• Title/Summary/Keyword: high prevalence

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Prevalence of Positive Carriage of Tuberculosis, Methicillin-resistant $Staphylococcus$ $aureus$, and Vancomycin-resistant $Enterococci$ in Patients Transported by Ambulance: A Single Center Observational Study

  • Ro, Young-Sun;Shin, Sang-Do;Noh, Hyun;Cho, Sung-Il
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.3
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    • pp.174-180
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    • 2012
  • Objectives: An ambulance can be a potential source of contagious or droplet infection of a community. We estimated the prevalence of positive carriage of tuberculosis (TB), methicillin-resistant $Staphylococcus$ $aureus$ (MRSA), and vancomycin-resistant $Enterococci$ (VRE) in patients transported by ambulance. Methods: This was a retrospective observational study. We enrolled all patients who visited a tertiary teaching hospital emergency department (ED). Blood, sputum, urine, body fluid, and rectal swab samples were taken from patients when they were suspected of TB, MRSA, or VRE in the ED. The patients were categorized into three groups: pre-hospital ambulance (PA) group; inter-facility ambulance (IA) group; and non-ambulance (NA) group. Adjusted odds ratio (OR) and 95% confidence intervals (CI) were calculated using a multivariable logistic regression model for the prevalence of each infection. Results: The total number of patients was 89206. Of these, 9378 (10.5%) and 4799 (5.4%) were in the PA and IA group, respectively. The prevalence of TB, MRSA, and VRE infection were 0.3%, 1.1%, and 0.3%, respectively. In the PA group, the prevalence of TB, MRSA, and VRE were 0.3%, 1.8%, and 0.4%. In the IA group, the prevalence of TB, MRSA, and VRE were 0.7%, 4.6%, and 1.5%, respectively. The adjusted ORs (95% CI) of the PA and IA compared to the NA group were 1.02 (0.69 to 1.53) and 1.83 (1.24 to 2.71) for TB, 2.24 (1.87 to 2.69) and 5.47 (4.63 to 6.46) for MRSA, 2.59 (1.78 to 3.77) and 8.90 (6.52 to 12.14) for VRE, respectively. Conclusions: A high prevalence of positive carriage of TB, MRSA, and VRE in patients transported by metropolitan ambulances was found.

Relation between the interval of supportive periodontal therapy and the prevalence of the subgingival microflora (유지치주치료기간과 치은연하세균 출현율의 관계)

  • Kim, Jin-Cheol;Herr, Yeek;Kwon, Young-Hyuk;Park, Joon-Bong;Chung, Jong-Hyuk
    • Journal of Periodontal and Implant Science
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    • v.35 no.1
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    • pp.43-52
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    • 2005
  • This study was performed to evaluate the relation between the interval of supportive periodontal therapy and the prevalence of the subgingival microflora. The subgingival plaques from 108 patients were used in the study. Control group were the patients with no periodontal treatment and test groups were assigned into 3 groups according to the period of recall check: group 1; 1-2 months, group 2; 3-4 months, group 3; 6months or more. The polymerase chain reaction (PCR) used for direct identification of periodontal pathogens (P. gingivalis, T. forsythensis, T. denticola) in subgingival plaque. The results of this study were as follows. 1. The prevalence of P. gingivalis, T. forsythensis, T. denticola in control group were 100%, 87%, 90%. 2. In clinical parameters such as plaque index, gingival index, bleeding on probing, control group was not significant different with group 1 but Significant different with group 2, group 3. 3. In group 1, the majority of P. gingivalis had type II fimA. 4. When group 3 were compared with group 1, the prevalence of P. gingivalis increased. But the prevalence of P. gingivalis with type II fimA, which have the virulence factor, decreased. 5. We were unable to find the correlation between P. gingivalis with type IV fimA and periodontal disease. 6. The prevalence of T. forsythensis, T. denticola in test group were 85%, 93% or more. From the above results, we were able to find the relation between the interval of supportive periodontal therapy and the prevalence of the subgingival microflora and the need of the strict supportive periodontal therapy to prevent recurrence of periodontal disease, because there were high prevalence of periodontal pathogens.

