• 제목/요약/키워드: Mass Mortality

검색결과 403건 처리시간 0.027초

선천성 질환시 산전 초음파 진단의 의의 (Efficacy of Prenatal Ultrasonographic Diagnosis of Congenital Anomalies)

  • 유수영;김승기;최승훈;이국
    • Advances in pediatric surgery
    • /
    • 제3권1호
    • /
    • pp.15-23
    • /
    • 1997
  • During a 6-year period, from January 1990 to December 1995, 101 neonates with congenital anomalies were admitted to the division of Pediatric Surgery of Youngdong Severance Hospital. All of them had prenatal screening more than once with ultrasound. Fifty eight of them had prenatally detectable anomalies by ultrasonography. However abnormalities were prenatally detected in 24 neonates(41%). The detection rate was 70% in patientws who had the prenatal screening at our hospital, whereas, the rate was 24% when it was performed at other medical facilities. Duodenal and jejuno-ileal atresia showed the highest detection rate(86%) followed by abdominal mass. Esophageal atresia was suggested by maternal polyhydramnios in 3 patients (25%). Only one patient with diaphragmatic hernia(1.75%) was prenatally detected and none with gastroschisis. The mean interval from birth to operation was 32 hours in the prenatally detected patients and 50 hours in the non detected. The complication rate and the mortality after emergency operation were 20% and 7% in the detected group, and 58% and 23% in the nondetected, respectively. The average period of the hospitalization was 20 days in the detected group and 39 days in the nondetected. We conclude that the prenatal detection of anomalies is necessary to ensure adequate care for the mothers and the babies with congenital anomalies. This includes early transfer, timing of optimal delivery and operation.

  • PDF

우리나라 노인의 복부비만과 관련 요인 - 생활습관, 정신건강, 질환 및 영양소섭취 상태 중심으로: 2014 국민건강영양조사 자료 - (Abdominal Obesity and Associated Factors in the Elderly with a Focus on Health Habits, Mental Health, Chronic Diseases, and the Nutrient Intake Status: Data from the 2014 Korea National Health and Nutrition Examination Survey)

  • 이혜상
    • 대한영양사협회학술지
    • /
    • 제26권1호
    • /
    • pp.42-53
    • /
    • 2020
  • The relationship of abdominal obesity ("AO") with co-morbidity and mortality is well established. This study assessed the factors associated with AO, which was defined as a waist circumference ≥90 cm for men and ≥85 cm for women, in the group aged over 65 years. A total of 1,435 subjects were analyzed among the participants of the 2014 Korean National Health and Nutrition Examination Survey. Statistical methods for a complex sample were applied by using a SPSS program (ver. 25.0). AO was more frequently found in females. The results of the logistic regression analysis showed that heavy drinking (OR: 1.53), no weight training (OR: 0.68), stressful mental status (OR: 0.61), bad health-related quality of life (by EQ_5D, OR: 1.45), hypertension (OR: 2.18), prediabetes (OR: 1.94), diabetes (OR: 1.63), low HDL-cholesterol (OR: 1.86), anemia (OR: 0.55), and heavy energy intake (OR: 1.41) were significantly related with the prevalence of AO after adjustment for gender. Heavy drinking (OR: 1.89), bad self-rating of health status (OR: 1.72), low HDL-cholesterol (OR: 1.85), heavy energy intake (OR: 1.79), low intake of riboflavin (OR: 1.60) were still significantly related with the prevalence of AO after adjustment for gender and body mass index (BMI), this study suggests that certain characteristics of health habits, mental health status, and chronic diseases may be associated with AO. This study did not establish the existence of relationship between nutrient intakes, except for riboflavin, and risk of AO, but this study suggests that prospective research is needed to establish causal connections among those factors.

