1.Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data.
Young Ju KIM ; Myoung Nam LIM ; Dong Suk LEE
Journal of Korean Academy of Nursing 2014;44(6):743-750
PURPOSE: The objective of this study was to provide a trend analysis of the prevalence of diabetes relative to the socioeconomic, lifestyle, and physiologic risk factors among Korean adults aged over 30 years for a 10-year period using data from the Korean National Health and Nutrition Examination Survey. METHODS: Prevalence difference and the slope index of inequality were calculated for each risk factors using binomial regression by considering the repeated cross-sectional features of the data. The prevalence ratio and the relative index of inequality were calculated using log-binomial regression. Linear trend tests were performed using SAS 9.2. RESULTS: Crude prevalence of diabetes increased over the 10-year period, and was higher for men than for women. It was very high for adults 60 years or over, consistently increasing over time. The prevalence among unemployed men, women with higher level of stress, women with hypertension, and adults with serum triglyceride levels over 135 mg/dL increased over the 10-year period in comparison with the respective control group. CONCLUSION: Considering the rapid economic development and associated lifestyle changes in Korea, action should be taken to control the prevalence of diabetes by both preventing and consistently monitoring these identified risk factors using a public-health approach.
Adult
;
Aged
;
Alcohol Drinking
;
Asian Continental Ancestry Group
;
Body Mass Index
;
Cholesterol/blood
;
Cross-Sectional Studies
;
Diabetes Mellitus, Type 2/*epidemiology/pathology
;
Exercise
;
Female
;
Humans
;
Hypertension/epidemiology
;
Life Style
;
Male
;
Middle Aged
;
Nutrition Surveys
;
Prevalence
;
Republic of Korea
;
Risk Factors
;
Smoking
;
Socioeconomic Factors
;
Stress, Psychological
;
Triglycerides/blood
;
Unemployment
2.A Case of Prune Belly Syndrome.
Myoung Suk NAM ; Soon Soen LIM ; Young Ha KIM ; Moon Ki JOE
Journal of the Korean Pediatric Society 1989;32(6):852-856
No abstract available.
Prune Belly Syndrome*
3.A Case of Prune Belly Syndrome.
Myoung Suk NAM ; Soon Soen LIM ; Young Ha KIM ; Moon Ki JOE
Journal of the Korean Pediatric Society 1989;32(6):852-856
No abstract available.
Prune Belly Syndrome*
4.A Study on Characteristic Factors Related to Low Back Pain and Mental Health of Pregnant Women.
Myoung Ja WANG ; Sang Won LIM ; Sun Hye JUN ; Nam Hyun CHA
Journal of Korean Academy of Community Health Nursing 2009;20(3):381-389
PURPOSE: The study was to explore the level of low back pain and characteristic factors influencing low back pain (LBP) and mental health during pregnancy. METHODS: The subjects were a total of 383 healthy pregnant women in S City and K-Do. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation. RESULTS: 82.5% of the pregnant women answered the existence of LBP and 19.7% of them had high LBP. The preferred method of controlling LBP was 'Just endure' (42.3%). There were significant differences in pregnancy level (p < .05) and discomfort condition related to pregnancy (p < .01) according to low back pain. There were significant differences in pain intensity according to mental health. The correlation between pain level and pregnancy weeks (p < .001) and BMI in previous pregnancy (p < .001) was significant. The correlation between mental health and age was significant (p < .001). CONCLUSION: The majority of the pregnant women experienced LBP during pregnancy. However, they were not offered the best method of controlling the pain. Thus, for preventing LBP during pregnancy, we recommend regular exercises and BMI control.
Exercise
;
Female
;
Humans
;
Low Back Pain*
;
Mental Health*
;
Pregnancy
;
Pregnant Women*
5.The Therapeutic Effect of Mindfulness-Based Interventions on Depressive Symptoms in Patients With Major Depressive Disorder: A Meta-Analysis
Hannui PARK ; Seyeon HONG ; Euihyeon NA ; Myoung-Nam LIM ; Kanguk LEE
Journal of the Korean Society of Biological Psychiatry 2024;31(1):7-14
Objectives:
We conducted a meta-analysis of randomized controlled trials to investigate the therapeutic effects of mindfulnessbased interventions on depressive symptoms in patients with major depressive disorder.
Methods:
In February 2021, we searched Embase, MEDLINE, Cochrane Library, PsycINFO, CINAHL, and AMED. Under the guidance of the corresponding author, two evaluators independently reviewed and selected articles based on predetermined selection criteria.
Results:
Based on the selection criteria, we systematically screened and included a total of 12 randomized controlled trials comprising 720 cases for the final analysis. Utilizing a random-effects model for data analysis, we determined the Hedges’ g value to be 0.787, indicating a medium-sized effect according to Cohen’s interpretation. The 95% confidence interval for the effect size ranged from 0.414 to 1.160 (p-value < 0.0001).
