• Title/Summary/Keyword: Continuous Measurement

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A Study of Dose Stability at Low Monitor Unit Setting for Multiple Irradiated Field (다중 조사면 치료 시 기계적 입력치(MU)에 따른 선량적 안정성에 대한 연구)

  • Kim Joo-Ho;Lee Sang-Gyu;Shin Hyun-Kyung;Lee Suk;Na Soo-Kyung;Cho Jung-Hee;Kim Dong-Wook
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.2
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    • pp.155-160
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    • 2005
  • Purpose : Many authors have been introduced field in field technique and 3-D conformal radiotherapy that increased the tumor dose as well as decreased the dose of abutting critical organ. These technique have multiple beam direction and small beam segments even below 10 MU(monitor unit)for each field. we have confirmed the influence of low MU on dose output and beam stability. Materials and Methods : To study the dose output, the dose for each field was always 90MU, but it divided into different segment size: 1, 2, 3, 5, 10, 15 segments, 90, 45, 30, 18, 9, 6 MU the measurements were carried out for X-ray energy 4 MV, 6 MV, 10 MV of three LINAC(Varian 600C, 2100C, 2100C, 2100C/D), in addition each measurement was randomly repeated three times for each energy. To study the field symmetry and flatness, X-omat V films were irradiated. After being developed, films were scanned and analyzed using densitometer. Results : Influence of low MU on dose is slightly more increase output about $1.2{\sim}2.9%$ in cGy/mu than 90MU, but may not changed beam quality(flatness or symmetry), Output stability depends on dose rate(PRF)rather than beam energy, field size. Conclusion : Presented result are under the limits(out put<3%, flatness<${\pm}3%$, symmetry<2%). The 3 accelerators are safe to use and to perform conformal radiotherapy treatments in small segments, small MU around 10MU. but Even if the result presented here under the limits, continuous adjustments and periodic QA should be done for use of small MU

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Anticoagulation Management after Mitral Valve Replacement with the St. Jude Medical Prosthesis (승모판치환 환자의 항응혈제 치료)

  • 김종환;김영태
    • Journal of Chest Surgery
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    • v.31 no.12
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    • pp.1172-1182
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    • 1998
  • Background: Primary goal of anticoagulation treatment in patients with mechanical heart valve is the effective prevention of thromboembolism and safe avoidance of bleeding as well. Material and Method: Two-hundred and nine patients with the St. Jude Medical prosthesis operated on between 1984 and 1995, for mitral(MVR 122), aortic(AVR 39) and double mitral and aortic valve replacement(DVR 48) respectively, were studied on the practically achieved levels of anticoagulation and the clinical outcomes. Patients were on Coumadin and followed up by monthly visit to outpatient clinic for examination and prothrombin time measurement to adjust the International Normalized Ratios(INRs) within the low-intensity target range between 1.5 and 2.5. Result: A total anticoagulation follow-up period was 1082.0 patient- years(mean 62.1 months) and INRs of 10,205 measurements were available for evaluation. The accomplished INRs among the replacement groups were not significantly different and only 65% of INRs were within the target range. And, in individual patients, only 37% of patients had INRs included within the target range in more than 70% of tests during follow-up period. The levels of INRs in patients with atrial fibrillation, which was found in 57% of patients, were definitely higher than the ones measured in patients with regular rhythm(p<0.001). Thromboembolisms were experienced by 15 patients with the incidence of 1.265%/patient- year(MVR 1.412%, AVR 0.462% and DVR 1.531%/patient-year) and major bleeding by 4 patients with the incidence of 0.337%/patient-year(MVR 0.424%, AVR none and DVR 0.383%/patient-year). Frequent as well as prolonged missing of prothrombin time tests was the main risk factor strongly associated with the thromboembolic complications(odds ratio 1.99). The proportion of INRs within target range of less than 60% in individual patient was the highly significant risk factor of both thromboembolic and overall embolic and bleeding complications(p<0.004 and p<0.002 respectively). Conclusion: In conclusion, the low-intensity therapeutic target range of INRs was adequate in patients with AVR and in sinus rhythm. However, the patients with replacement of the mitral valve were more likely to require higher target range of INRs, especially in the presence of atrial fibrillation, to achieve the practical levels of anticoagulation enough to prevent thromboembolic complications effectively. For the higher therapeutic target range of INRs between 2.0∼3.0, further accumulation of clinical evidences are required. It is highly desirable to improve the patients' compliance under continuous instructions in visiting outpatient clinic and in taking daily Coumadin without omission and to keep INRs consistently within optimal range with tight control for minimization of chances and of periods of exposure to the risk of complications. And, particularly, patients with high risk of complications and with wide fluctuation of INRs should be better managed with frequent monitoring anticoagulation levels.