춘천의 가정에서 미세분진 ($PM_{2.5}$)과 입자상 다환방향족탄화수소에 대한 계절적 노출 변동 (Seasonal Variations of Human Exposure to Residential Fine Particles ($PM_{2.5}$) and Particle-Associated Polycyclic Aromatic Hydrocarbons in Chuncheon)

  • 김희갑;정경미
    • Environmental Analysis Health and Toxicology
    • /
    • 제21권1호
    • /
    • pp.57-69
    • /
    • 2006
  • Lately human exposure to fine particles smaller than $2.5{\mu}m$ in aerodynamic diameter ($PM_{2.5}$) has become a great concern in Korea due to their possible cause of elevated mortality, lung function decrements, and more frequent hospital admissions for asthma. This study was conducted to investigate seasonal variations of human exposure to residential $PM_{2.5}$ and particle-associated polycyclic aromatic hydrocarbons (PAHs). Ten homes in Chuncheon, Korea were visited for continuous 72 hour sampling of $PM_{2.5}$ in the living rooms using a MiniVol Portable Sampler from December 22, 2002 to November 3, 2003. During the same period, outdoor $PM_{2.5}$ samples were collected on the top of the Natural Sciences Building of Kangwon National University which is located in the middle of the ten households. Samples were analyzed for $PM_{2.5}$ mass concentrations and six selected PAHs. In two smoking homes, the highest $PM_{2.5}$ concentrations were measured ranging from 51.1 to 69.7 {\mu}g/m^3$ on average in all seasons, indicating smoking is a very important contributor to the elevation of indoor particle concentrations. Seasonal comparison showed that indoor particle concentrations were higher than outdoor ones except winter. Total PAH concentrations in smoking homes were highest in winter among the seasons primarily due to low ventilation rate, followed by the outdoor site and nonsmoking homes. BaP toxic equivalents (TEQs) were calculated for five PAHs. The TEQ for smoking homes in winter was highest followed by the outdoor site in winter. It is concluded that smoking and ventilation rate are two important contributors to the elevation of indoor $PM_{2.5}$ and PAH concentrations.

소아 림프관종의 임상적 특징과 치료 (Clinical Manifestation and Treatment of Lymphangioma in Children - a Review of 117 Cases -)

  • 강계수;정풍만
    • Advances in pediatric surgery
    • /
    • 제8권2호
    • /
    • pp.95-100
    • /
    • 2002
  • Lymphangiomas or cystic hygromas are quite commonly seen in children. During a 22-year period, from January 1980 to December 2001, 117 patients with lymphangioma were treated and followed in the Department of Pediatric Surgery at Hanyang University Hospital. The male-to-female ratio was 1.9:1(77:40) with a male preponderance. As for the age incidence at time of diagnosis, 10(8.5 %) patients were noted under 1 month of age, 37(31.6%) were between 1 month and 1 year of age, 12(10.3%) between 1 and 2 years of age, so 59(50.4%) were under 2 years of age. Sixty one (52.1%) lymphangioma-cases were located in the neck, including one case at the nape. Axilla was the second in frequency and the rest were scattered at various sites. The intrascrotal lymphangioma is very rare but we have experienced one case of primary intrascrotal lymphangioma. Eighteen (15.4%) cases were located in the intraabdominal area, 10 in the mesentery, 2 in the greater omentum and 6 in the retroperitoneum. The chief complaints of intraabdominal lymphangioma were abdominal pain, intestinal obstruction, inguinal hernia, palpable mass, and/or abdominal distension. Among 77 histologically proven cases, 14 cases were cavernous lymphangiomas and the rest were cystic lymphangiomas. Bleeding in the lymphangioma was noted in 20(17.1%) cases of all. As for the treatment, a complete excision was performed in 77(65.8%) patients and $AgNO_3$ sclerotherapy after incomplete excision was performed in 23(19.7%). Picibanil (OK-432) sclerotherapy was performed in 17(14.5%) patients. Recurrence rate was 7.7 % and mortality occurred in one case who had a large neck lymphangioma extending into the mediastinum.

  • PDF

파밤나방 핵다각체병바이러스의 병원성과 곤충간상바이러스의 파밤나방에 대한 교차감염에 관한 연구 (Pathogenicity of Spodoptera exigua Nuclear Polyhedrosis Virus and Cross Infection of Baculoviruses to the Beet Armyworm, S. exigua (Lepidoptera: Noctuidae))

