluated. High ST6Gal-I expression was associated with Fuhrman grade (p<0.001 and p=0.016, respectively) and the University of California Los-Angeles Integrated Staging System (UISS) score (p=0.004 and p=0.017, respectively) in both cohorts. Patients with high ST6Gal-I expression had significantly worse overall survival (OS) (p<0.001 and p<0.001, respectively) and recurrence free survival (RFS) (p<0.001 and p=0.002, respectively) than those with low expression in both cohorts. On multivariate analysis, ST6Gal-I expression remained associated with OS and RFS even after adjusting for the UISS score. Stratified analysis suggested that the association is more pronounced among patients with low and intermediate-risk disease defined by the UISS score. High ST6Gal-I expression is a potential independent adverse predictor of survival and recurrence in ccRCC patients, and the prognostic value is most prominent in those with low and intermediate-risk disease defined by the UISS score.

Stock Assessment and Optimal Catch of Blackfin Flounder Glyptocephalus stelleri in the East Sea, Korea (한국 동해안 기름가자미(Glyptocephalus stelleri)의 자원평가 및 적정어획량 추정)

  • Sohn, Myoung Ho;Yang, Jae Hyeong;Park, Jeong-Ho;Lee, Haewon;Choi, Young Min;Lee, Jae Bong
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.46 no.5
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    • pp.598-606
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    • 2013
  • The blackfin flounder Glyptocephalus stelleri is a commercially important species in the East Sea of Korea, but its catches and biomass have decreased gradually in recent years. This study estimated the optimal catch (acceptable biological catch, ABC) for the effective management of this species by estimating population ecology parameters and the stock biomass of blackfin flounder in the East Sea of Korea. The estimated instantaneous coefficient of total mortality (Z) of blackfin flounder was 1.0542/year, the survival rate (S) was 0.3485, and the instantaneous coefficient of natural mortality (M) was 0.3637/year. From the values of S and M, the instantaneous coefficient of fishing mortality (F) was calculated to be 0.6905/year. The age at first capture was 1.304 years, and the total length was 11.5 cm at that time. On the basis of these parameters, the annual biomass was estimated by a biomass-based cohort analysis using annual catch data in weight by year for 1991-2012 in the East Sea of Korea. The annual biomass peaked in 1997 at about 12,800 mt and then subsequently declined continuously to a level of 10,500 mt in 2004 and to 9,800 mt in 2011 and 2012. The maximum sustainable yield and $F_{0.1}$ were estimated as 3,547 mt and 0.3595/year, respectively. Using these estimations, the ABC was estimated to be 3,571 mt in tier 5, 3,397 mt in tier 4, and 2,622 mt in tier 3.

Risk Factors for Cerebrovascular Disorders in Koreans (뇌혈관질환 발생 위험요인 구명을 위한 코호트내 환자-대조군 연구)

  • Park, Jong-Ku;Kim, Ki-Soon;Lee, Tae-Yong;Lee, Duk-Hee;Koh, Kwang-Wook;Lee, Kang-Sook;Jee, Sun-Ha;Suh, Il;Ryu, So-Yeon;Park, Kee-Ho;Kim, Chun-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.2
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    • pp.157-165
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    • 2001
  • Objectives : To identify the risk factors of cerebrovascular disorders(CVD) in Koreans using a nested case-control study. Methods : The cohort consisted of beneficiaries who had taken health examinations of the Korea Medical Insurance Corporation (KMIC cohort: 115,600 persons) in 1990 and 1992 consecutively. Four hundred and twenty five (425) cases were selected following the validation of diagnosis among 2,026 reported CVD (160-168) inpatients during the year from 1993 to 1997. Controls were matched (1:1) with age and gender of the cases among inpatients without CVD during the same period. The source of data in this study were the files of the 1990 health examinations and the 1992 health questionnaires, as well as an additional telephone survey undertaken from March to November 1999. Results : In a bivariate analysis and multiple logistic regression analysis, risk factors for total CVD were hyperglycemia and hypertension. Unrespectively, the odds ratio of ex-smoker was significantly lower than that of those who had never smoked. The risk factors for ischemic CVD also were hyperglycemia and hypertension. However, only blood pressure was found to be a risk factor for hemorrhagic CVD. Hypercholesterolemia was not a risk factor for total CVD, ischemic CVD, and hemorrhagic CVD. Conclusion : We concluded that the most important risk factor for CVD (including subtype) in Koreans was hypertension.

