1.An Analysis of the Factors which Influence UF during Peritonitis in PD Patients.
Young Jin KIM ; Hang Jae JUNG ; Gyu Hyang JO ; Joon Bum PARK ; Jong Won PARK ; Joong Young DO ; Gyung Woo YOON
Korean Journal of Nephrology 2000;19(4):681-686
No abstract available.
Humans
;
Peritonitis*
2.Effect of Individual and District-level Socioeconomic Disparities on Cognitive Decline in Community-dwelling Elderly in Seoul.
Geon Ha KIM ; Hye Ah LEE ; Hyesook PARK ; Dong Young LEE ; Inho JO ; Seong Hye CHOI ; Kyoung Gyu CHOI ; Jee Hyang JEONG
Journal of Korean Medical Science 2017;32(9):1508-1515
This study was to investigate the effects of individual and district-level socioeconomic status (SES) on the development of cognitive impairment among the elderly. A 3-year retrospective observational analysis (2010–2013) was conducted which included 136,217 community-dwelling healthy elderly who participated in the Seoul Dementia Management Project. Cognitive impairment was defined as 1.5 standard deviations below the norms on the Mini-mental status examination. In the individual lower SES group, the cumulative incidence rate (CIR) of cognitive impairment was 8.7% (95% confidence interval [CI], 8.64–8.70), whereas the CIR in the individual higher SES group was 4.1% (95% CI, 4.08–4.10). The CIR for lower district-level SES was 4.7% (95% CI, 4.52–4.86), while that in the higher district-level SES was 4.3% (95% CI, 4.06–4.44). There were no additive or synergistic effects between individual and district-level SES. From this study, the individual SES contributed 1.9 times greater to the development of cognitive impairment than the district-level SES, which suggests that individual SES disparities could be considered as one of the important factors in public health related to cognitive impairment in the elderly.
Aged*
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Cognition Disorders
;
Dementia
;
Humans
;
Incidence
;
Public Health
;
Retrospective Studies
;
Seoul*
;
Social Class
3.Usefulness of Tuberculin Skin Test by Tuberculin PPD RT23 2 TU.
Jong Wuk YANG ; Man Jo JEON ; Sung Jung KIM ; Hyang Lim LEE ; Seung Jun LEE ; Myoung Goo LEE ; Dong Gyu KIM ; Myoung Jae PARK ; Min Jong KANG ; In Gyu HYOEN ; Ki Suck JUNG
Tuberculosis and Respiratory Diseases 2002;53(4):401-408
BACKGROUND: Tuberculin skin test is a method to examine M. tuberculosis infection and has been used all over the world. But various factors make it difficult to understand testing results. In 2000, the American Thoracic Society recommended that skin test results should be decided by considering risk factors of the tested. In Korea, high tuberculosis infection rate and BCG vaccination rate make it difficult to differentiate current infection, past infection, and no infection by the skin test. This study was attempted to examine a negative predictive value of the skin test to understand how the skin test acts on deciding administration of anti-tuberculosis drug. METHOD: From Mar. 1 to Jul. 31 in 2001, the test was performed for patients hospitalized in Department of Internal Medicine, Hallym University College of Medicine, Chunchon, Korea by administering Tuberculin PPD RT23 2 TU (0.1 ml)to them that has been currently used in Korea based on Mantoux method. They were decided to be infected with tuberculosis bacilli by following diagnostic standard: 1) tuberculosis bacilli was cultured in sputum by microbiological diagnostic standard or Acid-fast bacilli was proven on a microscopic examination or 2) tuberculosis bacilli was not proven in the aforesaid microbiological test by clinical diagnostic standard, while there was opinion or symptom suitable for tuberculosis by radiographic or histological standard so the doctor decided to apply the tuberculosis treatment. RESULTS: In this study, total 210 patients except 20 patients (8.7%) among 230 hospitalized patients were evaluated. Their average age was 60 16.8 years, and male-female rate was 1.28 : 1 (male: 118, female: 92). Number of patient, who was diagnosed and decided as tuberculosis, was 53(25.2%). Pulmonary tuberculosis was found in 45 patients (84.9%); 22 patients were decided to be positive in the Acid-fast bacilli smear test by microbiological examination (culture positive: 13, culture negative: 9), and 23 patients were decided to be tuberculosis patients by clinical diagnosis standard. Tuberculosis pleuritis was found in 8 patients (15.1%); 4 patients were diagnosed and decided by histological standard, and 4 patients were decided and treated by clinical standard. In differentiating patients into 'Negative' and 'Positive' by the skin test standard of the American Thoracic Society, negative predictive value 92.3%, positive predictive value 47.3%, sensitivity and specificity were 83%, 68.8%, respectively. CONCLUSION: In hospitalized respiratory patients, there was high negative predictive vlaue 92.3% by tuberculin skin test, therefore skin test would be a important factor for deciding administration of anti-tuberculosis drug on negative skin test patient.
Diagnosis
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Female
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Gangwon-do
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Humans
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Internal Medicine
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Korea
;
Mycobacterium bovis
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Pleurisy
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Risk Factors
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Skin Tests*
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Skin*
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Sputum
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Tuberculin*
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Tuberculosis
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Tuberculosis, Pulmonary
;
Vaccination