• Title/Summary/Keyword: Examination stress

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Chicken consumption and insulin resistance in non-diabetic older adults

  • Yeum, Kyung-Jin;Kim, Young-Sang;Joo, Nam-Seok
    • Journal of Nutrition and Health
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    • v.53 no.4
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    • pp.356-368
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    • 2020
  • Purpose: Histidine-containing dipeptides, which are rich in chicken, have been reported to reduce the risk of metabolic abnormalities via anticarbonylation mechanism in animal models. To determine the effect of dietary histidine-containing dipeptides on metabolic risk factors in humans, the relation between chicken consumption and insulin resistance were determined in a population consuming high carbohydrate and low protein. Methods: A total of 7,183 subjects (2,929 men and 4,254 women) aged ≥ 50 years from the Korea National Health and Nutrition Examination Survey (KNHANES) were divided into three groups according to chicken consumption (rarely, monthly, and weekly), and evaluated for the metabolic risk factors using homeostasis model assessment for insulin resistance (HOMA-IR) and quantitative insulin sensitivity check index (QUICKI) in this cross-sectional study. The fourth and fifth (IV-1-3 & V-1) KNHANES, which had blood insulin data, were chosen for the current study. Results: The chicken consumption was significantly associated with insulin (p for trend = 0.018) and HOMA-IR (p for trend = 0.023) in men. In particular, the 'weekly' chicken consuming men in the lowest tertile (< 65.0%) of carbohydrate intake group had significantly lower HOMA-IR (p for trend = 0.033) and higher QUICKI (p for trend = 0.043) than the 'rarely' intake group. In addition, the odds ratio for abnormal HOMA-IR was 0.55 (95% confidence interval [CI], 0.31-0.99) and QUICKI was 0.47 (95% CI, 0.26-0.86) for the 'weekly' chicken consuming group. Conclusion: The 'weekly' chicken consumption had a beneficial effect on insulin resistance and it may partially be due to the major bioactive components in chicken, histidine-containing dipeptides.

A CASE OF 11-YEAR-OLD GIRL WITH PSYCHOGENIC SEIZURE (11세 여아의 심인성 발작 1례)

  • Noh, Kyung-Sun;Sohn, Seok-Han
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.144-149
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    • 2000
  • A psychogenic seizure is a disorder which is occasionally met by neurologists and psychiatrists. The most important thing that clinicians should do is differential diagnosis with true epileptic seizures. Especially psychiatrists are expected to be able to diagnose psychogenic seizures through a thorough history taking and an observation of clinical features to some degree before the confirmatory diagnoses. We experienced a case of 11-year-old girl with psychogenic seizure which was characterized by obvious psychological and environmental stress, clinical features, and good outcome by prompt a loboratoy examination and psychiatric intervention. To diagnose and treat childhood psychogenic seizures, we suggest that it is very important to examine the familial background and take a thorough history, and perform psychoeducational intervention in addition to electroencephalogram.

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Analysis of Levels of Health-related Quality of Life and Its Related Factors of Traditional Market Merchants (전통시장 상인의 건강 관련 삶의 질 수준 및 관련요인 분석)

  • Shin, Keung-Mi;Bae, Young-Sil
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.437-448
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    • 2019
  • Purpose: The purpose of this study was to identify levels of health-related quality of life (EQ-5D) and its related factors among merchants in traditional markets. Methods: A cross-sectional design was used. Data were collected through questionnaires and physical examination on blood pressure, blood glucose, total cholesterol and BMI between February 12 and April 13, 2018. The participants were 175 merchants from two traditional markets in U. Metropolitan city. The data were analyzed with descriptive statistics, t-test, ANOVA and multiple regression analysis using the SPSS/WIN 22.0 program. Results: Levels of health-related EQ-5D were significantly different according to demographic characteristics, smoking status, exercise, total cholesterol, BMI, subjective health status, stress, and depression. The EQ-5D related factors were variables that had significant influence on subjective health status (β=.30, p<.001), gender (β=.27, p<.001), BMI (β=-.16, p=.012), depression (β=-.17, p=.010), and working period (β=-.15, p=.021). They explained 27.2% of the total variance of health-related quality of life (F=13.91, p<.001). Conclusion: The findings of this study indicated that disease prevention and health management is essential for merchants who work in traditional markets to promote their health-related quality of life. For better merchants outcome, the intervention program should consider factors that are subjective health status, gender, BMI, depression, and working period in order to improve levels of EQ-5D.