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Postmenopausal Hormone Therapy is Associated with in Situ Breast Cancer Risk

  • Ni, Xiao-Jian;Xia, Tian-Song;Zhao, Ying-Chun;Ma, Jing-Jing;Zhao, Jie;Liu, Xiao-An;Ding, Qiang;Zha, Xiao-Ming;Wang, Shui
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3917-3925
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    • 2012
  • Background: The relationship between postmenopausal hormone therapy (HT) and invasive breast cancer has been extensively investigated, but that with breast carcinoma in situ (BCIS) has received relatively little attention. The aim of our present study was to review and summarize the evidence provided by longitudinal studies on the association between postmenopausal HT use and BCIS risk. Methods: A comprehensive literature search for articles published up to May 2012 was performed. Prior to performing a meta-analysis, the studies were evaluated for publication bias and heterogeneity. Relative risk (RR) or odds ratio (OR) values were calculated using 14 reports (8 case-control studies and 6 cohort studies), published between 1986 and 2012. Results: There was evidence of an association between ever postmenopausal estrogen use and BCIS based on a random-effects model (RR = 1.25, 95% confidence interval (CI) = 1.01, 1.55). However, we found no strong evidence of an association between ever postmenopausal estrogen combined with progesterone use and BCIS using a randomeffects model (RR = 1.55, 95% CI = 0.95, 2.51). Furthermore, our analysis showed a strong association between "> 5 years duration" of estrogen or estrogen combined with progesterone use and BCIS. Furthermore, current use of any HT is associated with increased risk of BCIS in cohort studies. Additional well-designed large studies are now required to validate this association in different populations.

Early and Late Complications after Inguinofemoral Lymphadenectomy for Vulvar Cancer

  • Cirik, Derya Akdag;Karalok, Alper;Ureyen, Isin;Tasci, Tolga;Kalyoncu, Rukiye;Turkmen, Osman;Kose, M Faruk;Tulunay, Gokhan;Turan, Taner
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5175-5179
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    • 2015
  • Background: We aimed to determine the frequency of early and late complications following groin surgery for vulvar cancer and analyze possible risk factors. Materials and Methods: This retrospective cohort study included 99 women who underwent for vulvar cancer. The early (${\leq}1$ month) complications were wound infection, breakdown and lymphocyst and late (>1 month) complications were lower limb lymphedema, incontinence and erysipelas. The risk factors for developing each of the complications were analyzed with regression analysis. Results: In the entire cohort, 29 (29.3%) women experienced early and 12 (12.1%) had late complications. Wound complications including infection and breakdown were the leading early complications (23.2%). In the multivariate analysis, both obesity (body mass index ${\geq}30kg/m^2$) and advanced age (${\geq}65years$) were found as independent predictive factors for early complications. Obese women of advanced age had 6.32 times more risk of experiencing any of the early complications, when compared to non-obese and young women (55.6% vs 8.7%). The most common late complication was lower limb lymphedema (10.1%) that was more frequently seen in young women. However, neither age nor lymph node count were significantly associated with the occurrence of lower limb lymphedema. Conclusions: More than 40% of the women suffered from postoperative complications after inguinofemoral lymphadenectomy in the current study. While advanced age and obesity were the significant predictors for any of the early complications, there was no identified risk factor for lower limb lymphedema.

A Population Genetic Analysis of the Common Squid, Todarodes pacificus Steenstrup in the Korean Waters (한국 해역에 분포하는 오징어의 집단유전학적 방법에 의한 계군분석)

  • KANG Yong-Joo;KIM Yeong-Hye;HONG Yong-Ki;PARK Jung-Youn;PARK Kie-Young
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.29 no.3
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    • pp.320-331
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    • 1996
  • Electrophoretic comparisons of 482 individuals of Todarodes pacificus from 9 fishing areas were made to estimate genetic variability and differentiation using 17 enzymes. Strong activities were shown by 9 enzymes with 11 gene loci. The 9 sample lots could be divided into 3 genetic groups, based on dendrogram analysis using the Nei's genetic distance. The Summer, Autumn and Winter cohorts were identified as three seperated ecological populations which maintain genetic exchange. It is postulated that either the Summer cohort or the Autumn cohort has indepenently developed a local population that was isolated by hydrographic factors.

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