http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Prevalence of Diabetes Mellitus in the Elderly of Namwon County , South Korea
(Sang Guk Kim),(Seung Won Yang),(An Soo Jang),(Jeong Pyeong Seo),(Sang Woo Han),(Chung Ho Yeom),(Yong Chul Kim),(Sung Hee Oh),(Jung Seok Kim),(Hae Sung Nam),(Dong Jin Chung),(Min Young Chung) 대한내과학회 2002 The Korean Journal of Internal Medicine Vol.17 No.3
N/A Background : Ethnic and geographic differences exist in the prevalence of diabetes mellitus which has increased dramatically in South Korea. A few community-based epidemiologic studies with oral glucose tolerance test were performed in South Korea. The purpose of this study was to determine the prevalence of diabetes mellitus by the World Health Organization (WHO) and the American Diabetic Association (ADA) diagnostic criteria and to investigate their associated risk factors. Also, we compared and analyzed the characteristics of Koreans by WHO and ADA diagnostic criteria. Methods : Between March 22, 1999 and July 14, 1999, a random sampling of 1,445 residents over 40 years of age in five villages (3 myons and 2 dongs) in Namwon City, Chollabuk-do Province, South Korea was carried out. WHO and ADA diagnostic criteria were used for the prevalence of DM, IGT and IFG. The associated factors of subjects were analyzed. Results : After age adjustment for the population projection of Korea (1999), the prevalence of DM and IGT was 13.7% and 13.8%, respectively, by WHO criteria, while the prevalence of DM, IGT and IFG was 15.8%, 12.8% and 5.7%, respectively, by ADA criteria, and the previous diagnosed diabetics were 5.8% in 665 adults over 40 years of age in the Namwon area. The age-adjusted prevalence of previously diagnosed diabetics was 5.8%. When the subjects classified by both criteria were compared, the level of agreement between WHO and ADA diagnostic criteria, except IFG, was very high ( =0.94; p 0.001). The ROC curve analysis determined FSG of 114.5 mg/dL (6.4 mmol/L) to yield optimal sensitivity and specificity corresponding to a PP2SG 200 mg/dL (11.1 mmol/L). The prevalence of DM and IGT with ADA diagnostic criteria rose with increasing age (p 0.05). The body mass index was mean 23.8 3.4 in all the subjects, 23.75 3.46 in NGT group and 23.67 3.16 in DM group, but the differences in the prevalence of DM, IGT and IFG by BMI were not significant. The prevalence of DM rose significantly with the increase in the waist-hip ratio (p 0.05). The prevalence of DM significantly increased in subjects by increases in blood pressure, and triglyceride and the relative risk in the prevalence of DM was significantly high with dyslipidemia (Odds ratio 2.29, 95% CI: 1.16-3.49). Conclusion : The prevalence of Diabetes Mellitus in the population over 40 years of age in Namwon City, South Korea remarkably increased compared with the 1970s and 1980s and was similar to that of the West. Ethnic differences in obesity of normal, DM and IGT subjects and in the effect on the prevalence of DM may exist in the Korean population, but they were not significant. As there is a limit in number, it is considered that a general population-based epidemiologic study on a large scale is required to investigate ethnic and geographic differences for the risk factors of DM in South Korea. The level of agreement, except IFG, by WHO and ADA diagnostic criteria was high, which indicates that these results may show that not only fasting serum glucose but also postprandial 2-h serum glucose are important for diagnosing diabetes in Korean.
김상국(Sang Guk Kim),양승원(Seung Won Yang),박상후(Sang Hoo Park),이경록(Kyung Rok Lee),박재홍(Jae Hong Park),장안수(An Soo Jang),서정평(Jeong Pyeong Seo),이숭(Soong Lee),남해성(Hae Sung Nam),손명호(Myung Ho Sun),신명근(Myung Geun S 대한내과학회 2001 대한내과학회지 Vol.60 No.6
N/A Background : Significant ethnic and geographic differences exist in the prevalence of diabetes mellitus, which has increased dramatically in South Korea. But a few population-based studies were performed in South Korea. The purpose of this study was to determine the prevalence of diabetes mellitus, impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) by the World Health Organization (WHO) and the American Diabetic Association (ADA) diagnostic categories, and to investigate their associated risk factors. Methods : Between march 22, 1999 and July 14, 1999, a random sampling of 1445 residents over 40 year of age in five villages in the Namwon county of South Korea was carried out. Among these subjects, 665 (46.0%) participants completed 75 g OGTT. WHO and ADA diagnostic criteria were used for the diagnosis of diabetes mellitus, IGT and IFG. Detailed questionnaire were performed and anthropometric data were collected. Results : After age-adjustment for population projection for Korea (1999), the prevalence of diabetes and IGT were 13.7% and 13.8% with WHO criteria, while the prevalence of diabetes, IGT and IFG were 15.8%, 12.8% and 5.7% with ADA criteria. The age-adjusted prevalence of previously diagnosed diabetes was 5.8%. The level of agreement between WHO and ADA diagnostic criteria except IFG was high (κ=0.94; p<0.001). The ROC curve analysis determined FSG of 114.5 mg/dL (6.4 mmol/L) to yield optimal sensitivity and specificity corresponding to a PP2SG 200 mg/dL (11.1 mmol/L). The prevalence of diabetes and IGT with ADA diagnostic criteria rose with increasing age (p<0.05). The difference in the prevalence of diabetes, IGT and IFG by BMI was not significant. The prevalence of diabetes rose with increase in the waist-hip ratio. The prevalence of diabetes was increased in subjects with dyslipidemia (Odds ratio 2.29, 95% CI: 1.16-3.49).
