• Title/Summary/Keyword: Disease patterns

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An Analysis on Prescribing Patterns of Alzheimer's Dementia Treatment and Choline Alfoscerate using HIRA Claims Data (건강보험 청구자료를 이용한 알츠하이머 치매 치료제와 콜린알포세레이트의 처방 양상 분석)

  • Hwang, Sang Goo;Park, Hyekyung
    • Korean Journal of Clinical Pharmacy
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    • v.29 no.1
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    • pp.1-8
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    • 2019
  • Background: Alzheimer's dementia is the most common dementia. However, recently, choline alfoscerate is prescribed for treating Alzheimer's dementia, although it is not a treatment for this disease. Purpose: To analyze the prescription patterns of choline alfoscerate as a dementia treatment for patients with Alzheimer's disease and to analyze, as well as the factors affecting choline alfoscerate prescription. Method: The 2016 HIRA-NPS data was used in this study. The code of Alzheimer's dementia is F00 in the ICD-10 disease classification code. We analyzed the demographic, clinical, and regional characteristics associated with donepezil, rivastigmine, galantamine, memantine, and choline alfoscerate prescriptions. All statistical and data analyse were conducted by SAS 9.4 and Excel. Results: For patients with Alzheimer's disease, choline alfoscerate was the second most prescribed after donepezil. Analysis results showed that choline alfoscerate was more likely to be prescribed to men than to women, and more likely to be prescribed by local health centers than by medical institutions. Moreover, choline alfoscerate was highly likely to be prescribed at neurosurgical departments, among medical departments. Conclusions: This study confirmed that choline alfoscerate was prescribed considerably for patients with Alzheimer's dementia. Further studies valuating its clinical validity should be performed to clarify whether choline alfoscerate prescription is appropriate for treating Alzheimer's dementia.

Factors Associated with Utilization Patterns of Provincial Patients Discharged from General Hospitals Located in Seoul Area (지방거주환자의 서울지역 의료기관 이용에 영향을 미치는 요인)

  • Hong, Sung-Ok;Suh, Won-S.
    • Korean Journal of Health Education and Promotion
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    • v.26 no.4
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    • pp.117-127
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    • 2009
  • Objectives: The primary objective of the study is to analyze the utilization patterns of provincial patients discharged from hospitals located in Seoul area. Methods: For the analysis, the study employed the nationwide data on 'Survey of Injured Patients Discharged from Hospitals' conducted by KCDC (Korea Centers for Disease Control and Prevention). The statistical methodology used in the measurement model is a logistic regression model. Results: The study has three major findings. First, compared to other disease groups, the discharged on both 'neoplasm(cancer)' and 'congenital malformation, deformity and chromosomal abnormalities' disease groups are more likely to utilize hospitals in Seoul area. Second, as for 'neoplasm(cancer)' disease group, patients with 'bones and articular cartilage' areas are more likely to utilize hospitals in Seoul area. Finally, Hospitals with more than 1,000 beds was primary factor in selecting Seoul-based hospitals by the discharged in provincial areas. Conclusion: In sum, the study showed that patients in provincial areas are more likely to utilize hospitals located in Seoul area regardless of the severity of their cases. Local authority, therefore, is required to monitor local hospitals on regular basis, as well as support them to establish specialized medical centers by providing human and physical resources.

A study of relationship between excrement and materia medica in Bangyakhappyeon based on the data mining analysis (데이터 마이닝을 이용한 대변과 약물간의 연관성 분석 -방약합편을 중심으로-)

  • Song, Young-Sup;Yang, Dong-Hoon;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.2
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    • pp.33-46
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    • 2012
  • Purpose : Nowadays excrement-related disease that repeats constipation and diarrhea is on the increase due to the change of dietary and lack of exercise, etc. We analyzed Bangyakhappyeon in order to find out the materia medica which is used for the excrement patterns. Methods : The database used in present thesisis consist of disease pattern, nature of medicinals and materia medica from Bangyakhappyeon was constructed. We analyzed the nature of medicinals of excrement patterns(or symptom) by frequency analysis and network analysis, and also searched main materia medica of excrement patterns(or symptom) by frequency analysis and rule mining. Results : We analyzed the nature of medicinals of excrement patterns(or symptom) in Bangyakhappyeon. And we researched the high frequency materia medica, high specificity materia medica and high frequent paired-drugs as main materia medica of excrement patterns(or symptom). Conclusion : This study found the information about frequency relationship between excrement patterns(or symptoms) and materia medica.