Conclusions
This study reveals the potential effectiveness of mindfulness-based interventions in treating depressive symptoms among patients with major depressive disorder.
6.Effects of Epidural Naloxone on Pruritus Induced by Epidural Sufentanil.
Eui Sung LIM ; Ki Jun KIM ; Joo Sun YOON ; Soon Ho NAM ; Myoung Hoon KONG
The Korean Journal of Pain 2007;20(2):123-129
BACKGROUND: Postoperative pruritus following the administration of epidural narcotics is a very common and undesirable side effect. Therefore, we evaluated the use of a combination of naloxone and sufentanil via patient controlled epidural analgesia to determine if the incidence of pruritus was decreased when compared to the use of sufentanil alone. METHODS: Patients scheduled for subtotal gastrectomy under general anesthesia were enrolled in a prospective, double-blinded and randomized trial. All patients received a 20 microgram epidural bolus of sufentanil in 5 ml of 0.2% ropivacaine. Following administration of the epidural, patients in the sufentanyl group (S) received a continuous epidural comprised of sufentanil (0.75 microgram/ml) in 0.2% ropivacaine, whereas patients in the naloxone group (N) received an epidural infusion comprised of naloxone (4 microgram/ml) and sufentanil (0.75 microgram/ml) in 0.2% ropivacaine. The infusion rate, demand dose and lockout interval were 5 ml/hr, 0.5 ml and 15 minutes respectively. Next, the occurrence of postoperative analgesia and side effects were evaluated by blinded observers. RESULTS: The incidence of pruritus (47.4% versus 20.0%, P = 0.013) and nausea (42.1% versus 20.0%, P = 0.043) were lower in group N than in group S. In addition, there were no significant differences observed in the visual analogue scale, the incidence of vomiting or the incidence of sedation. Furthermore, epidural infusion of naloxone at 0.25-0.4 microgram/kg/hr did not affect the requirement for postoperative sufentanil. CONCLUSIONS: Epidural naloxone reduces epidural sufentanil induced pruritus and nausea without reversing its analgesic effects.
Analgesia
;
Analgesia, Epidural
;
Analgesia, Patient-Controlled
;
Anesthesia, General
;
Gastrectomy
;
Humans
;
Incidence
;
Naloxone*
;
Narcotics
;
Nausea
;
Prospective Studies
;
Pruritus*
;
Sufentanil*
;
Vomiting
7.The Influence of Asian Dust, Haze, Mist, and Fog on Hospital Visits for Airway Diseases.
Jinkyeong PARK ; Myoung Nam LIM ; Yoonki HONG ; Woo Jin KIM
Tuberculosis and Respiratory Diseases 2015;78(4):326-335
BACKGROUND: Asian dust is known to have harmful effects on the respiratory system. Respiratory conditions are also influenced by environmental conditions regardless of the presence of pollutants. The same pollutant can have different effects on the airway when the air is dry compared with when it is humid. We investigated hospital visits for chronic obstructive pulmonary disease (COPD) and asthma in relation to the environmental conditions. METHODS: We conducted a retrospective study using the Korean National Health Insurance Service claims database of patients who visited hospitals in Chuncheon between January 2006 and April 2012. Asian dust, haze, mist, and fog days were determined using reports from the Korea Meteorological Administration. Hospital visits for asthma or COPD on the index days were compared with the comparison days. We used two-way case-crossover techniques with one to two matching. RESULTS: The mean hospital visits for asthma and COPD were 59.37 +/- 34.01 and 10.04 +/- 6.18 per day, respectively. Hospital visits for asthma significantly increased at lag0 and lag1 for Asian dust (relative risk [RR], 1.10; 95% confidence interval [CI], 1.01-1.19; p<0.05) and haze (RR, 1.13; 95% CI, 1.06-1.22; p<0.05), but were significantly lower on misty (RR, 0.89; 95% CI, 0.80-0.99; p<0.05) and foggy (RR, 0.89; 95% CI, 0.84-0.93; p<0.05) days than on control days. The hospital visits for COPD also significantly increased on days with Asian dust (RR, 1.29; 95% CI, 1.05-1.59; p<0.05), and were significantly lower at lag4 for foggy days, compared with days without fog (RR, 0.85; 95% CI, 0.75-0.97; p<0.05). CONCLUSION: Asian dust showed an association with airway diseases and had effects for several days after the exposure. In contrast to Asian dust, mist and fog, which occur in humid air conditions, showed the opposite effects on airway diseases, after adjusting to the pollutants. It would require more research to investigate the effects of various air conditions on airway diseases.
Asian Continental Ancestry Group*
;
Asthma
;
Dust*
;
Gangwon-do
;
Humans
;
Korea
;
National Health Programs
;
Pulmonary Disease, Chronic Obstructive
;
Respiratory System
;
Retrospective Studies
;
Weather*
8.A Case of Congenital Hemolytic Anemia of Unknown Cause Combined with Gilbert's Syndrome.
