• 제목/요약/키워드: Community medicine

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Community-Acquired Acinetobacter 폐염 1예 (A Case of Community-Acquried Acinetobacter calcoaceticus Pneumonia)

  • 유병무;임병성;최완영;신동호;박성수;이정희;최태열
    • Tuberculosis and Respiratory Diseases
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    • 제38권1호
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    • pp.53-58
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    • 1991
  • Acinetobacter calcoaceticus var anitratus, a non-fermentative gram negative bacillus, has been infrequently reported as a cause of community-acquired pneumonia. Bacteremic community-acquired pneumonia caused by Acinetobacter is a fulminant disease with a high mortality (above 40 per cent in the reported case). The onset of the illness is rapid but nonspecific with fever, productive cough, pleuritic pain and rapid prostration. And the patients frequently present with respiratory distress, severe hypoxemia, leukopenia and septic shock. We experienced a case of community-acquired Acinetobacter pneumonia who underwent respiratory support with mechanical ventilator for about 4 weeks and survived. We report the case with review of literature.

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모시대(Adenophora remotiflora) 개체군의 식생구조에 관한 연구;강원도 점봉산 단목령을 중심으로 (Vegetation structure of the Adenophora remotiflora population;Focusing on community Danmoknyeong in Jeombongsan of Gangwon-do)

  • 추병길;지윤의;문병철;윤태숙;채성욱;김호경
    • 한국한의학연구원논문집
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    • 제14권1호
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    • pp.117-121
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    • 2008
  • Objectives : This study was carried out to investigate vegetation structure of Adenophora remotiflora population found to be distributed in Jeombongsan Danmokryeong. Methods : From 2007 June until November, $2m{\times}2m$ quadrat was established in Adenophora remotiflora community in order to record a dominants and coverage. Results : 1. The vegetation of Adenophora remotiflora community was classified into Astilbe chinensis subcommunity and Calamagrostis langsdodfii subcommunity. Differential species of community was Angelica deacrusica and Lychnis cognata. The Adenophora remotiflora community was found in south face, high of altitude and low slope degree. 2. The value of species diversity ranged from 5.547152 to 10.077886, euenness ranged from 0.779749 to 0.986358 and dominance ranged from 0.013642 to 0.220251. 3. Aconitum jaluense was located at the higher altitudes than those of other species. Lychnis cognata, Lychnis cognata and Pedicularis resupinata was located at the lower altitudes and slope degree than those of other species. Conclusions : The vegetation of Adenophora remotiflora community was classified into Astilbe chinensis subcommunity and Calamagrostis langsdodfii subcommunity. The value of species diversity was low and community was dominated by a large number species. The Adenophora remotiflora community was found in south face, high of altitude and low slope degree.

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지역사회 스케일링경험률에 영향을 미치는 요인: 지역사회건강조사 자료이용 (Factors associated with community scaling rate: Using community health survey data)

  • 김지민;하주원;김지수;정연호;김동석;이가영;장영은;김남희
    • 한국치위생학회지
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    • 제15권6호
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    • pp.1053-1061
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    • 2015
  • Objectives: The purpose of the study is to investigate the influencing factors of community scaling rate using community health survey data. Methods: The data were extracted from 2013 Community Health Survey, Ministry of education, Korea Dental Association, Statistics Korea, Health Insurance Review and Assessment Service, and Ministry of the Interior. The resource factors of independent variables were analysed by Geographical Information System(GIS) using Map Wizard for Excel 17.0. The data were analyzed by descriptive analysis, pearson correlation and multiple linear regression analysis(p<0.05). Results: Seocho-gu in Seoul had the highest annual scaling rate(55.5%) and Goheung-gun had the lowest rate(11%) showing 44.5 percent gap. The influencing factors of scaling included the number of dental hygienists(r=0.316), dentists(r=0.332), dental hospitals(r=0.470), high school graduation rate(r=0.757) and equivalence scales household income(r=0.764)(p<0.05). Multiple linear regression analysis showed that community scaling rate was closely associated with community education level and monthly income(p<0.05). Conclusions: Community scaling rate was closely related to the community education and income level. It is necessary to provide the equal distribution of the oral health service to the community society.