The Relationships Between Obese Index and Major Risk Factors in Patients with Cardiovascular Disease (심혈관계 질환 환자의 비만도와 주요 위험인자와의 관계)

  • 안향숙
    • Journal of Nutrition and Health
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    • v.26 no.9
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    • pp.1071-1084
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    • 1993
  • This study was performed to investigate the relationships between obese index and major risk factors of cardiovascular disease in CVD patients. Anthropometry, food intake patterns, blood pressure, serum lipids and hematological values were analyzed in 550 patients from June, 1991 to August, 1992. The results are as follows: Total food intakes, especially total vegetable food and alcohol intakes were significantly related with obese index, so that the heavier patients tended to consume more carbohydrate and less fat. The blood pressure were observed to have positive correlation with obese index in man but not in women. However, both in men and women, blood levels of TG, TC, and VLDL tended to be related to obese index positively, while HDL and HDL-C were shown to be oppositive. So, it seems that as the degree of obesity is higher the blood pressure and blood lipids patterns worse. Therefore, these results suggest that obesity is one of the major risk factors of CVD, and for prevention & treatment of the disease, controlling body weight by nutritionally adequate diet along with alcohol restriction is necessary.

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Automatic Detection of Interstitial Lung Disease using Neural Network

  • Kouda, Takaharu;Kondo, Hiroshi
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.2 no.1
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    • pp.15-19
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    • 2002
  • Automatic detection of interstitial lung disease using Neural Network is presented. The rounded opacities in the pneumoconiosis X-ray photo are picked up quickly by a back propagation (BP) neural network with several typical training patterns. The training patterns from 0.6 mm ${\O}$ to 4.0 mm ${\O}$ are made by simple circles. The total evaluation is done from the size and figure categorization. Mary simulation examples show that the proposed method gives much reliable result than traditional ones.

Multi-parametric Diagnosis Indexes and Emerging Pattern based Classification Technique for Diagnosing Cardiovascular Disease (심혈관계 질환 진단을 위한 복합 진단 지표와 출현 패턴 기반의 분류 기법)

  • Lee, Heon-Gyu;Noh, Ki-Yong;Ryu, Keun-Ho;Jung, Doo-Young
    • The KIPS Transactions:PartD
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    • v.16D no.1
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    • pp.11-26
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    • 2009
  • In order to diagnose cardiovascular disease, we proposed EP-based(emerging pattern- based) classification technique using multi-parametric diagnosis indexes. We analyzed linear/nonlinear features of HRV for three recumbent postures and extracted four diagnosis indexes from ST-segments to apply the multi-parametric diagnosis indexes. In this paper, classification model using essential emerging patterns for diagnosing disease was applied. This classification technique discovers disease patterns of patient group and these emerging patterns are frequent in patients with cardiovascular disease but are not frequent in the normal group. To evaluate proposed classification algorithm, 120 patients with AP (angina pectrois), 13 patients with ACS(acute coronary syndrome) and 128 normal people data were used. As a result of classification, when multi-parametric indexes were used, the percent accuracy in classifying three groups was turned out to be about 88.3%.

Status of Iodine Intake and Comparison of Characteristics according to Iodine-sourced Food Intake Patterns of Chinese Adults: A Study Encompassing Three Regions with Different Iodine Nutritional Statuses (중국 성인의 요오드 섭취 실태 및 요오드 급원 식품 섭취 패턴에 따른 특성 비교 -요오드 영양상태가 다른 세 지역을 중심으로)

  • Danying, Zhang;Ho Kyung, Ryu
    • Korean Journal of Community Nutrition
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    • v.27 no.6
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    • pp.503-514
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    • 2022
  • Objectives: This study examines the status of iodine intake and compares the characteristics (region and thyroid disease prevalence) according to the iodine-sourced food intake pattern in Chinese adults. Methods: An online survey was conducted by enrolling 437 Chinese adults aged 18-65 years, living in three regions with different iodine nutritional statuses: Sichuan, Chongqing, and Guangdong. Results: The prevalence of thyroid diseases in Sichuan, Chongqing, and Guangdong were 12.5%, 8.5%, and 2.8%, respectively. Conversely, the proportion of people who received thyroid disease-related examinations was a mere 37.5%. Among the subjects who underwent thyroid examination, the prevalence of thyroid disease in the three regions was 32.2%, 21.8%, and 8.0%, respectively. No differences were obtained in the total iodine intake by region, but the type of iodine source foods differed. Regardless of the region, the highest iodine content was obtained from seaweed. However, the iodine content from iodized salt and other foods differed significantly by region. Factor analysis revealed three food intake patterns according to the iodine food source. The study further determined regional differences and differences in the prevalence of thyroid disease according to food intake patterns. Conclusions: High salt intake can also increase iodine intake, which is thought to have an effect on the occurrence of iodine-excess thyroid disease. Hence, efforts focused on improving salty eating habits need to be implemented.

