• Title/Summary/Keyword: 부상병

Search Result 26, Processing Time 0.042 seconds

Analysis of the medication compliance of hypertensives and its influential factors (고혈압 환자의 투약순응도와 영향 요인 분석)

  • Son, Kyung-Ae;Kim, Yoon-Shin;Hong, Min-Hee;Jeong, Mi-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.11 no.5
    • /
    • pp.1897-1904
    • /
    • 2010
  • The administration data of the national health insurance and health insurance bills were utilized in this study. The data of 432,915 patients who were at the age of 30 and up and used the out-patient departments of every medical institution located in some regions involving two southern and northern provinces once or more during a 184-day period from July to December. As a result of analyzing their prescription compliance and factors affecting it, the following findings were given: The average rate of the prescription compliance of the patients stood at 61.5 percent. It denoted that they were prescribed to take medicine for approximately 113 days during the six-month(184 days) period of time, and the rate of the patients who complied with the prescriptions just stood at 13.0 percent. They used out-patient department for 4.3 days on the average due to hypertension and they visited 1.1 medical institutions on the average. 94.9 percent just used a medical institution. The largest group (11.6%) suffered from diabetes as co-morbidity, and 23.3 percent of the hypertensives had co-morbidity. Concerning the relationship between their characteristics and prescription compliance, those who were male, who were beneficiaries of the national health insurance, who mainly used general hospitals and who suffered from co-morbidity complied better with the prescription they got. Their prescription compliance got better at the age of 65 to 74 and got worse afterwards. As for factors affecting their prescription compliance, the patients who were male, who were aged between 55 and 64 and who were beneficiaries of the national health insurance, who mainly used specialized general hospitals, general hospitals and public health centers and who had heart diseases and diabetes as co-morbidity complied better with the prescriptions. The above-mentioned findings of the study suggested that it's needed to make a factor analysis of the poor prescription compliance of patients from diverse angles, and that existing hypertension care plans should carefully be reviewed to improve the prescription compliance of patients and to find a feasible alternative. As hypertensives are easily likely to develop co-morbidity like diabetes, systematic health education should be provided for them to get into the right life habits such as taking low-salt meals or quitting smoking. In addition, the development of health care programs is required.

A Study on the Separation of Food-Waste Leachate into 3 Phases (음식물쓰레기 탈리액의 삼상분리)