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THE ANTICANCER EFFECT OF PACLITAXEL($Taxol^{(R)}$) IN ORAL SQUAMOUS CELL CARCINOMA XENOGRAFT (이종 이식된 구강편평세포 암종에서 Paclitaxel ($Taxol^{(R)}$)의 항암 효과)

  • Kim, Ki-Hwan;Kim, Chul-Hwan;Han, Se-Jin;Lee, Jae-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.2
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    • pp.95-110
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    • 2006
  • The treatment for oral and maxillofacial carcinoma with chemotherapeutic agents is evaluated by many effective methods to reduce the tumor mass and cancer cell proliferation. However these chemotherapy have many serious side effects, such as bone marrow suppression, renal toxicity, G-I troubles. Therefore a possible approach to develop a clinically applicable chemotherapeutic agent is to screen anticancer activity of Taxol which is known to have very little side effect and have been used to breast cancer and ovarian carcinoma. Taxol is a new anti-microtubular anti-cancer agent extracted from the bark of the Pacific yew, Taxus brevifolia. Paclitaxel(Taxol) acts by promoting tubulin polymerization and over stabilizing microtubules agianst depolymerization. Despite the constant improvements of methods of the cancer treatment especially chemotherapy, the rate of cancer metastasis and recurrent are not decreased. Thus the investigation of new drug which have very little side effect and a possible clinically application continues to be a high priority. Considering that the Taxol have shown very effective chemotherapeutic agent with relatively low toxicity in many solid tumors, it deserves to evaluate its efficacy in oral squamous cell carcinoma. In this study, to investigate the in-vivo and in-vitro anti-cancer efficacy of Taxol in oral squamous cell carcinoma and lastly, the potency of Paclitaxel in the clinical application for oral cancer was evaluated. In vivo study, after HN22 cell line were xenografted in nude mice, the growth of tumor mass was observed, 3 mg/Kg taxol was injected intraperitoneally into nude mice containing tumor mass. The methods of these study were measurement of total volume of tumor mass, histopathologic study, immunohistochemical study, drug resistance assay, growth curve, MTT assay, flow cytometry, cDNA microarray in vivo and in vitro. The results were obtained as following. 1. The visual inspection of the experimental group showed that the volume of the tumor mass was slightly decreased but no significant difference with control group. 2. Ki-67 index was decreased at weeks 4 in experimental group. 3. Microscopic view of the xenografted tumor mass showed well differentiated squamous cell carcinoma and after Taxol injection, some necrotic tissue was seen weeks 4. 4. The growth curve of the tumor cells were decreased after 1day Taxol treatment. 5. According to the MTT assay, HN22 cell line showed relative drug resistancy above $5\;{\mu}g/ml$ concentrations of Taxol. 6. In drug resistance assay, the decrease of cell counts was seen relatively according to concentration. 7. In Flow cytometry, G2M phase cell arrests were seen in low concentration of the Taxol, while S phase cell arrests were seen in high concentration of the Taxol. 8. Using cDNA microarray technique, variable gene expression of ANGPTL4, TXNRD1, FAS, RRAGA, CTGF, CYCLINEA, P19, DUSP5, CEBPG, BTG1 were detacted in the oral squamous cell carcinoma cell after taxol treatment. In this study paclitaxel is effective against oral squamous cell carcinoma cell lines in vitro, but week effect was observed in vivo. So we need continuous study about anticancer effect of taxol in vivo in oral squamous cell carcinoma.

Performance Evaluation of K-based Solid Sorbents Depending on the Internal Structure of the Carbonator in the Bench-scale CO2 Capture Process (벤치급 CO2 포집공정에서 흡수반응기의 내부구조에 따른 K-계열 고체흡수제의 성능평가)

