• Title/Summary/Keyword: Medical persons

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Nationwide Analysis of Mortality Rates and Related Surgical Procedures in Hearing Disability Patients in South Korea

  • Han, Hye Min;Kwak, Ji Won;Kim, Hyeon Geun;Lee, Hoyoung;Kim, Young-Chan;Park, Euyhyun;Jung, Hak Hyun;Im, Gi Jung
    • Korean Journal of Audiology
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    • v.24 no.4
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    • pp.204-209
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    • 2020
  • Background and Objectives: Hearing loss (HL) and its repercussions are major problems in today's society. There are limited data on the relationship between degree of HL and otologic disorders. The aim of this study is to estimate mortality rates, rates of sudden idiopathic HL and related otologic surgical procedures in hearing disability patients in South Korea. Subjects and Methods: Retrospective medical data for 160,205 patients with hearing disability was extracted. Mortality rates, rates of sudden idiopathic HL and related otologic surgical procedures were compared with a normal control group consisting of 865,475 people; approximately 5 times the number of hearing disability patients. Results: According to the Korean National Disability Registry (NDR), 0.458% of the population in South Korea suffered from hearing disability in 2015. Higher rates of mortality and sudden idiopathic HL were reported in hearing disability patients, increasing up to a maximum of 1.594 times and 1,039.695 times, respectively, compared to the normal control group. Mastoidectomy surgery was 2.5 times more frequently performed and pressure equalizing (PE) tube insertion was about 15 times more frequently performed in hearing disability patients. Conclusions: Hearing disability is related to higher risks of mortality, sudden idiopathic HL and otologic surgical procedures, including mastoidectomy and PE tubing.

A Study on the Coping Experience of Mental Disorder Symptoms (정신장애인의 정신질환 증상 대처 경험에 관한 연구)

  • Kim, Nanghee;Song, Seung-yeon;Kim, Hyojung
    • Journal of Convergence for Information Technology
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    • v.11 no.5
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    • pp.158-167
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    • 2021
  • This work aims to explore personal coping and insight experience in mental disorder symptoms from the perspective of the parties in order to lay an empirical basis for the transition of the mental health service paradigm from a medical model to a human rights model. For this purpose, in-depth interviews with 8 persons with mental disorders were conducted and a model of practice was suggested through analysis using the grounded theory. As a result, 11 categories, 23 sub-categories and 132 concepts were identified. According to the analysis of this study, people with mental disorders have changed their perspective on symptoms through in-depth insight into their identities and symptoms as mental disorders, and discovered their own autonomous ways to cope with symptoms, managing their daily lives. Therefore, in developing a Korean alternative model for people with mental disorders, it is necessary to prepare conditions to find their own countermeasures through opportunities for insight.

Nationwide Analysis of Mortality Rates and Related Surgical Procedures in Hearing Disability Patients in South Korea

  • Han, Hye Min;Kwak, Ji Won;Kim, Hyeon Geun;Lee, Hoyoung;Kim, Young-Chan;Park, Euyhyun;Jung, Hak Hyun;Im, Gi Jung
    • Journal of Audiology & Otology
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    • v.24 no.4
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    • pp.204-209
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    • 2020
  • Background and Objectives: Hearing loss (HL) and its repercussions are major problems in today's society. There are limited data on the relationship between degree of HL and otologic disorders. The aim of this study is to estimate mortality rates, rates of sudden idiopathic HL and related otologic surgical procedures in hearing disability patients in South Korea. Subjects and Methods: Retrospective medical data for 160,205 patients with hearing disability was extracted. Mortality rates, rates of sudden idiopathic HL and related otologic surgical procedures were compared with a normal control group consisting of 865,475 people; approximately 5 times the number of hearing disability patients. Results: According to the Korean National Disability Registry (NDR), 0.458% of the population in South Korea suffered from hearing disability in 2015. Higher rates of mortality and sudden idiopathic HL were reported in hearing disability patients, increasing up to a maximum of 1.594 times and 1,039.695 times, respectively, compared to the normal control group. Mastoidectomy surgery was 2.5 times more frequently performed and pressure equalizing (PE) tube insertion was about 15 times more frequently performed in hearing disability patients. Conclusions: Hearing disability is related to higher risks of mortality, sudden idiopathic HL and otologic surgical procedures, including mastoidectomy and PE tubing.

