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천병렬,김권배,김기식,김영조,김윤년,김창윤,박의현,신동구,심봉섭,이종주,이충원,장성국,전재은,Chun, Byung-Yeol,Kim, Kwon-Bae,Kim, Kee-Sik,Kim, Young-Jo,Kim, Yoon-Nyun,Kim, Chang-Yoon,Park, Wee-Hyun,Shin, Dong-Gu,Shim, Bong-Sub,Lee, Jong-Joo,L 대한예방의학회 1998 Journal of Preventive Medicine and Public Health Vol.31 No.3
To estimate the incidence rate of coronary heart disease in Korea, of all residents in Taegu city aged 25 or above, those who had an acute MI or a fatal coronary event between 1 July 1996 and 30 June 1997 were registered. Seven hundreds and eight patients were registered during the study period(685 were identified at hospital and 23 were autopsy cases). Age-standardized annual incidence rate of men in city area was 93 per 100,000(95% CI; 61-142) and 35% CI; 16-67) in women(100 in men and 20 in women aged 35-64). The incidence was rapidly increased after age 40 in men, however, in women after age 60. Twenty-eight-days case fatality rate was 45% in men and 47% in women. However, in the age group of 45-59 case fatality rate in women was two times higher than that in men. In conclusion, crude annual incidence rate of CHD in city area was 73 per 100,000 in men and 33 in women. The age-standardized annual incidence of CHD in men(93 per 100,000) was 2 times higher than that in women (33 per 100,000) in Korea.
천병렬 한국역학회 2002 Epidemiology and Health Vol.24 No.2
스트레스는 기존의 위험요인 외에 심혈관질환의 발병에 중요한 역할을 하는 새로운 위험요인으로 부각되고 있다 즉, 스트레스를 받을수록 기존의 알려진 위험요인들이 함께 작용하거나, 동맥내피벽의 기능저하를 초래하거나,심근의 허혈상태를 초래하거나,기존에 형성된 plaque를 파열시키거나, 혈전증을 초래하거나, 악성부정맥을 초래하는 경향이 증대된다. 스트레스는 심혈관질환의 발생을 증가시킬 위험요인으로 작용할 수 있으며 그 기전이 내분비계통의 호르몬 변화를 통하여 직접적으로 심혈관계의 반응을 초래하거나 행동양식인 심혈관질환 위험요인들의 변화를 초래하여 간접적으로 작용하는 것인지에 대한 연구가 필요할 것으로 생각된다. 따라서 이와 같은 사회심리학적인 스트레스와 심혈관질환간의 관련성을 근거로 스트레스를 조절하거나 감소시키는 방법을 개발하여 적용한다면 우리나라에서도 심혈관질환의 사망률과 이환률을 효과적으로 감소시킬수 있을 것이다. Stress is a newly recognized risk factor that appears to contribute to all recognized mechanisms underlying cardiac events, specifically, by clustering of traditional cardiovascular risk factors, endothelial dysfunction, myocardial ischemia, plaque rupture, thrombosis, and malignant arrhythmia. And it is necessary to study on the role of stress in the causation of developing cardiovascular disease by a direct hormonal effect on heart or an indirect behavioral change. A better understanding of the behavioral and physiologic associations between psychological stress and cardiovascular disease will assist researchers in developing effective approaches for reducing or reversing the damaging effects of stress and may lead to further reductions of CVD morbidity and mortality in Korea.
천병렬,예민해,이승주 대한물리치료학회 1998 대한물리치료학회지 Vol.10 No.1
An analysis of 101 stroke patients who were enrolled in 10 hospitals of Cities of Pusan, Taegu, and Andong from November 1, 1996 to April 31, 1997 was conducted using the modified Barthel Index(BI) and the adapted PULSES profile index(PS) to evaluate their function. Patients were examined at the follwing intervals: Initial assessment, one month after initial, at discharge, and one month after discharge. The mean BI score of patients initial assessment was 27.18, and that of PS was 17.54. There were statistically significant between initial score and one month after initial (21.39: p$lt;0.001), at discharge(37.47: p$lt;0.001), one month after discharge(46.49: p$lt;0.001). PS scores were also improved significantly(-2.62, -4.52, and -6.26(p$lt;0.001). And the score between discharge and one month after discharge was significant (9.01: p$lt;0.001) and in PS score(-1.73: p$lt;0.001). Age and BI score were significantly associated with the improved in BI score between initial and discharge(T3-Tl)(p$lt;0.05). Below age forty the lower initial BI score showed significantly higher improvement(T3-T1) after physical therapy(p$lt;0.05). Initial BI score, patients' attitude for physical therapy after discharge, age, and surgical operation were significantly associated with the improvement of BI score between initial and one month after discharge(T4-T1)(p$lt;0.05). The lower initial BI score, patients' positive attitude for physical therapy after discharge, below age forty, and no surgical operation showed significantly higher improvement(p$lt;0.05). BI score at discharge, side of hemiparesis and religion were significantly associated with the improvement of BI score between at discharge and one month after discharge(T4-T3) (p$lt;0.05). The lower BI score at discharge, left side of hemiparesis, with religion showed significantly higher improvement (p$lt;0.05). Age, initial PS score were significantly associated with the improved in PS score between initial and discharge(T3-Tl)(p$lt;0.05). The higher initial PS score and below age forty showed significantly higher improvement(T3-T1)(p$lt;0.05). Initial PS score, patients' attitude for physical therapy after discharge, age, educational level, physical therapy hour after discharge, and surgical operation were significantly associated with the improvement of PS scare between initial and one month after discharge(TA-T1)(p$lt;0.05). The higher initial PS score, patients' positive attitude for physical therapy after discharge, below age forty, higher education, the shorter physical therapy hour; and no surgical operation showed significantly higher improvement(T4-T1)(p $lt;0.05). PS score at discharge, educational level, patients' attitude for physical therapy after discharge, physical therapy hour after discharge, and gender were significantly associated with the improvement of PS score between discharge and one month after discharge(T4-T3) (p$lt;0.05). The higher PS score at discharge: higher education, patients' positive attitude for physical therapy after discharge, the shorter physical therapy hour, and male showed significantly higher improvement (T4-T3)(p$lt;0.05). In conclusion, initial BI score and age were significantly associated with BI score improvement and initial PS score, age, and educational level were also significantly associated with PS score improvement in stroke patients.
천병렬,김권배,김기식,김영조,김윤년,김창윤,박의현,신동구,심봉섭,이종주,이충원,장성국,전재은,조용근,채성철,최지용,하영애,이영숙 경북대학교 의학연구소 1999 경북대학교병원의학연구소논문집 Vol.3 No.1
To estimate the incidence rate of coronary heart disease in Korea, of all residents in Taegu city aged 25 or above, those who had an acute MI or a fatal coronary event between 1 July 1996 and 30 June 1997 were registered. Seven hundreds and eight patients were registered during the study period(685 were identified at hospital and 23 were autopsy cases). Age-standardized annual incidence rate of men in city area was 93 per 100,000(95% CI; 61-142) and 33(95% CI; 16-67) in women(100 in men and 20 in women aged 35-64). The incidence was rapidly increased after age 40 in men, however, in women after age 60. Twenty-eight-days case fatality rate was 45% in men and 47% in women. However, in the age group of 45-59 case fatality rate in women was two times higher than that in men. In conclusion, crude annual incidence rate of CHD in city area was 73 per 100,000 in men and 33 in women. The age-standardized annual incidence of CHD in men(93 per 100,000) was 2 times higher than that in women (33 per 100,000) in Korea.