• 한국산학기술학회논문지
• /
• 제15권2호
• /
• pp.962-969
• /
• 2014

본 연구는 한국의 건강한 청소년을 대상으로 Rasterstereography를 이용하여 성별에 따른 척추-골반 정렬 패턴을 분석하여 특성을 확인하고, 각 변수의 상관관계를 확인하기 위하여 수행하였다. 2013년 5월부터 10월까지 정상 청소년 61명(남 31명, 여 30명)을 대상으로 실시하였고, 평균 나이는 $16.40{\pm}2.20$세였다. 그 결과 PSIS비율이 남자 $21.15{\pm}2.40$%, 여자 $23.41{\pm}3.28$%로 유의한 차이가 있었으며(p<.01), 요추전만각에서 남자 $33.44{\pm}8.46^{\circ}$, 여자 $38.96{\pm}8.11^{\circ}$로 유의한 차이가 있었으나(p<0.01), 그 외의 변수에서 성별에 따른 유의한 차이는 없었다(p>.05). 요추전만각은 골반기울기(r=.348), 흉추후만각(r=.609)과 유의한 상관관계가 있었다. 척추회전각은 흉추후만각(r=-.278), 요추전만각(r=-.256), 척추옆치우침(r=.493)과 유의한 상관관계를 보였다. 본 연구 결과는 한국 청소년의 성별에 따른 Rasterstereography를 이용한 척추-골반 정렬 분석의 기초자료가 될 것이고, 척추 및 골반에 구조적 질환을 가진 청소년과 비교할 수 있는 자료로 활용할 수 있을 것이다.

• Journal of Preventive Medicine and Public Health
• /
• 제22권3호
• /
• pp.328-336
• /
• 1989

27 shipyard welders were diagnosed as pneumoconiosis and suspected pneumoconiosis(1976-1988) by chest radiographs and were observed over three years. 27 welders were divided into three groups by the state of exposure to welding fume i.e. cessation, decresase or continuity of exposure. And we observed the changing pattern of the chest radiographs of 27 welders with the passage of time. The results were as follows; 1. Grour I (ceased exposure to welding fume) were 10 cases(3 cases: suspected pneumoconiosis,7 cases: pneumoconiosis). Chest radiographs of all cases were improved. The shape and size of small opacities was improved in 6 cases(85.7%) and did not changed in 1 case(14.3%) out of 7 pneumoconiosis welders. 2. Group II (decreased exposure to welding fume) were S cases(2 cases: suspected pneumoconiosis, 3 cases: pneumoconiosis). Chest radiographs were progressed in 2 cases(40%), did not changed in 1 case(20%), were improved in 2 cases(40%) out of 5 cases. The shape and size of small opacities was progressed in 1 case(33.3%) and was improved in 2 cases(66.7%) out of 3 pneumoconiosis welders. 3. Group III(continued expoxsure to welding fume) were 12 cases(1 case: suspected pneumoconiosis, 11 cases: pneumoconiosis). Chest radiographs were progressed in 9 cases(75%), did not changed in 3 cases(25%) out of 12 cases. The shape and size of small opacities was progressed in 1 case(9.1%) and did not changed in 10 cases(90.9%) out of 11 pneumoconiosis welders. 4. The average duration for development into suspected pneumoconiosis was 6.6 years and for progression of each one category after that was 2.2 years(p<0.01). The radiological appearance of pneumoconiosis had disappeared or decreased after cessation of exposure to the welding fume. So that, early detection and control e.g., change of department of pneumoconiosis of welders by screening program will be important for medical surveillance of welders.

• Journal of Preventive Medicine and Public Health
• /
• 제30권3호
• /
• pp.643-664
• /
• 1997

This study is to provide evidence-based recommendations for the most-effective treatments of benign prostatic hyperplasia based on patient preference or clinical need, and to meta-analyze the Korean literatures for the development of BPH treatment guidelines. For these analyses, extensive literature searches (208 articles), with priority given to the Korean Journal of Urology, were conducted from 1960 to August, 1996. Meta-analysis, like all statistical analysis, has two main functions: data summarization (qualitative meta-analysis) and smoothing o. pattern recognition (quantitative meta-analysis). As well, critical reviews and syntheses with the mean and 90-percent confidence intervals for the likelihood were used to evaluate empirical evidence and significant outcomes of the BPH treatment literatures (106 articles). For this task, the Methodologic Panel for BPH Guidelines was composed of multidisciplinary experts in the field. The results of the study were summarized as follows: For all that watchful waiting is an appropriate treatment strategy for the majority of patients with prostatism, we couldn't find the Korean literatures which carried this article. The literatures on alpha-1-adrenergic receptor blockers provide no evidence to suggest that any one alpha blocker is more effective than another. The finasteride reduces the size of the prostate, on average, and leads to a small yet perceptible reduction in sysptoms. Of all treatment options, prostate surgery with transurethral resection of the prostate (TURP), transurethral incision of the prostate (TUIP), and so on, offers the best chance for symptom improvement. However, surgery also has the highest rates of significant complications. Therefore, surgery need not always be a treatment of last resort. Balloon dilation of the prostatic urethra is clearly less effective than surgery in relieving symptoms, but it is associated with fewer complications. Emerging technologies for treating BPH include lasers, coils, stents, thermal therapy and hyperthermia. Established technologies will also be reanalyzed as results of new trials are reported. Although this study has some limitations due to lacking for good quality literatures, ' it provides a cornerstone for our medical research. It represents the most current scientific knowledge regarding the clinical epidemiology including treatment of BPH. It will be revised and updated as needed.