  • Kim, Jae-Young;Lim, Ho;Woo, Je Min;Jo, Sung-Ho;Moon, Jong-Ho;Lee, Seung-Yong;Lee, Hyojin;Yi, Chang-Keun;Lee, Jong-Seop;Min, Byoung-Moo;Park, Young Cheol
    • Korean Chemical Engineering Research
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    • v.55 no.3
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    • pp.419-425
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    • 2017
  • In this study, the performance characteristics of the K-based sorbents (KEP-CO2P2, KEPCO RI, Korea) has been studied in relation with the heat exchanger structure and shape in a mixing zone of the carbonator in the bench-scale dry $CO_2$ capture process. Two types of heat exchangers (different structure and shape) were used in the carbonator as CASE 1 and CASE 2, in which the experiment has been continuously performed under the same operating conditions. During the continuous operation, working temperature of carbonator was 75 to $80^{\circ}C$, that of regenerator was 190 to $200^{\circ}C$, and $CO_2$ inlet concentration of the feed gas was 12 to 14 vol%. Especially, to compare the dynamic sorption capacity of sorbents, the differential pressure of the mixing zone in the carbonator was maintained around 400 to 500 mm $H_2O$. Also, solid samples from the carbonator and the regenerator were collected and weight variation of those samples was evaluated by TGA. The $CO_2$ removal efficiency and the dynamic sorption capacity were 64.3% and 2.40 wt%, respectively for CASE 1 while they were 81.0% and 4.66 wt%, respectively for CASE 2. Also, the dynamic sorption capacity of the sorbent in CASE 1 and CASE 2 was 2.51 wt% and 4.89 wt%, respectively, based on the weight loss of the TGA measurement results. Therefore, It was concluded that there could be a difference in the performance characteristics of the same sorbents according to the structure and type of heat exchanger inserted in the carbonator under the same operating conditions.

Analysis of Dose by Items According to Act on Safety Control of Radiation Around Living Environment (생활주변방사선안전관리법 시행에 따른 항목별 선량 분석)

  • Jeong, Cheonsoo;Oh, Hyunji;Lee, Jieun;Jo, Sumin;Park, Sohyun
    • Journal of the Korean Society of Radiology
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    • v.7 no.6
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    • pp.377-381
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    • 2013
  • The study attempted to analyze items presented in Act on safety control of radioactive rays around living environment, which has been recently enacted. The test items have been divided into cosmic rays, cosmic rays, terrestrial radiation, and byproduct, etc., and the selected locations for measurement included an airplane at 8000m in the air, mountainous area at 1000m above sea level, 15m-underground building, construction site, and seashore at 0m altitude. The test showed that, based on cosmic rays, plane at 8000m in the air had 4.91mSv/y of effective dose per year. The mountainous area at 1000m above sea level, which was chosen to measure cosmic rays and terrestrial radiation, was measured 0.35mSv higher than the seashore at 0m in altitude due to the effect of cosmic rays and terrestrial radiation from the greater height above sea level. The construction site, chosen as a location to measure byproduct, showed the highest value among the items with 6.66mSv, which is as 10times high as that of a completed building. The seashore at 0m in altitude had 5.96mSv, and, 15m-underground building, based on terrestrial radiation, was the lowest with 4.91mSv. This suggests that, despite the assumption that terrestrial radiation will have greater effect deeper underground, it did not affect inside the building significantly. This study showed that the items presented in Act on safety control of radioactive rays around living environment were not close to effective dose limit for radiation workers proposed by ICRP. However, they were between 4 and 7 times higher than that for general public. This suggests that there should be continuous research on and attention to Safe Management of Daily Surrounding Radiation Act, which is still at its beginning stage.

Three dimensional GPR survey for the exploration of old remains at Buyeo area (부여지역 유적지 발굴을 위한 3차원 GPR 탐사)

  • Kim Jung-Bo;Son Jeong-Sul;Yi Myeong-Jong;Lim Seong-Keun;Cho Seong-Jun;Jeong Ji-Min;Park Sam-Gyu
    • 한국지구물리탐사학회:학술대회논문집
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    • 2004.08a
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    • pp.49-69
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    • 2004
  • One of the important roles of geophysical exploration in archeological survey may be to provide the subsurface information for effective and systematic excavations of historical remains. Ground Penetrating Radar (GPA) can give us images of shallow subsurface structure with high resolution and is regarded as a useful and important technology in archeological exploration. Since the buried cultural relics are the three-dimensional (3-D) objects in nature, the 3-D or areal survey is more desirable in archeological exploration. 3-D GPR survey based on the very dense data in principle, however, might need much higher cost and longer time of exploration than the other geophysical methods, thus it could have not been applied to the wide area exploration as one of routine procedures. Therefore, it is important to develop an effective way of 3-D GPR survey. In this study, we applied 3-D GPR method to investigate the possible historical remains of Baekje Kingdom at Gatap-Ri, Buyeo city, prior to the excavation. The principal purpose of the investigation was to provide the subsurface images of high resolution for the excavation of the surveyed area. Besides this, another purpose was to investigate the applicability and effectiveness of the continuous data acquisition system which was newly devised for the archeological investigation. The system consists of two sets of GPR antennas and the precise measurement device tracking the path of GPR antenna movement automatically and continuously Besides this hardware system, we adopted a concept of data acquisition that the data were acquired arbitrary not along the pre-established profile lines, because establishing the many profile lines itself would make the field work much longer, which results in the higher cost of field work. Owing to the newly devised system, we could acquire 3-D GPR data of an wide area over about $17,000 m^2$ as a result of the just two-days field work. Although the 3-D GPR data were gathered randomly not along the pre-established profile lines, we could have the 3-D images with high resolution showing many distinctive anomalies which could be interpreted as old agricultural lands, waterways, and artificial structures or remains. This case history led us to the conclusion that 3-D GPR method can be used easily not only to examine a small anomalous area but also to investigate the wider region of archeological interests. We expect that the 3-D GPR method will be applied as a one of standard exploration procedures to the exploration of historical remains in Korea in the near future.