  • Kim, Sangguk;Jeong, Minji;Kwon, Hyolee
    • 한국신재생에너지학회:학술대회논문집
    • /
    • 2010.11a
    • /
    • pp.197-197
    • /
    • 2010
  • 음식물쓰레기의 삼성분은 수분, 휘발분, 회분이며 이들이 차지하는 비율은 계절, 지역별로 다소 상이하지만 수분 약 80%, 회분3%, 휘발분 17%이다. 음식물쓰레기 전처리과정으로 이물질제거, 탈수공정이 있으며 탈수공정에서 다량의 탈리액이 발생한다. 본 연구에서는 탈리액을 데칸타를 이용하여 1차로 원심분리하여 고.액 분리한 액을 실험대상으로 하였다. 실험대상 탈리액의 물성은 BOD 78,800[mg/l], COD 41,000[mg/l], 부유물질 25,900[mg/l], 총질소 928[mg/l]이었다. 탈리액에는 기름성분(육류, 식용유등), 입자상물질등이 포함되어 있으며 이들은 난분해성 유기물질로, 이를 제거하는데 기존의 처리방법으로 많은 어려움이 있어 주요한 수질오염 발생원이 되고 있다. 예를들면 하수처리장 폭기조 수면에 유막을 형성하여 산소공급을 방해함으로 미생물번식을 방해하는 요인이 된다. 본 연구는 음식물쓰레기 탈리액의 수분, 고형분, 유분으로의 삼상분리에 관한 것이다. 유분은 에멀젼형태로 안정되게 수층에 분산되어 존재한다. 미세기포를 이용한 부상법의 경우 미세기포 표면과 유분의 화학적친화력이 낮아 기포표면에 유분이 잘 부착되지 않으며, 원심분리 방법만으로는 유분 분리효율이 낮고, 추출에 의한 분리시 추출액이 다량 소요되고 처리시간이 길며 추출액 비용이 많이 소요된다. 탈리액을 유분, 슬러지, 수분으로 분리하면 환경오염을 일으키는 주요성분을 신재생에너지 원료로 활용할 수 있다. 유분의 주성분이 동식물성 유지이므로 전처리시 산촉매를 이용 수분과 유리지방산을 제거하고 염기성촉매를 이용하여 전이에스테르화 반응을 거치면 바이오디젤인 FAME과 글리세롤으로 변환하므로 글리세롤을 분리하면 바이오디젤을 얻을 수 있다. 슬러지는 입자상 물질로 착화가 잘 되고 건조하면 발열량이 높으며 중금속등에 오염되지 않아 청정연료로 활용이 가능하다. 실험실에서의 탈리액 삼상분리방법은 다음과 같다. 탈리액 30ml당 추출액으로 노말헥산을 1ml를 가한 다음 플라스크에서 $80^{\circ}C$로 가열 후 방냉한다. 가열중 노말헥산의 손실을 방지하기 위하여 증발가스를 콘덴서에서 응축하여 플라스크로 재순환한다. 탈리액을 플라스크에서 꺼내어 원심분리기 rack에 300-400g씩 병에 각각 넣고 4,000rpm으로 30분간 운전한다. 탈리액은 상부로부터 유분층, 미세입자층, 수층, 슬러지층으로 분리된다. 각 층의 계면에서 2종의 성분이 약간 섞일 수 있다. 유분을 분리한 후 유분층 잔존물과 미세입자층, 수층 상층부의 혼합물을 취하여 50g씩 병에 넣고 3,500rpm으로 10분간 운전한 후 유분을 분리한다. 마지막으로 미세입자층만을 3,500rpm으로 10분간 원심분리한 후 유분을 따로 분리한다. 얻어진 유분은 rotary evaporator에서 $120^{\circ}C$로 가열하여 유분과 노말헥산을 분리하며 분리효율을 제고하기 위하여 감압하에서 운전한다. 분리된 유분의 고위발열량이 9,450[Kcal/kg]이었으며 원소분석 결과 탄소 74.7%, 수소 12.55%, 질소 0.08%, 유황분 0.0003%이었다. 분리된 유분의 양은 계절별로 시료별로 다르며 가을철에는 1.6-1.9%, 여름철은 1.0-1.3%이었다. 분리된 슬러지로부터 Hg, As, Cr, Cd, Pb 중금속 성분이 검출되지 않았으며 수분 2.8%, 휘발분 76.85%, 회분 7.52%, 고정탄소 12.83%이었고 원소분석결과 탄소 45.25%, 수소 7.46%, 질소 5.05%, 산소 34.39%, 유황분 0.33%이었으며 저위발열량은 4,480[Kcal/kg]이었다. 분리된 슬러지 양은 11-19% 이었다.

  • PDF

장개빈(張介賓)의 육십사괘(六十四卦) 방원도(方圓圖)에 대한 천발(闡發);장개빈(張介賓)의 육십사괘(六十四卦) 방원도(方圓圖)에 대한 천발(闡發)