Ji Whan LIM ; Joon Hyouk CHOI ; Yang Hoon NAM ; In Seok SEO ; Seong Min YOON ; Myoung Sook KOO
Korean Journal of Hematology 2008;43(1):58-61
Congenital hemolytic anemia is mainly developed due to intrinsic defects of erythrocytes, but in some cases the cause of hemolytic anemia is unclear. Gilbert's syndrome shows mild, chronic unconjugated hyperbilirubinemia that is due to reduced UDP glucuronosyltransferase (UGT-1A1) activity and this develops because of UGT-1A1 gene mutation. We report here on a case of severe hyperbilirubinemia in a 17-year-old male who was diagnosed with congenital hemolytic anemia of an unknown cause combined with Gilbert's syndrome.
Adolescent
;
Anemia, Hemolytic
;
Anemia, Hemolytic, Congenital
;
Erythrocytes
;
Gilbert Disease
;
Glucuronosyltransferase
;
Humans
;
Hyperbilirubinemia
;
Male
9.A Statistical Analysis of 1053 Cases of Anesthesia for Emergency Operation.
Nam Joong KIM ; Joung Uk KIM ; Myoung Hoon KONG ; Hae Ja LIM ; Byung Kook CHAE ; Seong Ho CHANG
Korean Journal of Anesthesiology 1994;27(4):402-410
Emergency surgical patients are more frequently in critical state than elective patients and they have not enough time for physical and laboratory examinations. The evaluation of perio-perative data will improve the outcome of emergency operation. We analyzed 1053 anesthesias for emergency operation which were performed at the department of anesthesiology, Anam Hospital from September 1992 to August 1993 clinically and statistically according to age, sex, physical status, department, anesthetic duration, method and agent, types of trauma, amount of transfusion, etc. The results were as follows; 1) The percent of emergency surgery cases was 13.6 of total surgical patients. 2) The ratio of male to female was 1.15:1. 3) About 61.1% of all emergency patients were in the 21-40 years age group. 4) According to the ASA classification of physical status, the percent of patients in emergency class 1 and 2 was 86.2 of the total patients. 5) The most common operation was Cesarean section (19.9%), and appendectomy (13.8%) the next. 6) The most common anesthetic method for emergency operation was general anesthesia with enflurane. 7) The obstetric cases were most common and the general surgery cases were the next. 8) The percent of the cases which took less than 2 hours duration was 82.4 of total operation. 9) The transfusion was done in 108 cases (10.3%) and less than 2 units was transfused most frequently. 10) The transference to ICU was done in 144 (13.7%) cases and the patients of general surgery were transfered to ICU most frequently. 11) The majority of injuries were classified as blunt trauma (86.6%) while 13.4% were classified as penetrating trauma. 12) The lagest number of injuries involved the upper extremity (47.8%) and the next was the head & neck (31.9%).
Anesthesia*
;
Anesthesia, General
;
Anesthesiology
;
Appendectomy
;
Cesarean Section
;
Classification
;
Emergencies*
;
Enflurane
;
Female
;
Head
;
Humans
;
Male
;
Neck
;
Pregnancy
;
Upper Extremity
10.Correlation between Telomere Length and Chronic Obstructive Pulmonary Disease–Related Phenotypes: Results from the Chronic Obstructive Pulmonary Disease in Dusty Areas (CODA) Cohort
Da Hye MOON ; Jeeyoung KIM ; Myoung Nam LIM ; So Hyen BAK ; Woo Jin KIM
Tuberculosis and Respiratory Diseases 2021;84(3):188-199
Background:
Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease with increased prevalence in the elderly. Telomeres are repetitive DNA sequences found at the end of the chromosome, which progressively shorten as cells divide. Telomere length is known to be a molecular marker of aging. This study aimed to assess the relationship between telomere length and the risk of COPD, lung function, respiratory symptoms, and emphysema index in Chronic Obstructive Pulmonary Disease in Dusty Areas (CODA) cohort.
Methods:
We extracted DNA from the peripheral blood samples of 446 participants, including 285 COPD patients and 161 control participants. We measured absolute telomere length using quantitative real-time polymerase chain reaction. All participants underwent spirometry and quantitative computed tomography scan. Questionnaires assessing respiratory symptoms and the COPD Assessment Test was filled by all the participants.
Results:
The mean age of participants at the baseline visit was 72.5±7.1 years. Males accounted for 72% (321 participants) of the all participants. The mean telomere length was lower in the COPD group compared to the non-COPD group (COPD, 16.81±13.90 kb; non-COPD, 21.97±14.43 kb). In COPD patients, 112 (75.7%) were distributed as tertile 1 (shortest), 91 (61.1%) as tertile 2 and 82 (55%) as tertile 3 (longest). We did not find significant associations between telomere length and lung function, exacerbation, airway wall thickness, and emphysema index after adjusting for sex, age, and smoking status.
Conclusion
In this study, the relationship between various COPD phenotypes and telomere length was analyzed, but no significant statistical associations were shown.