The Effect of Seosiokyongsan fermented soap on facial pores (서시옥용산 발효비누가 얼굴모공에 미치는 영향)

  • CHoi, Sang Rak;Kim, Jeong Ja;Koo, Jin Suk
    • The Korea Journal of Herbology
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    • v.34 no.2
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    • pp.33-39
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    • 2019
  • Objectives : The pores are the openings of sebaceous glands or apocrine glands. They are enlarged by various factors such as sex, age, genetic influence, sebum secretion, acne and so on. When the pores are visually recognizable, they become aesthetically problematic. There are various methods of treating pores, but we have tried to develop a method to reduce pore size by using daily cleanser. Methods : Facial skin examination was performed on 104 students of A university. Among them, 10 persons with large pore size were selected. We surveyed 72 students to determine their subjective skin condition, lifestyle, and washing habits etc. We made herbal fermented soaps using Seosiokyongsan and distributed them to experiment participants. We let them wash their face in the morning and evening for 6 weeks using herbal fermented soap. Prior to the experiment, their skin condition was checked and assessed using A-ONE Smart One-Click Automatic Facial Diagnosis System three times at 3-week intervals. After the experiment, the changes of skin were measured and analyzed through facial analysis test. Results : In our experiment, the early 20s, 9.6% of the students had slightly larger pores. For students with large pores, there was a high likelihood of side effects from using facial products. Using the fermented soap made of Seosiokyongsan, the average size of the pores and the number of large-sized pores were significantly reduced. Conclusion : Seosiokyongsan fermented soap can effectively reduce especially the large size of pores.

High-impact chronic pain: evaluation of risk factors and predictors

  • Ilteris Ahmet Senturk;Erman Senturk;Isil Ustun;Akin Gokcedag;Nilgun Pulur Yildirim;Nilufer Kale Icen
    • The Korean Journal of Pain
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    • v.36 no.1
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    • pp.84-97
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    • 2023
  • Background: The concept of high-impact chronic pain (HICP) has been proposed for patients with chronic pain who have significant limitations in work, social life, and personal care. Recognition of HICP and being able to distinguish patients with HICP from other chronic pain patients who do not have life interference allows the necessary measures to be taken in order to restore the physical and emotional functioning of the affected persons. The aim was to reveal the risk factors and predictors associated with HICP. Methods: Patients with chronic pain without life interference (grade 1 and 2) and patients with HICP were compared. Significant data were evaluated with regression analysis to reveal the associated risk factors. Receiving operating characteristic (ROC) analysis was used to evaluate predictors and present cutoff scores. Results: One thousand and six patients completed the study. From pain related cognitive processes, fear of pain (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.87-0.98; P = 0.007) and helplessness (OR, 1.06; 95% CI, 1.01-1.12; P = 0.018) were found to be risk factors associated with HICP. Predictors of HICP were evaluated by ROC analysis. The highest discrimination value was found for pain intensity (cut-off score > 6.5; 83.8% sensitive; 68.7% specific; area under the curve = 0.823; P < 0.001). Conclusions: This is the first study in our geography to evaluate HICP with measurement tools that evaluate all dimensions of pain. Moreover, it is the first study in the literature to evaluate predictors and cut-off scores using ROC analysis for HICP.

Vest-type System on Machine Learning-based Algorithm to Detect and Predict Falls

  • Ho-Chul Kim;Ho-Seong Hwang;Kwon-Hee Lee;Min-Hee Kim
    • PNF and Movement
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    • v.22 no.1
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    • pp.43-54
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    • 2024
  • Purpose: Falls among persons older than 65 years are a significant concern due to their frequency and severity. This study aimed to develop a vest-type embedded artificial intelligence (AI) system capable of detecting and predicting falls in various scenarios. Methods: In this study, we established and developed a vest-type embedded AI system to judge and predict falls in various directions and situations. To train the AI, we collected data using acceleration and gyroscope values from a six-axis sensor attached to the seventh cervical and the second sacral vertebrae of the user, considering accurate motion analysis of the human body. The model was constructed using a neural network-based AI prediction algorithm to anticipate the direction of falls using the collected pedestrian data. Results: We focused on developing a lightweight and efficient fall prediction model for integration into an embedded AI algorithm system, ensuring real-time network optimization. Our results showed that the accuracy of fall occurrence and direction prediction using the trained fall prediction model was 89.0% and 78.8%, respectively. Furthermore, the fall occurrence and direction prediction accuracy of the model quantized for embedded porting was 87.0 % and 75.5 %, respectively. Conclusion: The developed fall detection and prediction system, designed as a vest-type with an embedded AI algorithm, offers the potential to provide real-time feedback to pedestrians in clinical settings and proactively prepare for accidents.

Distributed Social Medical IoT for Monitoring Healthcare and Future Pandemics in Smart Cities

  • Mansoor Alghamdi;Sami Mnasri;Malek Alrashidi;Wajih Abdallah;Thierry Val
    • International Journal of Computer Science & Network Security
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    • v.24 no.5
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    • pp.135-155
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    • 2024
  • Urban public health monitoring in smart cities focuses on the control of conditions and health challenges in urban environments. Considering the rapid spread of diseases and pandemics, it is important for health authorities to trace people carrying the virus. In smart cities, this tracing must be interoperable and intelligent, especially in indoor surfaces characterized by small distances between people. Therefore, to fight pandemics, it is necessary to start with the already-existing digital equipment of the Internet of Things, such as connected objects and smartphones. In this study, the developed system is employed to provide a social IoT network and suggest a strategy which allows reliable traceability without threatening the privacy of users. This IoT-based system allows respecting the social distance between persons sharing public services in smart cities without applying smartphone applications or severe confinement. It also permits a return to normal life in case of viral pandemic and ensures the much-desired balance between economy and health. The present study analyses previous proposed social distance systems then, unlike these studies, suggests an intelligent and distributed IoT based strategy for positioning students. Two scenarios of static and dynamic optimization-based placement of Bluetooth Low Energy devices are proposed and an experimental study shows the contribution and complementarity of the introduced contact tracing strategy with the applications on smartphones.