• 한국축산시설환경학회지
• /
• 제18권2호
• /
• pp.91-94
• /
• 2012

본 실험에서는 자돈을 대상으로 비정상 체온의 판정을 위한 알고리즘 개발에 활용할 정상상황에서의 표피 (귀, 목, 머리) 및 심부 체온의 database를 구축하였다. 평균체중 46kg의 자돈 5두를 공시하여 $22.5{\pm}2.0^{\circ}C$로 설정된 이유 자돈사에 설치한 개별 케이지에 2주간 적응시킨 후, 귀, 목 및 머리의 피부온도와 심부 (피하지방) 체온, 그리고 돈사내 온도를 1 mm k-type 열전대와 National Instruments Corporation (Austin, Texas, USA)의 장치 (cDAQ-9174, NI-9214, 9214TB)를 이용하여 1분 간격으로 17일간 연속하여 측정하였다. 수집된 체온 data는 24시간 단위로 통합하여 매 시간대별 평균 및 표준편차를 산출했다. 모든 측정 site의 하루 중 체온의 변화는 오전 6시에 가장 낮은 값으로 나타났으며 이후 점점 증가하다가 14시에 가장 높은 값을 보였고 그 후 익일 오전 6시까지 서서히 떨어졌다. 이런 변화 pattern은 외부온도의 변화와 일치하였다. 심부의 체온은 $35{\sim}39^{\circ}C$의 범위로 변화가 적은 반면에 목과 머리는 각각 $32{\sim}36^{\circ}C$, $30{\sim}36^{\circ}C$이고, 귀는 $29{\sim}36^{\circ}C$로 변화 폭이 컸다. 귀의 경우 가장 낮은 값은 자돈의 활동이 가장 적은 새벽시간이었으며, 새벽시간대를 제외한다면 귀, 목, 머리의 체온은 대체적으로 같은 범위의 온도 값을, 심부는 체온의 가장 근접한 값을 나타내고 있다. 이 연구를 통해 축적된 자돈의 표피 (귀, 목, 머리)와 심부 체온의 databse는 RFID (radio frequency identification device)를 이용한 동물의 비정상 체온의 전자적 감지를 위한 알고리즘 개발에 활용 할 수 있을 것으로 사료된다.

• 한국산학기술학회논문지
• /
• 제12권11호
• /
• pp.5012-5018
• /
• 2011

1965년부터 1995까지 결핵의 전국적인 조사에 의하면, 한국에서 결핵의 발생과 약제 내성율은 감소하였지만 다재약제내성율의 유행은 여전히 심각한 문제이다. 본 연구의 목적은 2001 년부터 2008까지 대전에 약제 내성율과 성향을 조사하였다. 총 581건의 약제감수성 검사가 수행 되었으며 이중 하나이상의 항결핵제의 약물에 내성이 있는 경우가 104건(17.9%)이였고 적어도 INH에 내성이 있는 경우가 68건 (11.7 %), RFP내성이 41건(7.1 %)이였다. 단일 약제 내성율은 37건 (6.4 %) 분리되었으며 이들 중 INH에서 18건 (3.1 %) RFP에서 5건(0.9 %)이 분리 되었다. 적어도 isoniazid와 refampin에 내성인 다제내성결핵은 35건(6.0 %)에서 발견되었다. 그리고 MDR - TB와 관련된 나이요인에 40-60 세 포함되었다. 폐결핵의 약제내성율, 특히 MDR - TB의 약제내성율은 공공의료분야보다 민간 병원의 초치료 환자에서 높게 나왔다. 초기 약제내성은 일반적이며 약제감수성 검사는 이전 결핵 치료를 받지 않은 폐결핵 환자에 대해 유용성이 있다. 내성의 확산과 증가를 줄이기 위해 MDR - TB의 조기 진단과 함께 향상된 제어프로그램이 필요하다. 다제내성율은 여전히 한국에서 문제이다. 독립적으로 혹은 공공의료분야와 공동으로 다제내성율을 감소하기 위한 노력이 필요하다.