A study of the factors influential on a health-related quality of life using complex sample design (복합표본 설계를 이용한 건강관련 삶의 질에 영향을 미치는 요인에 관한 연구)

  • Park, Cheolyong;Choi, Hyun Seok
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.4
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    • pp.829-846
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    • 2014
  • Using complex sample design, this article analyzes the difference between sex and age groups of mental health, physical activity, suffering lifestyle diseases, drinking, and smoking using the fifth Korea national health and nutrition examination survey data (2011-2012), and then analyzes the effect of mental health, physical activity, suffering lifestyle diseases, drinking, and smoking on EQ-5D, a measure of health-related quality of life. The results show that mental health, physical activity, suffering lifestyle diseases, drinking and smoking are statistically different among gender and age groups, and that age group, education level, suffering diabetes, recognizing stress, thinking suicide are statistically influential on EQ-5D.

The Role of Selected Health-Related Behaviors in the Socioeconomic Disparities in Oral Health among Adults (성인 구강건강수준의 사회경제적 불평등에서 일부 구강건강관련 행태 요인의 역할)

  • Lee, Weon-Young
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.129-140
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    • 2009
  • Objectives: This study aimed to examined the socioeconomic disparities in oral health related behaviors and to assess if those behaviors eliminate socioeconomic disparities in oral health in a nationally representative sample of adults aged 30-64. Methods: Data are from the Korea Third National Health and Nutrition Examination Survey (2005). Behaviors were indicated by smoking, over intake of daily calories from carbohydrate, perceived stress, frequency of daily tooth brushing, use of oral hygiene goods, insufficient oral treatment. Oral health outcomes were self-reported dental caries and periodontitis during the last 12 months and perceived oral health. Education, household income, and employed status indicated socioeconomic position. Sex, age, residential area, marital status were adjusted for in the logistic regression analysis. Logistic regression analysis was used to assess socioeconomic disparities in behaviors. Logistic regression model adjusting and not adjusting for behaviors were compared to assess the change in socioeconomic disparities in oral health. Results: Clear socioeconomic disparities in all behaviors were showed. After adjusting for behaviors, the association between oral health and socioeconomic indicators attenuated but did not disappear. For example, the odd ratios of reporting poorer oral health for persons in no education or elementary school education and middle school education groups, compared with college or higher education group, were 1.77 (95% CI: 1.36-2.29) and 1.56 (1.19-1.97), respectively. After adjusting for all indicators of behaviors, these odds ratios attenuated to 1.54 (1.17-2.03) and 1.48 (1.15-1.91) for those groups, respectively. Conclusion: These findings suggest that the presence of more complex determinants of socioeconomic disparities in oral health should be considered with developing preventive policies for those disparities.

A convergence study on the relationships of alcohol consumption patterns to mental distress and self-rated health (성인 음주자의 음주 패턴에 따른 정신건강과 주관적 건강상태에 대한 융합적 연구)

  • Lee, Eun-Sook;Cho, Hye-Chung
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.319-328
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    • 2020
  • The purpose of this study is to assess the relationships of alcohol consumption patterns to mental distress and self-rated health. Data of 19,856 adult drinkers over 19 years of age and older from the Korea National Health and Nutrition Examination Survey were evaluated by multivariate logistic regression analysis. Risks of experiencing perceived high stress, depressive symptoms and suicidal thoughts were higher in alcohol use disorder group in male, whereas the risks were higher in both alcohol use disorder and hazardous drinking groups in female, reflecting higher susceptibility to mental distress. In both male and female, former drinkers presented poor self-rated health compared with low-risk drinkers, although no difference was found in the prevalence of mental distress. Specialized mental health management measures for female drinkers are required, and former drinkers are suggested to be assessed separately from never or low-risk drinkers for their physical and mental health status.

A Study on Determining Factors for the Aged Parents Supporting Married Women's Intention of Moving into a Welfare Facility (노부모 부양 기혼여성의 노인복지시설입주 예측 요인에 관한 연구)

  • Kang, Hyun-Jung;Kim, Yun-Jeong
    • The Korean Journal of Community Living Science
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    • v.17 no.4
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    • pp.97-112
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    • 2006
  • For 387 married women in their 20s to 50s, we inquired about the differences in whether they intended on moving into a welfare facility, depending on their views on supporting the elderly and the burden of supporting elderly parents, and tried to find out factors that would affect their decision to move into a welfare facility. With those objectives in mind, we conducted a survey targeting married women in their 20s to 50s who live in Seoul, Daejun or a city or county in Choongnam-do, and carried out frequency analysis, intersection analysis, one-way ANOVA and judge analysis. Our findings from those analyses are summarized as follows. First, when considering married women's characteristics and examining their intention of moving into a welfare facility for the elderly, there was a meaningful difference in their intention depending on age, academic background, occupation, and area of residence. Second, our analysis of the differences in their intention of moving in, based on married women's view on supporting the elderly and the burden of supporting elderly parents, indicates that due to these responsibilities, the greatest number of married women expressed their intention of moving in if a convenient facility for the elderly and service were provided. However, the analysis for the intention of moving in depending on savings for old age, did not exhibit any meaningful difference. Third, from the examination of determining factors for married women's intention of moving into a welfare facility for the elderly, based on age, academic background, occupation, residential area, responsibility for supporting an elderly family member and savings for old age, it was found that the burden of support was the only meaningful effective factor.