A Study on the Psychological Counseling Experience of Mental Impaired Persons Under Probation (보호관찰 중인 정신장애자의 심리상담 경험에 관한 연구)

  • Mi-yeon Hong;Joo-suk Yoo
    • Journal of the Health Care and Life Science
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    • v.10 no.1
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    • pp.137-149
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    • 2022
  • The purpose of this study is to understand the experience of subjective psychological counseling of the subject of probation, which is being implemented as a management plan for the mentally ill. In order to achieve this purpose, data were collected focusing on in-depth interviews and counseling records of 4 subjects receiving psychological counseling, and the collected data was analyzed by a case study method. The analyzed result was presented as the result of thematic analysis incorporating the experiences of the study participants. As a result of the integrated analysis, 17 subcategories and 5 themes were derived in relation to the psychological counseling experience of the subjects of probation. The five themes are'Looking for Life','Fear in the eyes of the world's people','Hardness to handle it alone','Where to look forward', and'From despair to hope'. Based on the results of this study, an action plan was proposed to prevent and manage the re-offenses of probation targets.

Prevalence and Characteristics of Tuberculosis in the Korean Homeless Population Based on Nationwide Tuberculosis Screening

  • Heesang Han;Ji-Hee Lee;Sung Jun Chung;Beong Ki Kim;Yedham Kang;Hangseok Choi;Hee-Jin Kim;Seung Heon Lee
    • Tuberculosis and Respiratory Diseases
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    • v.87 no.4
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    • pp.514-523
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    • 2024
  • Background: The government of Korea implemented a strategy of prevention and early diagnosis in high-risk groups to reduce the tuberculosis (TB) burden. This study aims to investigate the TB epidemiology and gap in understanding of TB prevalence among homeless individuals by analyzing active TB chest X-ray (CXR) screening results in Korea. Methods: The Korean National Tuberculosis Association conducted active TB screening with CXR for homeless groups from January 1 to December 31, 2021. Sputum acid-fast bacilli smear and culture were performed for the subjects suggestive of TB on CXR. We performed a cross-sectional analysis of the data in comparison with the national health screening results from the general population. Results: Among 17,713 homeless persons, 40 (0.23%), 3,077 (17.37%), and 79 (0.45%) were categorized as suggested TB, inactive TB, and observation required, respectively. Prevalence of suggested TB in the homeless was significantly higher (3-5 fold) than in the national general health screening based on age category (p<0.005). Twenty-nine cases were confirmed as TB, yielding a prevalence of 164 cases per 100,000 individuals; 19 of these 29 cases showed inactive TB on CXR. Body mass index (p=0.0478) and CXR result (p<0.001) significantly correlated with confirmed TB based on multivariable analysis. Conclusion: Nutrition status and CXR results, especially that of inactive TB, should be considered in active TB screening of the homeless population, where TB prevalence is higher than the general population.

Reactogenicity to COVID-19 vaccination in the United States of America

  • Adekunle Sanyaolu;Aleksandra Marinkovic;Stephanie Prakash;Priyank Desai;Nafees Haider;Abu Fahad Abbasi;Nasima Mehraban;Isha Jain;Amarachi Ekeh;Omar Shazley;Chuku Okorie;Verner N. Orish
    • Clinical and Experimental Vaccine Research
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    • v.11 no.1
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    • pp.104-115
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    • 2022
  • Purpose: In the United States, Pfizer-BioNTech, Moderna, and Janssen's coronavirus disease 2019 (COVID-19) vaccines have been granted Emergency Use Authorization (EUA) with the Pfizer-BioNTech vaccine presently approved by the US Food and Drug Administration. The purpose of this study is to analyze passive surveillance data on COVID-19 vaccine adverse reaction in the United States. Materials and Methods: We analyzed passive surveillance data on COVID-19 vaccine adverse reactions which were retrieved from the Vaccine Adverse Event Reporting System database. Retrieved records on demographic information as well as the top 10 common vaccine adverse events were extracted and assessed from 200 of the most recently reported cases for the study analysis. Results: Local and systemic adverse reactions were reported in the study. A significant difference (p<0.05) was recorded for the top 10 systemic reactions by age category (0.041) and by gender (0.002). Analysis of the top five systemic reactions, stratified by vaccine type yielded a significant difference (p<0.05) for chills (p=0.044), and when stratified by age group and type of vaccination received, it yielded a significant difference (p<0.05) for fatigue (p=0.023). Overall, Pfizer had 182 persons (91.0%) reporting adverse events, Moderna with 13 (6.5%), and Janssen with 5 (2.5%). Conclusion: Mild side effects were reported following vaccination with the EUA COVID-19 vaccines in the United States. Thus, continuous monitoring and reporting of all adverse events are recommended to ensure the safety of vaccination.