Discordance in Diagnosis of Osteoporosis by Skeletal Site in Korean Women: KNHANES 2008-2010 (한국 여성의 골다공증 검진부위에 따른 진단결과 불일치: 국민건강영양조사 2008-2010)

  • Lee, Jongseok;Lee, Sungwha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1590-1598
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    • 2014
  • Based on an analysis on the difference on the measurement sites and their relations to osteoporosis diagnosis and prevalence, this study attempts to investigate the patterns of prevalence in skeletal sites in the aging process. The samples were driven by the National Health and Nutrition Examination Survey (2008-2010) on Korean females (n = 4,449) aged from 50 to 89 years. The result shows that the differences on affected sites in the aging process were detected as follow: the osteoporosis prevalence in lumbar spine was relatively high in 50s, 60s and 70s; however, the prevalence in the proximal femur (total hip and femoral neck) was higher in 80s. In terms of the diagnosis identified in a single site, the prevalence in lumbar spine seemed to decrease as age increases; but, the rate went up in the figure of femoral neck. Overall, the osteoporosis prevalence for the diagnosis detected in multiple sites was increased as age goes up. In general, the increase in lumbar osteoporosis prevalence starts earlier than that of femoral neck. The findings of this study also suggests that if the proximal femur site is only used for diagnosing women age in 50s, 60s and 70s, the significant portion of osteoporosis patients could be misdiagnosed as normal.

Prevalence of pineal gland calcification as an incidental finding in patients referred for implant dental therapy

  • Mutalik, Sunil;Tadinada, Aditya
    • Imaging Science in Dentistry
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    • v.47 no.3
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    • pp.175-180
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    • 2017
  • Purpose: Pineal gland calcification has been proposed to play a role in the pathogenesis of Alzheimer disease. This study evaluated the prevalence and extent of pineal gland calcification in cone-beam computed tomography (CBCT) scans of patients referred for dental implant therapy who could possibly be a vulnerable group for this condition. Materials and Methods: A retrospective evaluation of 500 CBCT scans was conducted. Scans that showed the area where the pineal gland was located were included. The scans were initially screened by a single observer to record the prevalence and extent of calcification. Six weeks following the completion of the study, another investigator randomly reviewed and selected 50 scans to investigate inter-observer variation, which was evaluated using reliability analysis statistics. The prevalence and measurements of the calcifications were reported using descriptive statistics. The chi-square test was used to compare the prevalence between males and females. Results: The prevalence of pineal gland calcification was 58.8%. There was no statistically significant correlation between age and the extent of the calcification. The prevalence of calcification was 58.6% in females and 59.0% in males. The average anteroposterior measurement was $3.73{\pm}1.63mm$, while the average mediolateral measurement was $3.47{\pm}1.31mm$. The average total calcified area was $9.79{\pm}7.59mm^2$. Conclusion: The prevalence of pineal gland calcification was high in patients undergoing implant therapy. While not all pineal gland calcifications lead to neurodegenerative disorders, they should be strongly considered in the presence of any symptoms as a reason to initiate further investigations.

Prevalence of obesity and overweight in Iranian children aged less than 5 years: a systematic review and meta-analysis

  • Mansori, Kamyar;Khateri, Sorour;Moradi, Yousef;Khazaei, Zaher;Mirzaei, Hossein;Hanis, Shiva Mansouri;Aliabadi, Mehran Asadi;Ranjbaran, Mehdi;Varse, Fatemeh;Parang, Serveh
    • Clinical and Experimental Pediatrics
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    • v.62 no.6
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    • pp.206-212
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    • 2019
  • Purpose: The present study aimed to determine the prevalence of childhood obesity and overweight in Iranian children under 5 years of age using a systematic review and meta-analysis. Methods: We searched MEDLINE (PubMed), Web of Science, Google Scholar, Scopus, CINHAL, and the Iranian databases, including Scientific Information Database (www.sid.ir), Iranian Research Institute for Information Science and Technology (Irandoc.ac.ir), Iranmedex (www.iranmedex.com), and Magiran (www.magiran.com), for all articles published between January 1989 and August 2017. Sources of heterogeneity were determined using subgroup analysis and meta-regression. Results: Six articles were ultimately included in the meta-analysis to estimate the pooled prevalence, based on which the prevalence of obesity and overweight were estimated to be 8% (95% confidence interval [CI], 6%-10%) and 9% (95% CI, 7%-11%), respectively. The results of the subgroup analysis showed that the prevalence of obesity in boys and girls was 9% (95% CI, 6%-13%) and 7% (95% CI, 4-10%), respectively, and the prevalence of overweight in boys and girls was 10% (95% CI, 5%-15%) and 9% (95% CI, 5%-13%), respectively. Conclusion: Despite high heterogeneity among the results of the articles included in the meta-analysis, the prevalence of obesity and overweight is higher in Iranian children under 5 years of age. Therefore, parents and the health system must pay more attention to the lifestyle, nutritional habits, and physical activity of these children.