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Quatification of Flavonoid Contents in Chungsimyeonja-tang, a Multi-Herbal Decoction, and Its Protective Effect against Cisplatin-induced Nephrotoxicity

  • Kim, Young-Jung;Kim, Tae-Won;Seo, Chang-Seob;Park, So-Ra;Ha, Hyekyung;Shin, Hyeun-Kyoo;Jung, Ju-Young
    • Natural Product Sciences
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    • v.20 no.4
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    • pp.251-257
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    • 2014
  • Chungsimyeonja-tang (CSYJT) is an herbal decoction that consists with 12 herbal medicines. CSYJT has been shown to have anti-stress, anti-allergic and anti-oxidant effects. The aim of this study was to determine flavonoid contents in CSYJT and evaluate its protective effect against cisplatin induced nephrotoxicity using both in vitro (porcine renal epithelial cell; PK15 cell) and in vivo (Sprague Dawley rat) experiments. In the present study, thee mean contents of baicalin, wogonoside and baicalein in CSYJT were 14.65, 5.27 and 0.02 mg/g, respectively. The CSYJT extract treatment attenuated the following alteration in porcine renal epithelial (PK15) cell: the increase in reactive oxygen species (ROS), the glutathione depletion and the increase in p53 expression induced by cisplatin treatment. In the in vivo study, rats were orally treated with CSYJT extract once a day for 28 days. Five days before the last treatment, cisplatin (5 mg/kg) was intraperitoneally injected to induce acute renal failure. Increased blood urea nitrogen (BUN) and creatinine (CRE) levels after cisplatin treatment were ameliorated by pretreatment of CSYJT extract. In addition, lipid peroxidation was decreased and antioxidant enzyme (glutathione) was recovered in CSYJT pretreated kidney tissue. In histopathological examination, CSYJT pretreated group showed ameliorated pathological alteration after cisplatin injection with decreased apoptosis. Taken together, pretreatment of CSYJT could ameliorate cisplatin-induced nephrotoxicity.

The Convergent Influence of Social Awareness and Health Status on Social Support in Korean Echo Generation (에코세대의 사회인식 및 건강상태가 사회적지지에 미치는 융복합적 영향)

  • Song, Hyo-Jeong;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.247-256
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    • 2017
  • The purpose of this study was to identify the convergent influence of social awareness and health status on social support in Korean echo generation by using Korea adult psycho-social anxiety survey data. Korea adult psycho-social anxiety survey data were collected from August to September 2015 and included 1,653, who responded to the question regarding social support. The data were analyzed by t-test, chi-square and hierarchial multiple regression using SPSS WIN 23.0 program. The mean score of social support was 19.60. The influencing factors on social support were neighborhood relations, perceived class, euphoria, equality in society, stability in society, self Esteem, communication, and stress, respectively. Therefore, it is necessary to establish strategies to strengthen social support of echo generation. A more careful examination may be warranted.

Effect of Lipopolysaccharide (LPS) Exposure on the Reproductive Organs of Immature Female Rats

  • Yoo, Da Kyung;Lee, Sung-Ho
    • Development and Reproduction
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    • v.20 no.2
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    • pp.91-99
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    • 2016
  • Lipopolysaccharide (LPS), an endotoxin, elicits strong immune responses in mammals. Several lines of evidence demonstrate that LPS challenge profoundly affects female reproductive function. For example, LPS exposure affects steroidogenesis and folliculogenesis, resulting in delayed puberty onset. The present study was conducted to clarify the mechanism underlying the adverse effect of LPS on the delayed puberty in female rats. LPS was daily injected for 5 days ($50{\mu}g/kg$, PND 25-29) to treated animals and the date at VO was evaluated through daily visual examination. At PND 39, animals were sacrificed, and the tissues were immediately removed and weighed. Among the reproductive organs, the weights of the ovaries and oviduct from LPS-treated animals were significantly lower than those of control animals. There were no changes in the weights of uterus and vagina between the LPS-treated and their control animals. immunological challenge by LPS delayed VO. Multiple corpora lutea were found in the control ovaries, indicating ovulations were occurred. However, none of corpus luteum was present in the LPS-treated ovary. The transcription level of steroidogenic acute regulatory protein (StAR), CYP11A1, CYP17A1 and CYP19 were significantly increased by LPS treatment. On the other hand, the levels of $3{\beta}$-HSD, $17{\beta}$-HSD and LH receptor were not changed by LPS challenge. In conclusion, the present study demonstrated that the repeated LPS exposure during the prepubertal period could induce multiple alterations in the steroidogenic machinery in ovary, and in turn, delayed puberty onset. The prepubertal LPS challenge model used in our study is useful to understand the reciprocal regulation of immune (stress) - reproductive function in early life.