  • Yun, Chang-Yeol
    • Journal of Korean Medical classics
    • /
    • v.19 no.4
    • /
    • pp.182-192
    • /
    • 2006
  • 통과대복의육십사괘차서도(通過對伏義六十四卦次序圖), 방도(方圖), 원도적연구(圓圖的硏究), 이급장개빈대육십사괘방원도중소천발적의역학내용적연구(以及張介賓對六十四卦方圓圖中所闡發的醫易學內容的硏究), 득출여하결론(得出如下結論): 1. 육십사괘적생성원리중(六十四卦的生成原理中), 존재소강절적일분위이법설화번사전적일정팔회설(存在邵康節的一分爲二法設和繁辭傳的一貞八悔說), 이사지횡향배열적도(而使之橫向排列的圖), 칭위복의육십사괘차서원(대횡도)(稱爲伏義六十四卦次序圓(大橫圖)). 종차원(從此圓), 가청초지효육십사괘적생성근원(可淸楚知曉六十四卦的生成根源). 2. 복의육십사괘원도(伏義六十四卦圓圖), 파대횡도분위료양부분(把大橫圖分爲了兩部分), 즉전삼십이괘종좌상방향하진행료배치(卽前三十二卦從左上方向下進行了配置), 이후삼십이괘종우상방향하원형진행료배치(而後三十二卦從右上方向下圓形進行了配置). 차원이자오묘유위중심청초지현시출료양시(자)(此圓以子午卯酉爲中心淸楚地顯示出了陽始(子)), 양진(묘)(陽辰(卯)), 양극(오)(陽極(午)). 음시(오)(陰始(午)), 음진(유)(陰辰(酉)), 음극(자)등적상(陰極(子)等的象), 체현료천도순환적도리(體現了天道循環的道理). 3. 복의육십사괘방원(伏義六十四卦方圓), 야유래어대횡도(也由來於大橫圖), 역체현료지도원리급선천법상적자연지묘(亦體現了地道原理及先天法象的自然之妙). 4. 복의육십사괘방위원시근거천지지리(伏義六十四卦方位圓是根據天地之理), 재복의육십사괘원도내배치료복의육십사괘방원(在伏義六十四卦圓圖內配置了伏義六十四卦方圓). 저시유주자수차배치적(這是由朱子首次配置的). 원도이원형진행료배치(圓圖以圓形進行了配置), 중공상태체현료천지순환적질서(中空狀態體現了天之循環的秩序), 이방도이방형진행료배치(而方圖以方形進行了配置), 중간충실체현료지지존재적상태(中間充實體現了地之存在的狀態), 기작용균시어중심부(基作用均始於中心部). 방원도중포함착일개월적변화(方圓圖中包含着一個月的變化), 일년적운행(一年的運行), 129,600년지우주일년적변화(年之宇宙一年的變化), 천지적종시(天地的終始), 인물적생사(人物的生死), 고금세변적원리등(古今世變的原理等). 5. 장개빈확립료용역학원리해석의학적의역학(張介貧確立了用易學原理解釋醫學的醫易學), 파육십사괘방원여인체진행결합작료천발(把六十四卦方圓與人體進行結合作了闡發). 기일(基一), 기인위육십사괘원도적중심시태극(基認爲六十四卦圓圖的中心是太極), 차부상당어인체지심, 이건남곤북화리동감서(而乾南坤北和離東坎西), 분별대응어상수하복화좌우이목(分別對應於上首下腹和左右耳目). 기이(基二), 원도이사등분적사상(圓圖以四等分的四象), 파인생분위료사분(把人生分爲了四分), 병분별진행료배속(幷分別進行了配屬). 저설명료파육십사괘여 "소문·상고천진론" 중이팔수위변적장부원리(這設明了把六十四卦與『素問·上古天眞論』中以八수爲變的丈夫原理), 소진행적배속관계(所進行的配屬關係). 기삼(基三), 기인위재원도중(基認爲在圓圖中), 여동양시생적복괘(천근)여음시생적구괘(월굴), 相互交替進行循環一樣, 인적생장쇠로적도리화일일중오매적도리시일양적(人的生長衰老的道理和一日中寤寐的道理是一樣的). 기사(基四), 기재원도중(基在圓圖中), 이천양재남화천부족서북(以天陽在南和天不足西北), 래설명료건재남화곤재북적도리(來說明了乾在南和坤在北的道理), 병재방토중이지강재북화지불만동남(幷在方土中以地剛在北和地不滿東南), 래설명료건재서북화건재동남적도리, 이육십사괘적원리여의학밀접결합, 대지진행료설명(對之進行了說明).

  • PDF

Effect of Quercus acutissima CARRUTHERS Extracts on the Lipid Metabolism (도토리추출물이 흰쥐의 체내 지질대사에 미치는 영향)