  • 임대준;최귀문;강석권
    • 한국응용곤충학회지
    • /
    • 제30권3호
    • /
    • pp.212-218
    • /
    • 1991
  • 파밤나방 핵다각체병ㅂ이러스의 기주곤충 및 나비목해충에 대한 병원성과 10종 baculovirus의 파밤나방 유충에 대한 교차감염을 조사하여 방제에 이용하고자 시험을 수행하였다. 난에대한 중앙치사농도($LC_{50}$)는 2.855$\times$$10^{5}$ 다각체/ml로 유충보다 높았다. 령별 $LC_{50}$은 3령이 1.422$\times$$10^{4}$ 다각체/ml로 1령보다 1.16배, 5령보다 .11배의 높은 병원성을 나타냈다. 각 령의 중앙치사일수($LT_{50}$)은 1.56$\times$$10^{6}$ 다각체/ml에서 4.26~5.04일이었다. 8종 나비목 해충에 대한 파밤나방 핵다각체병바이러스의 병원성은 기주곤충인 파밤나방에서만 인정되었고 10종의 곤충간상바이러스 중 Autographa californica MNPV, Mamestra brassicae MNPV 및 Trichoplusia ni MNPV 등 3종이 파밤나방 유충에 대해 교차감염을 일으켰다.

  • PDF

단순노무종사자 직업군에서의 우울증 위험요인 연구 (Study of depression risk factors in simple labor occupation group)

  • 이범주
    • 문화기술의 융합
    • /
    • 제6권4호
    • /
    • pp.253-258
    • /
    • 2020
  • 우울증은 전 세계적으로 유병율이 증가하고 있으며, 고혈압과 같은 여러 질병들뿐만 아니라 사망률과도 연관성이 높은 질병이다. 본 연구의 목적은 한국인 성인 중 단순노무종사자 직업군에서 우울증과 연관성이 있는 임상학적 위험지표를 발굴하는 것이다. 이러한 연구를 위한 데이터로는 질병관리본부 국민건강영양조사 7기 (2016-2018) 데이터가 사용되었다. 우울증과 인구학적 정보와의 연관성에서는 나이, 성별, 스트레스 인지정도, 스트레스 인지율 지표들이 우울증과 매우 높은 통계적 연관성이 나타났고, 교육과 결혼유무도 우울증과 연관성이 있는 것으로 나타났다. 복부둘레 및 체질량지수와 같은 비만 지표들은 우울증과 연관성이 없는 것으로 나타났다. 혈액정보 중 hemoglobin과 hematocrit은 우울증과 연관성이 매우 높은 것으로 나타났으며, 성별과 나이로 보정한 분석에서도 통계적 유의성이 유지되었다. 본 연구결과는 향후 단순노무종사자 직업군의 우울증 예방 및 치료를 위한 정보로 활용가능할 것이다.

폐암의 조기진단 방법에 관한 연구 (Screening for Early Detection of Lung Cancer: Results from Seoul National University Hospital)

  • 한용철;유철규;김영환;한성구;심영수;김건열
    • Tuberculosis and Respiratory Diseases
    • /
    • 제38권2호
    • /
    • pp.119-127
    • /
    • 1991
  • This study was designed to observe the problems in performing the screening for early detection of lung cancer, and the degree to which regular radiographic and cytologic screening contributes to the early detection of lung cancer in asymptomatic volunteers. Through mass media campaign, 346 male volunteers had registered to receive radiographic and sputum cytologic screening every four months. Initial chest x-ray examination showed 83 cases of lesions suggesting tuberculosis. Among them, two cases were proved to be active tuberculosis. The rate of long-term follw-up over two years was about 15%. The screening tests detected two cases of lung cancer, one prevalent lung cancer by sputum cytologic examination, and the other by sputum cytologic examination during follow-up. So the prevalence rate of lung cancer was 0.28% and the incidence rate was 3.1/1,000 person·years. Both were localized lesions; ie, American Joint Committee on Cancer (AJCC) stage I and occult lung cancer, respectively. With these results, we suggest that the maintenance of long-term follow-up seems to be the most important problem to evaluate the effect of early detection of lung cancer. It would require thorough explanation of the risk of smoking in lung cancer and the wide public education on the government's base. It should be done at several hospitals simultaneously to include a large population in the study. Although we couldn't determine the effect of screening for the early detection of lung cancer in this report, new diagnostic procedure other than chest x-ray and sputum cytologic examination would be required, according to the literature, to reduce the mortality of lung cancer by the screening program for the early detection of lung cancer.

