Recently, Sejong City had been in the center of a policy dispute about city planning in Korea. Although Sejong City was chosen to be a new Multifunctional Administrative City in 2006, politicians continued to challenge the decision at the city level from 2009 upto 2010.This study aims to investigate what influences, such as the policy dispute, impacted the health behaviors and the mental health of local people. We used the survey data from the Community Health Survey in 2008, 2009, 2010, and 2011 and compared the results through logistic regression analysis and direct standardization. Data were gathered from residents in Chungcheongnam-do, the province where Sejong City is located. Data from residents of four other provinces were used as a control: Gangwon-do, Gyeongsangbuk-do, Jeonlanam-do, and Gyeonggi-do. We found a significant increase in smoking and drinking rates in the residents of Chungcheongnam-do, which are indicators of health behaviors, in the year of 2009 when the Sejong City dispute erupted. It appears that controversial changes in government policy could have negative influences on local people. Therefore, we need proper measures to prevent them.
City Planning ; Dissent and Disputes ; Drinking ; Health Behavior ; Health Surveys ; Korea ; Logistic Models ; Mental Health ; Smoke ; Smoking

OBJECTIVE: The study aimed to determine which factors influence the occurrence of cardio-cerebrovascular diseases. The researchers analyzed differences in health behaviors and social strata according to each type of cardio-cerebrovascular disease, examined regional characteristics and compared the study's results with the past research data. METHODS: In statistical analysis, multiple logistic regression was conducted by utilizing the raw data obtained from the 2010 Chungcheongnam-do Community Health Survey. RESULTS: The results showed that cardio-cerebrovascular diseases were influenced by alcohol consumption, obesity and monthly income. CONCLUSION: First, education programs and campaigns that maintain an appropriate level of alcohol consumption are needed. Second, in addition to education programs on managing obesity, government policies should encourage physical exercise. Third, government policies should expand health care services and prevention programs for the low-income class, and strengthen health management networks.
Alcohol Drinking ; Chronic Disease ; Delivery of Health Care ; Exercise ; Health Behavior ; Logistic Models ; Obesity ; Prevalence

Churg-Strauss syndrome (CSS) is a systemic necrotizing vasculitis of the small and medium vessels, associated with extravascular eosinophilic granulomas, peripheral eosinophilia, and asthma. The exact etiology of CSS is unknown. This syndrome commonly affects the lungs, peripheral nerves, skin, heart, and gastrointestinal tract, but rarely the central nervous system. Subarachnoid and intracerebral hemorrhage in CSS patients is extremely rare; however, clinicians should consider that CSS may be a cause of intracranial hemorrhage and its high rate of mortality and morbidity. The authors report on two cases of subarachnoid and intracerebral hemorrhage with CSS and discuss a brief review of CSS.
Asthma ; Central Nervous System ; Cerebral Hemorrhage ; Churg-Strauss Syndrome ; Eosinophilia ; Eosinophilic Granuloma ; Gastrointestinal Tract ; Heart ; Humans ; Intracranial Hemorrhages ; Lung ; Peripheral Nerves ; Skin ; Subarachnoid Hemorrhage ; Vasculitis

OBJECTIVES: This study was carried out to investigate the cause, magnitude and transmission route of the cholera outbreak in 2001. METHODS: The study population were those persons who ingested foods at the restaurant, were confirmed as cholera patients, had symptoms of diarrhea and served as workers at the restaurant. A questionnaire survey and microbiological examinations on the microbes isolated from rectal swabs were conducted. Of the cases, 316 food histories were surveyed by an analysis of the restaurant menu. RESUJLTS: There were 139 confirmed cases of cholera reported in Korea in 2001. Of these, 104 were related to the restaurant. By region, Gyeongsangbuk-do had the highest incidence with 91 cases. Of these 91 cases, 74 had ingested foods at the restaurant, 2 were employees and 3 were secondary infection cases within the families. The results of the odds ratio analysis of the 316 persons having ingested foods at the restaurant were as follows: sandwiches 5.07 (95% CI, 1.85-14.59), soybean curd 2.45 (95% CI, 1.09-5.56), noodles 2.34 (95% CI, 1.24-4.42), steamed squid 2.01 (95% CI, 1.17-3.47) and vinegared rice 1.82 (95% CI, 1.08-3.09). It was certain the restaurant in question was the cause of the 2001 outbreak. CONCLUSIONS: We suspected that more than one restaurant employee contaminated foods served at the restaurant. In addition, eating raw fishes purchased at the Pohang Fisheries infected the employees of the restaurant. There is a possibility that these raw fishes were themselves contaminated by cholera bacilli in the sea.
Acetic Acid ; Cholera* ; Coinfection ; Decapodiformes ; Diarrhea ; Disease Outbreaks ; Eating ; Epidemiologic Studies ; Fisheries ; Fishes ; Gyeongsangbuk-do* ; Humans ; Incidence ; Korea* ; Odds Ratio ; Surveys and Questionnaires ; Restaurants ; Soybeans ; Steam