천식 환자에서 올바른 정량식 분무흡입기 사용 교육에 대한 효과
김상국(Sang Guk Kim),장안수(An Soo Jang),김윤경(Yun Kyung Kim),이승(Soong Lee),서정평(Jeong Pyeong Seo),양승원(Seung Won Yang),최수인(Soo In Choi),박상후(Sang Hoo Park),이경록(Kyung Rok Lee),박재홍(Jae Hong Park) 대한천식알레르기학회 2000 천식 및 알레르기 Vol.20 No.5
N/A Background: Medications for asthma can be administered either by inhaled or systemic routes. The major advantages of delivering drugs directly into the lungs via inhalation are that higher concentrations can be delivered more effectively to the airways and that systemic side effects are avoided or minimized. Inhaled medications, or aerosols, are available in a variety of devices that differ in required technique and quantity of drugs delivered to the lung. Objective : The purpose of this study was to determine the effects of patient education on correct use of metered dose inhaler in patients with asthma. Methods : Twenty patients with asthma were instructed three times on proper inhaler usage by a physician at two-week intervals. Practical performance and theoretical knowledge were assessed (ten-item assessment). Scoring was done by one physician using a score of 1-3 for each item. Results : The practical performance and theoretical knowledge scores were higher in patients after being instructed three times compared with those who were instructed once (26.2±2.2 vs 18.1±3.6, p< O.01). The scores were higher in patients with higher education level compared with those with lower education level after three lessons (27.3±1.94 vs 24.3±1.80, p< 0.05). The most common errors included inadequate actuation time and breath holding, and insufficient activations. Conclusion : These findings suggest that patients with asthma be instructed in inhaler use and that their technique be checked regularly and repeatedly depending on education level. (J Asthma Allergy Clin 1mmunol 20: 695-701, 2000)
Significance of Stent Abutment in Gastroduodenal Stent Placement for Gastric Outlet Obstructions
Park, Jung-Hoon,Kim, Guk Bae,Song, Ho-Young,Kim, Min Tae,Kim, Pyeong Hwa,Kim, Kun Yung,Tsauo, Jiaywei,Kim, Do Hoon RADIOLOGICAL SOCIETY OF NORTH AMERICA INC 2017 JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Vol.28 No.8
<P><B>Abstract</B></P> <P><B>Purpose</B></P> <P>To evaluate the frequency, severity, and clinical significance of stent abutment (SA) after gastroduodenal stent placement in patients with gastric outlet obstruction caused by unresectable gastric cancer.</P> <P><B>Materials and Methods</B></P> <P>A retrospective study was conducted in a single tertiary referral university hospital to identify the incidence and clinical significance of SA in 318 patients who underwent self-expandable metallic stent placement. SA was defined as abutment of the distal end of the stent to the duodenal wall and/or superior duodenal flexure. The outcomes included technical and clinical success, complications, repeat intervention, stent patency, and survival.</P> <P><B>Results</B></P> <P>A total of 318 patients, 107 with SA (33.6%) and 211 without, were included. SA occurred partially (n = 64; 59.8%) and completely (n = 43; 40.2%). The technical and clinical outcomes and survival were similar in the groups with and without SA. Food impaction and resultant repeat intervention rates were higher in the SA group than in the non-SA group (<I>P</I> < .001 and <I>P</I> < .001, respectively), and were associated with complete SA (<I>P</I> = .007). Stent patency rate was lower in the SA group than in the non-SA group (<I>P</I> = .003).</P> <P><B>Conclusions</B></P> <P>SA was associated with increased food impaction, resulting in a greater incidence of stent malfunction and shorter stent patency compared with a lack of SA. The concept of SA may be useful for the improvement of stent patency and avoidance of food impaction.</P>
김형주,김상국,박홍배,박상후,이숭,장안수,최수인,양승원,서재평 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.2
The diagnostic criteria of Behcet' s disease - which requires the presence of recurrent oral ulceration plus any two of recurrent genital ulceration, typical defined eye lesions, typical defined skin lesions or a positive pathergy test - was proposed by the International Study Group for Behcet' s Disease (ISGBD). Intestinal Behcet' s disease most commonly affects the ileocecal region, but esophageal involvement of Behcet' s disease is rare, only 8 cases have previously been reported in Korea. A 23-year old female who had a 10-year history of recurrent oral and genital ulcer and recurrent erythematous skin eruption, was admitted to our hospital because of dysphagia and substernal pain. Endoscopic exami-nation showed multiple small sized ulcers on oral cavity and two diffuse deep ulcers surrounded with irregularly nodular and hyperemic edematous mucosa at distal esophagus. The pathologic finding was subepithelial accumulation of chronic inflammatory cells, especially around the vessels. So she was treated with steroid under the diagnosis of esophageal involvement of Behcet' s disease. She has been followed in improvement status without recurrence.