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Net Primary Production Changes over Korea and Climate Factors (위성영상으로 분석한 장기간 남한지역 순 일차생산량 변화: 기후인자의 영향)

  • Hong, Ji-Youn;Shim, Chang-Sub;Lee, Moung-Jin;Baek, Gyoung-Hye;Song, Won-Kyong;Jeon, Seong-Woo;Park, Yong-Ha
    • Korean Journal of Remote Sensing
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    • v.27 no.4
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    • pp.467-480
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    • 2011
  • Spatial and temporal variabilities of NPP(Net Primary Production) retrieved from two satellite instruments, AVHRR(Advanced Very High Resolution Radiometer, 1981-2000) and MODIS(MODerate-resolution Imaging Spectroradiometer, 2000-2006), were investigated. The range of mean NPP from A VHRR and MODIS were estimated to be 894-1068 $g{\cdot}C/m^2$/yr and 610-694.90 $g{\cdot}C/m^2$/yr, respectively. The discrepancy of NPP between the two instruments is about 325 $g{\cdot}C/m^2$/yr, and MODIS product is generally closer to the ground measurement than AVHRR despite the limitation in direct comparison such as spatial resolution and vegetation classification. The higher NPP values over South Korea are related to the regions with higher biomass (e.g., mountains) and higher annual temperature. The interannual NPP trends from the two satellite products were computed, and both mean annual trends show continuous NPP increase; 2.14 $g{\cdot}C/m^2$/yr from AVHRR(1981-2000) and 6.08 $g{\cdot}C/m^2$/yr from MODIS (2000-2006) over South Korea. Specifically, the higher increasing trends over the Southwestern region are likely due to the increasing productivity of crop fields from sufficient irrigation and fertilizer use. The retrieved NPP shows a closer relationship between monthly temperature and precipitation, which results in maximum correlation during summer monsoons. The difference in the detection wavelength and model schemes during the retrieval can make a significant difference in the satellite products, and a better accuracy in the meterological and land use data and modeling applications will be necessary to improve the satellite-based NPP data.

Evaluation of the Sealing Capacity of the Supercritical CO2 by the Measurement of Its Injection Pressure into the Tuff and the Mudstone in the Janggi Basin (초임계이산화탄소(scCO2) 주입압력 측정에 의한 장기분지 응회암과 이암의 scCO2 차폐능 평가)

  • An, Jeongpil;Lee, Minhee;Wang, Sookyun
    • Economic and Environmental Geology
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    • v.50 no.4
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    • pp.303-311
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    • 2017
  • The laboratory scale experiment was performed to evaluate the sealing capacity of the capping rock such as tuff and mudstone, measuring the intial supercritical $CO_2$ ($scCO_2$) injection pressure and the $scCO_2$-water-rock reaction for 90 days. The drilling cores sampled from 800 m in depth around the Janggi basin, Korea were used for the experiment. The mineralogical changes of mudstone and tuff were measured to evaluate the geochemical stability during the $scCO_2$-water-rock reaction at $CO_2$ storage condition (100 bar and $50^{\circ}C$). The rock core was fixed in the high pressurized stainless steel cell and was saturated with distilled water at 100 bar of pore water pressure. The effluent of the cell was connected to the large tank filled with 3 L of water and 2 L of $scCO_2$ at 100 bar, simulating the subsurface injection condition. The $scCO_2$ injection pressure, which was higher than 100 bar, was controlled at the influent port of the cell until the $scCO_2$ begin to penetrate into the rock and the initial injection pressure (> 100 bar) of $scCO_2$ into the rock was measured for each rock. The mineralogical compositions of mudstones after 90 days reaction were similar to those before the reaction, suggesting that the mudstone in the Janggi basin has remained relatively stable for the $scCO_2$ involved geochemical reaction. The initial $scCO_2$ injection pressure (${\Delta}P$) of a tuff in the Janggi basin was 15 bar and the continuous $scCO_2$ injection into the tuff core occurred at higher than 20 bar of injection pressure. For the mudstone in the Janggi basin, the initial $scCO_2$ injection pressure was higher than 150 bar (10 times higher than that of the tuff). From the results, the mudstone in Janggi basin was more suitable than the tuff to shield the $scCO_2$ leakage from the reservoir rock at subsurface.