  • PDF

Expression Analysis of the Caspase10 from Olive Flounder (Paralichthys olivaceus) against Viral Hemorrhagic Septicemia Virus (VHSV) Challenge

  • Kim, Kyung-Hee;Lee, Sanghyun;Jung, Hyo Sun;Kim, Julan;Park, Jong-Won;Park, Choul-Ji;Kim, Hyejin;Kim, Woo-Jin;Lee, Dain
    • 한국발생생물학회지:발생과생식
    • /
    • 제24권3호
    • /
    • pp.187-196
    • /
    • 2020
  • The caspase10 encodes an initiating caspase that plays an important role in the maintaining the cellular homeostasis by regulating the steps involved in the immune response and cell death. We investigated the expression of caspase10 during the different developmental stages and in olive flounder tissues. Caspase10 increased in the late stage of the formation of immune tissue, and high expression was observed in the gills, kidney, skin, and spleen. The current study analyzed the expressional changes of caspase10 in olive flounder infected with viral hemorrhagic septicemia virus (VHSV). One of the major causes of mass mortality, VHSV infection in olive flounder attributes to significant expression of caspase10 in the gills, spleen, skin, and kidneys. The results indicate a close association of caspase10 expression with the immune response to VHSV infection in olive flounder. The observations could form the basis data for exploration of other fish immune system.

고병원성 조류인플루엔자 (HPAI)의 에어로졸을 통한 공기 전파 예측을 위한 공기유동학적 확산 모델 연구 (Aerodynamic Approaches for the Predition of Spread the HPAI (High Pathogenic Avian Influenza) on Aerosol)

  • 서일환;이인복;문운경;홍세운;황현섭;;권경석;김기연
    • 한국농공학회논문집
    • /
    • 제53권1호
    • /
    • pp.29-36
    • /
    • 2011
  • HPAI (High pathogenic avian influenza) which is a disease legally designated as an epidemic generally shows rapid spread of disease resulting in high mortality rate as well as severe economic damages. Because Korea is contiguous with China and southeast Asia where HPAI have occurred frequently, there is a high risk for HPAI outbreak. A prompt treatment against epidemics is most important for prevention of disease spread. The spread of HPAI should be considered by both direct and indirect contact as well as various spread factors including airborne spread. There are high risk of rapid propagation of HPAI flowing through the air because of collective farms mostly in Korea. Field experiments for the mechanism of disease spread have limitations such as unstable weather condition and difficulties in maintaining experimental conditions. In this study, therefore, computational fluid dynamics which has been actively used for mass transfer modeling were adapted. Korea has complex terrains and many livestock farms are located in the mountain regions. GIS numerical map was used to estimate spreads of virus attached aerosol by means of designing three dimensional complicated geometry including farm location, road network, related facilities. This can be used as back data in order to take preventive measures against HPAI occurrence and spread.

종격동 종양 및 낭종 50례에 대한 임상적 고찰 (A clinical study of the mediastinal tumors and cysts. [50 Cases Analysis])

  • 조순걸
    • Journal of Chest Surgery
    • /
    • 제18권4호
    • /
    • pp.849-854
    • /
    • 1985
  • We have experienced 50 cases of mediastinal tumors and cysts from March, 1979 to August, 1985 at Kyung Hee University Hospital. The results of this cases analysis were as followings; 1. Of all 50 mediastinal tumors and cysts, 26 patients were male and 24 patients were female. There was no sex preference. The age distribution was from 27 months to 64 years, and mean age was 33.5 years old, and also no age preference. 2. The most common mediastinal tumor was benign cysts [12 cases], which comprise 24% of all mediastinal tumors and cysts. The second common mediastinal tumor was teratoma [9 cases-18%], and followed by thymic tumors and tuberculous granuloma [7 cases-14% each], neurogenic tumors [5 cases-10%], and other tumors [10 cases-20%]. 3. The anterior mediastinum was most common tumor location, and followed by middle, superior, and posterior. 4. All 9 teratomas were developed at anterior mediastinum, and 4 of 5 neurogenic tumors were developed at posterior mediastinum. Thymomas were developed at anterior and superior mediastinum. The bronchogenic cysts had no predilection of location. 5. The most common chief complaint at admission was chest pain or discomfort [23 cases-46%], and followed by cough with or without sputum, and exertional dyspnea. Asymptomatic patients were only 7 patients [24%]. 6. Of all 50 cases, 38 cases [76%] received radical tumor resection, 7 mediastinoscopic biopsy, 3 explo thoracotomy and biopsy, and 1 neck mass biopsy. 7. There were 2 hospital deaths, one of which was a patient who suffered malignant thymoma and Myasthenia Gravis. The patient received radical tumor excision, but died at 7th POD. The other patient was a patient with malignant transformation of the benign cystic teratoma. The operative mortality was 4%.

  • PDF