Three-dimensional evaluation of the mandibular condyle in adults with various skeletal patterns

  • Ahmed Maher Mohsen;Junjie Ye;Akram Al-Nasri;Catherine Chu;Wei-Bing Zhang;Lin-Wang
    • The korean journal of orthodontics
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    • v.53 no.2
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    • pp.67-76
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    • 2023
  • Objective: Morphometric and morphological evaluation of the mandibular condyle in adults and to identify its correlation with skeletal malocclusion patterns. Methods: Cone-beam computed tomography scans of 135 adult patients were used in this study and classified into groups according to four criteria: (1) sex (male and female); (2) sagittal skeletal discrepancy (Class I, Class II, and Class III); (3) vertical skeletal discrepancy (hyperdivergent, normodivergent, and hypodivergent); and age (group 1 ≤ 20 years, 21 ≤ group 2 < 30, and group 3 ≥ 30 years). The morphometrical variables were mandibular condyle height and width, and the morphological variable was the mandibular condyle shape in coronal and sagittal sections. Three-dimensional standard tessellation language files were created using itk-snap (open-source software), and measurements were performed using Meshmixer (open-source software). Results: The mandibular condyle height was significantly greater (p < 0.05) in patients with class III malocclusion than in those with class I or II malocclusion; the mandibular condyle width was not significantly different among different sexes, age groups, and sagittal and vertical malocclusions. There were no statistical associations between various mandibular condyle shapes and the sexes, age groups, and skeletal malocclusions. Conclusions: The condylar height was greatest in patients with class III malocclusion. The condylar height and width were greater among males than in females. The mandibular condyle shapes observed in sagittal and coronal sections did not affect the skeletal malocclusion patterns.

Health Risks in relation to Dietary Changes in Korean Americans (재미 한인의 식생활 변화와 관련된 건강 상태 연구)

  • Kim, Wha-Young;Song, Won-Ok;Yang, Eun-Ju
    • Journal of the Korean Society of Food Culture
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    • v.16 no.5
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    • pp.515-524
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    • 2001
  • Differences in dietary intake of Korean Americans (KA) by the length of residence in the U.S. were studied in relation to health and disease patterns in Michigan. Of 1860 questionnaires mailed, 637 (34.3%) responded with demographics, anthropometrics, self-reported disease patterns, lifestyle, and dietary patterns (93-item FFQ developed for KA). Complete responses were available for 498 people (263 men,253 women, aged 30-87 yr), who were then divided into three groups based on the number of years lived in the U.S.: 15y, 16-25y, 26y. Age-adjusted weight, height, BMI, and waist to hip ratio were within the normal ranges and did not differ among the three groups. Chronic diseases frequently reported in men and women (age-adjusted) included hypertension (14.4%, 14.1%), digestive diseases (5.4%, 8.5%), diabetes (3.6%,4.9%), and arthritis(3.3%, 12.5%), respectively. The length of residence in the U.S. was inversely associated with the age-adjusted prevalence of digestive diseases (12.4%, 6.5%, 0.4% in men, 13.0%, 11.7%, 0% in women). The length of residence was positively associated with health consciousness, receiving regular health care, taking supplements regularly, and exercising, while inversely related to smoking. The majority favored American foods for breakfast and Korean foods for dinner. Foods frequently consumed included cooked rice (w/other grains). kimchi, coffee (w/cream and sugar),bread (white and dark), citrus juice, milk (low fat and skim), lettuce and cucumber, apple, seaweed, and soda. Intake frequency of the Korean starch food group was inversely associated with the length of residence for both men and women (p<0.001), but not with the American starch food group. Fat intake did not differ by the length of residence in the U.S. The dietary changes were associated with the length of residence and chronic disease patterns for the first generation of KA, which should be further examined 'for the subsequent generation of KA.

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