Computer Aided Diagnosis System for Evaluation of Mechanical Artificial Valve (기계식 인공판막 상태 평가를 위한 컴퓨터 보조진단 시스템)

  • 이혁수
    • Journal of Biomedical Engineering Research
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    • v.25 no.5
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    • pp.421-430
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    • 2004
  • Clinically, it is almost impossible for a physician to distinguish subtle changes of frequency spectrum by using a stethoscope alone especially in the early stage of thrombus formation. Considering that reliability of mechanical valve is paramount because the failure might end up with patient death, early detection of valve thrombus using noninvasive technique is important. Thus the study was designed to provide a tool for early noninvasive detection of valve thrombus by observing shift of frequency spectrum of acoustic signals with computer aid diagnosis system. A thrombus model was constructed on commercialized mechanical valves using polyurethane or silicon. Polyurethane coating was made on the valve surface, and silicon coating on the sewing ring of the valve. To simulate pannus formation, which is fibrous tissue overgrowth obstructing the valve orifice, the degree of silicone coating on the sewing ring varied from 20%, 40%, 60% of orifice obstruction. In experiment system, acoustic signals from the valve were measured using microphone and amplifier. The microphone was attached to a coupler to remove environmental noise. Acoustic signals were sampled by an AID converter, frequency spectrum was obtained by the algorithm of spectral analysis. To quantitatively distinguish the frequency peak of the normal valve from that of the thrombosed valves, analysis using a neural network was employed. A return map was applied to evaluate continuous monitoring of valve motion cycle. The in-vivo data also obtained from animals with mechanical valves in circulatory devices as well as patients with mechanical valve replacement for 1 year or longer before. Each spectrum wave showed a primary and secondary peak. The secondary peak showed changes according to the thrombus model. In the mock as well as the animal study, both spectral analysis and 3-layer neural network could differentiate the normal valves from thrombosed valves. In the human study, one of 10 patients showed shift of frequency spectrum, however the presence of valve thrombus was yet to be determined. Conclusively, acoustic signal measurement can be of suggestive as a noninvasive diagnostic tool in early detection of mechanical valve thrombosis.

A Comparative Study on Knowledge of Hypertension and Blood Parameters Between a Well-Controlled Hypertension Group and an Uncontrolled Hypertension Group Commuting to a Public Health Center (보건소의 혈압이 조절되는 고혈압 환자와 조절되지 않는 고혈압 환자의 고혈압관련 지식 및 혈액성상)

  • Cho, Kyung-Ok
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.10
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    • pp.1287-1292
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    • 2007
  • The purpose of this study was to compare knowledge on hypertension and blood parameters through blood pressure control of hypertensive patients commuting to a public health center. Hypertensive subjects were classified according to their blood pressures into a well-controlled group (SBP<140 mmHg and DBP<90 mmHg, n=44) and an uncontrolled group ($SBP\geq140mmHg\;or\;DBP\geq90mmHg$, n=41). All subjects were interviewed for clinical characteristics, effort for health maintenance and knowledge on hypertension and nutrition. Biochemical measurement of blood urea nitrogen, creatinine, triglyceride, total cholesterol, HDL-cholesterol and fasting blood glucose (FBG) were obtained from subjects. The knowledge about hypertension and effort for health maintenance were not significantly different between the groups. However, the nutrition knowledge score of the well-controlled group was significantly higher (p<0.05) than that of the uncontrolled group. On the test of nutrition knowledge, 97.7% of the well-controlled group answered correctly to the item, 'Medication is an easy way to control blood pressure'. This result was significantly higher (p<0.05) than that of the uncontrolled group of whom 82.9% answered correctly. Participants in both groups had only a little understanding about the importance of a balanced diet. Blood parameters were in the normal range and there was not a significant difference between the groups. However total cholesterol, triglyceride and fasting blood glucose levels of the uncontrolled group were higher than those of the well-controlled group. Therefore, education programs about the continuous control of hypertension through careful monitoring, medication, and exercise are required. The uncontrolled group was especially in need of strengthening education. Also more effective nutrition education programs about low salt, high fiber, low cholesterol, and balanced diets are required for hypertensive patients commuting to public health center.