Prevalence of Posttraumatic Stress Disorder Among North Korean Defectors During Preparation for Early Settlement

  • Chang, Seung-Yong;Jeon, Jin-Yong;Maeng, Se-Ri;Kim, Hyeyoung;Bae, Jae-Nam;Lee, Jung-Sub;Kim, Won-Hyoung
    • Anxiety and mood
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    • v.17 no.2
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    • pp.67-72
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    • 2021
  • Objective : This study examined the prevalence of posttraumatic stress disorder (PTSD) among North Korean defectors during preparation for early settlement. In addition, the correlation between PTSD and other mental disorders with suicidal ideation was assessed. Methods : A total of 639 North Korean defectors aged 19-65 years were included from resettlement and training centers. PTSD was assessed using the PTSD Diagnostic Scale (PDS). The prevalence of other mental disorders and suicidal ideation were assessed using the Korean version of the Psychiatric Diagnostic Screening Questionnaire (K-PDSQ). Results : A total of 6.8% of North Korean defectors had a PDS score >23, which was suggestive of a diagnosis of PTSD. Prior repatriation to North Korea was significantly associated with PTSD. The defectors with PTSD had a higher prevalence of other mental disorders (major depressive disorder prevalence: adjusted odds ratio [AOR], 14.5; 95% confidence interval [CI], 6.7-31.2, panic disorder prevalence: AOR, 9.5; 95% CI, 4.6-20.0, generalized anxiety disorder prevalence: AOR, 5.6; 95% CI, 2.4-13.2). No significant association was found between suicidal ideation and PTSD. Conclusion : North Korean defectors had a relatively high prevalence of PTSD and suicidal ideation during preparation for early settlement. Cohort studies are needed to assess the lasting effects of PTSD on North Korean defectors' settlement in Korea for a longer period.

Estimation of Smoking Prevalence among Adolescents in a Community by Design-based Analysis (설계기준 분석 방법에 의한 지역사회 청소년 흡연율 추정)

  • Park, Soon-Woo;Lee, Sang-Won;Park, Jung Han;Yun, Yeon-Ok;Lee, Won-Kee;Kim, Jong-Yeon
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.4
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    • pp.317-324
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    • 2006
  • Objectives: This study was conducted to estimate the unbiased smoking prevalence and its standard errors among adolescents in a large city in Korea, by design-based analysis. Methods: All the students in Daegu city were stratified by grade, gender and region, and then schools as primary sampling units (PSU) were selected by probability proportional to size (PPS) sampling. One or two classes were sampled randomly from each grade, from 5th grade in elementary schools to the 3rd grade in high schools. The students anonymously completed a standardized self-administered questionnaire from October to December 2004. The total number of respondents was 8,480 in the final analysis, excluding the third graders in the general high schools because of incomplete sampling. The sampling weight was calculated for each student after post-stratification adjustment, with adjustment being made for the missing cases. The data were analyzed with Stata 8.0 with consideration of PSU, weighting and the strata variables. Results: The smoking prevalence (%) and standard errors for male students from the fifth grade in elementary schools to the second grade in high schools were $0.93{\pm}0.47,\;1.83{\pm}0.74,\;3.16{\pm}1.00,\;5.12{\pm}1.02,\;10.86{\pm}1.13,\;15.63{\pm}2.44\;and\;17.96{\pm}2.67$, and those for the female students were $0.28{\pm}0.28,\;1.17{\pm}0.73,\;3.13{\pm}0.60,\;1.45{\pm}0.58,\;3.94{\pm}0.92,\;8.75{\pm}1.86\;and\;10.04{\pm}1.70$, sequentially. Conclusions: The smoking prevalence from this study was much higher than those from the other conventional studies conducted in Korea. The point estimates and standard errors from the design-based analysis were different from those of the model-based analysis. These findings suggest the importance of design-based analysis to estimate unbiased prevalence and standard errors in complex survey data and this method is recommended to apply to future surveys for determining the smoking prevalence for specific population.