OBJECTIVES: This study was carried out to investigate the cause, magnitude and transmission route of the cholera outbreak in 2001. METHODS: The study population were those persons who ingested foods at the restaurant, were confirmed as cholera patients, had symptoms of diarrhea and served as workers at the restaurant. A questionnaire survey and microbiological examinations on the microbes isolated from rectal swabs were conducted. Of the cases, 316 food histories were surveyed by an analysis of the restaurant menu. RESUJLTS: There were 139 confirmed cases of cholera reported in Korea in 2001. Of these, 104 were related to the restaurant. By region, Gyeongsangbuk-do had the highest incidence with 91 cases. Of these 91 cases, 74 had ingested foods at the restaurant, 2 were employees and 3 were secondary infection cases within the families. The results of the odds ratio analysis of the 316 persons having ingested foods at the restaurant were as follows: sandwiches 5.07 (95% CI, 1.85-14.59), soybean curd 2.45 (95% CI, 1.09-5.56), noodles 2.34 (95% CI, 1.24-4.42), steamed squid 2.01 (95% CI, 1.17-3.47) and vinegared rice 1.82 (95% CI, 1.08-3.09). It was certain the restaurant in question was the cause of the 2001 outbreak. CONCLUSIONS: We suspected that more than one restaurant employee contaminated foods served at the restaurant. In addition, eating raw fishes purchased at the Pohang Fisheries infected the employees of the restaurant. There is a possibility that these raw fishes were themselves contaminated by cholera bacilli in the sea.
Acetic Acid ; Cholera* ; Coinfection ; Decapodiformes ; Diarrhea ; Disease Outbreaks ; Eating ; Epidemiologic Studies ; Fisheries ; Fishes ; Gyeongsangbuk-do* ; Humans ; Incidence ; Korea* ; Odds Ratio ; Surveys and Questionnaires ; Restaurants ; Soybeans ; Steam

PURPOSE: Pompe disease is one of the glycogen storage diseases caused by a deficiency of acid alpha-glycosidase. This enzyme defect results in lysosomal glycogen accumulation in many tissues and shows a various spectrum of clinical features from early infantile hypotonia to mild weakness. For the investigation of the clinical characteristics of Pompe disease, we reviewed 6 cases of childhood Pompe disease diagnosed by muscle biopsy and acid alpha-glycosidase assay. METHODS: We reviewed the medical records of 6 childhood Pompe disease patients in Seoul National University Children's Hospital, retrospectively from January 2001 to October 2006. RESULTS: The age of the symptom onset was 1 month to 11 years(mean 2.2 years) and the diagnosis was made at the age of 8 months to 14 years(mean 5.3 years). The patients showed delayed motor development, motor weakness, hypotonia, cardiomegaly, hypertrophic cardiomyopathy, hepatomegaly, recurrent pulmonary infections but the severity was very diverse. Liver transaminase and CK levels were elevated in all of the patients. Their muscle biopsy showed the characteristic accumulation of purple colored glycogen granules and the degeneration of myofibers. CONCLUSION: Childhood Pompe disease had various clinical features and severities depending on the age of onset, organ involvement and the rate of progression. Enzyme replacement therapy may modify the disease courses, so we need to diagnose earlier for the treatment at an optimal time.
Age of Onset ; Biopsy ; Cardiomegaly ; Cardiomyopathy, Hypertrophic ; Diagnosis ; Early Diagnosis ; Enzyme Replacement Therapy ; Glycogen ; Glycogen Storage Disease ; Glycogen Storage Disease Type II* ; Hepatomegaly ; Humans ; Liver ; Medical Records ; Muscle Hypotonia ; Retrospective Studies ; Seoul

OBJECTIVES: The purpose of this study was to investigate the association between practice and infectious diseases in elementary, middle and high school students. METHODS: In 16 metropolitan cities and province of the Korea, the students who from fourth grade of elementary school to third grade of high school were surveyed by personal interviews and an web-based online survey from 5 to 25 September, 2014. We analyzed data with chi-square test and logistic regression analysis. RESULTS: Common cold, diarrhea, and eye infections were more prevalent among students in higher grade than lower grade. In particular, common cold was more prevalent among girls than boys, using hand sanitizer than washing with soaps, and students who wash the dorsal side of hand than not wash the dorsal side of hand. CONCLUSIONS: Higher-grade students showed low status of hand washing practice. Hand washing was determined as the fact which influences to increase the prevention of communicable disease such as common cold. Considering the fact that youth groups have higher risk of being infected due to their group life, schools are recommended to provide adequate educations regarding proper hand washing practice with soap.
Adolescent ; Common Cold ; Communicable Diseases* ; Diarrhea ; Eye Infections ; Female ; Hand ; Hand Disinfection* ; Humans ; Korea ; Logistic Models ; Soaps