Implementation and Results of a Survey on Safe Community Programs in Gangbuk-gu, Korea: Focusing on Participants at a Local Public Health Center

  • Kim, Hyun-Joong;Hwang, Se-Min;Lee, In-Young;Cho, Joon-Pil;Kwon, Myoung-Ok;Jung, Jae-Hun;Byun, Ju-Young
    • Journal of Preventive Medicine and Public Health
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    • 제47권1호
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    • pp.47-56
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    • 2014
  • Objectives: The purpose of this study was to investigate the current status of and problems with the Safe Community Programs in Gangbuk-gu, one of the 25 districts of the capital city of Korea. Methods: The study subjects were 396 individuals who were involved in Safe Community Programs between 2009 and 2011. We examined the effectiveness and willingness of respondents to participate as a safety leader of the Safe Community Program with a questionnaire. We examined the injury death rates of Gangbuk-gu by using of the death certificate data of Korea's National Statistical Office. Descriptive statistics and chi-squared tests were used. Results: The effectiveness of programs did not differ but active participation differed significantly among subjects (p<0.05). The injury death rate of Gangbuk-gu as a whole increased during the implementation period. However, senior safety, in particular, may be a helpful program for reducing injuries in Gangbuk-gu. Conclusions: This study suggests that the lack of active participation may be a major problem of Safe Community Programs in Gangbuk-gu. Therefore, Safe Community Programs should be expanded to the entire district of Gangbuk-gu and more active participation programs should be developed.

The Validity and Reliability of a Screening Questionnaire for Parkinson's Disease in a Community

  • Kim, Jong-Hun;Cheong, Hae-Kwan;Lee, Chong-Sik;Yi, Sung-Eun;Park, Kun-Woo
    • Journal of Preventive Medicine and Public Health
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    • 제43권1호
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    • pp.9-17
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    • 2010
  • Objectives: Parkinson's disease is one of the most common neurodegenerative diseases in the elderly population. In order to estimate the prevalence of Parkinson's disease in the community, the application of a good screening tool is essential. We evaluated the validity and reliability of a Parkinson's disease screening questionnaire and propose an alternative measure to improve its validity for use in community surveys. Methods: We designed the study in a three-phase approach consisting of a screening questionnaire, neurologic examination, and confirmatory examination. A repeated survey was administered to patients with disease detected in the community and on 150 subjects. We examined internal consistency using Cronbach's alpha test, test-retest reliability using the kappa statistic, and validity using sensitivity, specificity, and ROC curves. Unadjusted odds ratios were utilized for the estimation of weights for each questionnaire item. Results: The Cronbach's alpha of the questionnaire was 0.708. The kappa statistic for test-retest reliability was good to generally fair in most of the items. When newly proposed weighting scores were used, the optimum cut-off value was 7/8. When cut-off value was 5/6 for surveying prevalence in a community, the sensitivity was 0.98, and the specificity was 0.61, with simultaneous improvement in reliability. Conclusions: We recommend 5/6 as the ideal cut-off value for the survey of PD prevalence in community. This questionnaire designed for the Korean community could help future epidemiologic studies of PD.

온라인 커뮤니티에 따른 영.유아 예방접종에 대한 정보습득 경로 및 지식수준 비교 (Information Sources and Knowledge on Infant Vaccination according to Online Communities)

  • 최인영;정미은;최순;김석일
    • Journal of Preventive Medicine and Public Health
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    • 제40권4호
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    • pp.291-296
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    • 2007
  • Objectives : To explore the information sources and knowledge on infant vaccinations of pro-vaccination community members and anti-vaccination community members on the internet. Methods : An online survey of 245 parents from three pro-vaccination communities and 92 parents from one anti-vaccination community was conducted from June 7 to June 23, 2006. Results : Parents from pro-vaccination communities usually gained the information regarding vaccination efficacy and risk mainly from healthcare providers (49.8%) and mass media (47.7%). Pro-vaccination community members considered healthcare providers as the most credible sources of information on vaccination, whereas the anti-vaccination community members usually gained their information regarding vaccine efficiency and risk from Internet child-care cafes and online vaccination communities. Parents of the anti-vaccination community considered the internet as the most credible information source (77.6% for efficacy, 94.8% for risk). In addition, the major reason why anti-vaccination community members didn't vaccinate and, will not vaccinate, was concern about possible side effects of the vaccine. The knowledge level on infant vaccination, education and economic status was higher in the anti-vaccination community. Conclusions : On-line communities concerned with vaccination are getting popular. The influence of anti-vaccination parents on the Internet is expected to be high. The government and healthcare providers need to increase their efforts to improve the credibility of information about vaccination. Our findings suggest that online communication regarding vaccinations needs to be considered as a means to increase vaccination rates.