A Literature Review on Asthma and Chronic Obstructive Pulmonary Disease Among Domestic and Overseas Farmers (국내외 농업인 천식 및 만성 폐쇄성 폐질환에 관한 고찰)

  • Siyoung Kim;Seongyong Yoon;Jinseok Kim;Seong-yong Cho;Hyun Woo Park;Daehwan Kim;Gayoung Kim;Jisoo Kang;Kyungsu Kim;Dongphil Choi;Seok-Ju Yoo
    • Journal of agricultural medicine and community health
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    • v.48 no.4
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    • pp.251-261
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    • 2023
  • Objective: Farmers are known to have high prevalence of asthma and chronic obstructive pulmonary disease(COPD). This study aims to investigate the current status of asthma and COPD in domestic and foreign farmers with the ultimate goal of raising awareness of asthma and COPD among farmers and contribute to supporting evidence for the prevention of respiratory diseases in farmers. Methods: The study utilized data from the "Farmer's Occupational Disease Survey," conducted by the Rural Development Administration, to determine the prevalence of respiratory diseases in domestic farmers. The prevalence of asthma and COPD in overseas farmers was evaluated by researching other foreign studies and articles. Results: The prevalence of asthma and COPD in domestic farmers was less than of foreign farmers'. The prevalence of asthma in domestic farmers was high as upto 8.4% and COPD upto 5.5%. Studies from Europe and America showed prevalence of asthma in farmers high as upto 14.8% and COPD upto 17.1%. Conclusions: This study conducted an investigation using the 'Survey on Occupational Diseases and Injuries in Farmers to understand the current status of asthma and COPD in domestic farmers. Due to a lack of relevant domestic research, we examined and compared with the research results on asthma and COPD among overseas farmers. Further research is necessary and preventive measures for respiratory diseases need to be developed.

A Study on the Prevalence and Risk of Hyperuricemia according to Sitting time and High-Risk Drinking by Occupational group (직업군별 좌식시간과 고위험음주에 따른 고요산혈증의 유병률과 위험도에 관한 연구)

  • Jeon, Yeong-Eun;Kang, Min-Ju;Choi, Jung-Min;Jung, Deuk;Lee, Jongseok
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.278-287
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    • 2021
  • This study was conducted to analyze with a focus on gender whether the prevalence of hyperuricemia varies depending on sitting time and high-risk drinking by occupational group. For this study, the Korea National Health and Nutrition Examination Survey data were used, and 16,366 people were selected. The chi-square independence test and logistic regression model were used as the analysis method. The prevalence and risk of hyperuricemia by sitting time were different in the 'agricultural, forestry and fishery skilled workers' only in men. On the other hand, the prevalence with high-risk drinking, both men and women showed differences in 'managers, experts and related workers' and 'office worker'. Also, only women have differences in 'service and sales workers', 'technicians, equipment, machine operation and assembly workers' and 'unemployed'. These results inform men have a higher prevalence and risk of hyperuricemia and suggest that health care policies and medical services are needed to prevent it by occupational group.

A Cross-sectional Study on the Distribution of Metabolic Syndrome according to Sasang Constitution in acute stroke patients (급성기 뇌경색 환자의 사상체질에 따른 대사증후군 분포 연구)

  • Sun, Jong-joo;Jung, Jae-han;Kim, Mi-young;Min, In-kyu;Choi, Won-woo;Hong, Jin-woo;Na, Byung-jo;Jung, Woo-sang;Moon, Sang-kwan;Cho, Ki-ho;Ko, Seong-gyu;Jun, Chan-yong;Han, Chang-ho
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.8 no.1
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    • pp.22-27
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    • 2007
  • Objectives : This study was aimed to assess the distribution of metabolic syndrome according to Sasang constitution(SC) in acute stroke patients. Methods : We assessed the type of SC of acute stroke patients in the oriental medical hospitals of 3 universities located in metropolitan region from October 2005 to June 2007 by Ouestionnaire for the Sasang Constitution Classification II(QSCC II). Then, we investigated the general characteristics, the prevalence of each factor of the metabolic syndrome and the prevalence of the metabolic syndrome according to SC. Results : 338 subjects were included into the final analysis. 1. This study showed that the proportion of So-yang was highest of all constitutions(45.9%). 2. The prevalence of high TG, low HDL-chol, high BP, high FBS of Tae-um were higher than those of the other constitutions, but the differencecs were not statistically significant. The prevalence of high WC of Tae-um was significantly higher than other constitutions(p<0.001). 3. The prevalence of metabolic syndrome of Tae-um was significantly higher than other constitutions (p=0.002). Conclusion : There were significant differences in the prevalence of metabolic syndrome according to SC in acute stroke patients. For the further research, it seems to be necessary to construct fundamental databases for stroke by increasing the number of patients and by diagnosing SC more delicately.

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