  • Sung, In-Suk;Kim, Myung-Joo;Cho, Soo-Yeul
    • Journal of the Korean Society of Food Science and Nutrition
    • /
    • v.26 no.2
    • /
    • pp.327-333
    • /
    • 1997
  • This study was conducted to investigate the effect of Quercus acutissima CARRUTHERS extracts on lipid metabolism. Sprague-Dawley male rats$(110{\pm}10g)$ were fed on containing normal and high fat diets. They were orally administrated(0.02g/100g B.W.) of Quercus aculissima CARRUTHERS ethylacetate-extract and water-extract at the same time once a day respectively. The rats were sacrificed after 6 weeks of feeding periods. In high fat diet group, liver and heart weight were increased but kidney weight was decreased. Contents of total lipid, triglyceride and phospholipid were increased in high fat diet groups. But the degree of increment was reduced by administration of Quercus acutissima CARRUTHERS extracts and water extract was more effective. Significant decrease in serum total lipid content by administration Quercus acutissima CARRUTHERS extracts was not due to decrease of triglyceride content but total cholesterol content. Whereas HDL-cholesterol content was significantly decreased in high fat diet group and improved by administration of Quercus acutissima CARRUTHERS extracts. Total lipid, triglyceride and total cholesterol contents in liver were also increased in high fat diet group but phospholipid content was significantly decreased. The results indicate that Quercus acutissima CARRUTHERS extracts were effective in preventing hyperlipidemia and water extract was more effective.

  • PDF

Effect of Aster scaber and Ixeris dentata on Contractility and Vasodilation of Cardiovascula and Endothelial Cell in Hyperlipidemic Rat (참취 및 씀바귀 첨가식이가 고지혈증 흰쥐의 심혈관 수축과 이완 및 혈관내피세포에 미치는 영향)

  • Lim, Sang-Sun;Lee, Jong-Ho
    • Journal of the Korean Society of Food Science and Nutrition
    • /
    • v.26 no.2
    • /
    • pp.300-307
    • /
    • 1997
  • The effects of Aster scaber and Ixeris dentata on cadiovascular system in hyperlipidemic rats were examined. Five groups of thirty Sprague Dawley rats were fed with the diet contained 1% cholesterol, 0.25% sodium cholate, 10% coconut oil and 5% lard(control group) for 4 weeks. Each experimental diet group was added with 5% plant powder or extract of the 5% plant powder by dry weight. Contractile or relaxation responses in the isolated artria and thoracic aortae were measured and the morphological changes of the aortic endotherium from the rats fed the experimental diet were inspected. In response to isoproterenol, the number of right atrial spontaneous beat was significantly lower in Cham chyi powder group$(PP_{1})$ and Sumbagui powder group$(PP_{2})$ than control at $10^(-8)M$ concentration. The contraction forces by injection of phenylephrine and calcium in isolated thoracic aorta were significantly low in each experimental groups compared with the control. The relaxation rates by acetylcholine represented comparatively higher value in $PP_{1}$ than control. The morphological changes of endothelial cell surface was a little in $PP_{1}$ and $PP_{2}$ compared with control, while the damages were considerably advanced in Cham chyi and Sumgbagui extract diet group$(PE_{1},\;PE_{2})$.

  • PDF

Morphological and Growth Characteristics of Collected Coix lacryma-jopbi mayuen STAF in Korea (율무 국내수집종(國內蒐集種)의 형태(形態) 및 생육(生育) 특성(特性))

  • Lee, Hyo-Sung;Kim, Ki-Jung;Lee, Eun-Sub;Song, Byung-Yurl
    • Korean Journal of Medicinal Crop Science
    • /
    • v.5 no.1
    • /
    • pp.56-61
    • /
    • 1997
  • This research was conducted to investigate morpological and growth characteristics of 358 Coix lacryma-jopbi mayuen STAF collected in Korea. The test collections contained 76% medium wide-type leaf, 59% medium size-type seed, 34% large size-type seed, 70% elliptical-type shell, 50% brown shell color, 92% low stem color and hardness of seed coat averaged $3.4kg/cm^2$ with the range of $1.1{\sim}18.7kg/cm^2$. 24% adaptable plant height ranged from 156cm to 170cm, days to heading after seeding averaged 83.2% with the range of $74{\sim}94$ days, early maturating varietes was 24.9% below 80 days. Rate to leaf blight 48.5% with the range of $9{\sim}92%$ and rate to stem borer averaged 8% with the range of $0{\sim}17%$. The weight of 1000 seeds showed positive correlation with days to flowering and plant height and number of seeds per plant showed positive corrleation with percentage of ripness, but weight of 1000 seeds showed negative correlation with occurrence of leaf blight and stem borer plant. Therefore we are expecting useful germplasm and selectable index for effective breeding.

  • PDF