• Journal of Nutrition and Health
• /
• 제26권6호
• /
• pp.661-671
• /
• 1993

The change in fatty acid composition in brain tissue of the second generation rats(Sprague-Dawley strain) was studied using four different fat diets(Corn oil=CO, Soybean oil=SO, Perilla oil=PO, Fish oil=FO, 10% by Wt). The experimental diets were started from pregnancy in four different groups, each consisting of 9 rats. The seound generation rats were fed the same diet as their mothers. Animals were anesthetized with ether at 0, 3, 9 & 16 weeks of age. Whole brains were dissected out, brain tissues were, then, homogenized and lipids were extracted from brain tissues. The fatty acid compositions were measured after methylation by gas-liquid chromatography at 0, 3, 9 and 16 weeks of age of offspring. The changes in the relative concentrations of polyunsaturated fatty acids(PUFA) or more specifically docosahexaenoic acid(22 : 6, $\omega$3, DHA), the major $\omega$3 fatty acid component in rat brain at different age were similar to changes in the amount of DNA in brain tissue showing the maximum value during the lactation. The changes in saturated fatty acid(SFA) content showed a contrasting patten to those of PUFA, while monounsaturated fatty acid(MUFA) increased steadily throughout the experimental period. At birth, the relative concentrations of $\omega$3 series fatty acids the relative concentrations of PUFA, MUFA and SFA converged to very similar values respectively regardless of the dietary fatty acid compositions. In brain tissue, it is of value to note that while changes in relative concentrations of linoleic acid (18 : 2, $\omega$6, LA) and arachidonic acid(20 : 4, $\omega$6, AA) showed a precursor-product-like relationship, $\alpha$-linolenic acid(18 : 3, $\omega$3, $\alpha$-LnA) and DHA showed a different pattern. Even when the $\omega$3 fatty acid content in very low in maternal diet(CO), the second generation rat brain tissues appeared to secure DHA content, suggesting an essential role of this fatty acid in the brain. The fact that a large amount of $\alpha$-LnA in the maternal diet did not have a significant effect on the second generation rat brain $\alpha$-LnA content, indicated that DHA seemed essential component for the brain development in our experimental condition. In all groups, the relative content of $\alpha$-LnA in the brain tissues remained relatively constant throughout the experimental period at the very low level. The study of the specific concentrations and essential role(s) of DHA in each parts of brain tissue is needed in more details.

• Journal of Nutrition and Health
• /
• 제32권8호
• /
• pp.946-956
• /
• 1999

The iron nutritional status of 328(20-70 years old) women in Seoul and Puyo areas was evaluated using a dietary information and a measurement of hematological indices. The serum iron was measured by Red Blood Cell(RBC), Hemoglobin(Hb), Hematocrit(Hct), Serum Iron(S-Fe), Total Iron Binding Capacity (TIBC), Transferrin Saturation(TS) and Serum Ferritin(SF) and was analyzed with the information obtained by interviews which included socio-demographic variables and the dietary pattern of the subjects. The mean Hb was 12.6 $\pm$ 1.21g/dl(Seoul : 12.4 $\pm$ 1.14g/dl, Puyo : 13.2 $\pm$ 1.28g/dl), Hct was 38.7 $\pm$ 3.84%(Seoul: 37.5 $\pm$ 3.28%, Puyo: 4.19 $\pm$ 3.48%), S-Fe was 76.8 $\pm$ 31.49ug/dl(Seoul: 68.8 $\pm$ 27.3ug/dl, Puyo: 78.8 $\pm$ 32.3ug/dl) and TIBC was 277.7 $\pm$ 86.15ug/dl(Seoul: 354.1 $\pm$ 129.8ug/dl, Puyo: 259.0 $\pm$ 59.55ug/dl). The mean Ts(%) was 30.9 $\pm$ 17.9% (Seoul: 21.7 $\pm$ 10.52%, Puyo: 33.2 $\pm$ 18.68%) and the level was significantly higher in Puyo women(p<0.05). The mean SF was 45.4 $\pm$ 46.21ng/ml(Seoul: 53.6 $\pm$ 50.21ng/ml, Puyo: 36.1 $\pm$ 39.83ng/ml). The Red Blood Cell(RBC) showed a negative correlation with age and Hb, Hct showed a negative correlation with education and income level. However TIBC showed a and total energy expenditure per day. Energy, protein, carbohydrate, iron and vit.C intake showed a positive correlation with Hb and Hct. In particular, heme iron showed a positive correlation with RBC and nonheme iron of Hb, income level and iron intake affected on the level of Hct. In Seoul women, the age of menarche affected on the level of TIBC, total energy expenditure affected on the level of Hct. In Seoul women, the age of menarche affected on the level of TIBC, total energy expenditure affected on the level of S-Fe.

• Journal of Nutrition and Health
• /
• 제38권6호
• /
• pp.419-431
• /
• 2005

The prevalence of atopic dermatitis (AD) continues to increase in the industrialized countries related to Western lifestyle and dietary patterns. The purpose of this study was to evaluate the nutritional status, dietary patterns and dietary quality of AD patients. AD patients (n=50) and gender age matched healthy control (HC) were studied in case-control clinical trail. Preference and frequencies of consumption for 98 foods were estimated by questionnaires. Dietary pattern, current nutrients intake, and dietary quality were evaluated by the 3-day food records. As a result, anthropometric measurements from HC and AD patients were not significantly different. AD patients had significantly lower preference for buckwheat, some fishes (shellfish, flatfish, salmon), egg yolk, some vegetables (onion, garlic, Chinese-cabbage, radish, pepper, mushroom), coffee, and snack than those of HC had (p<0.05). AD patients had significantly lower frequency for pea, some fishes (shellfish, herring, flatfish, salmon, codfish), egg, some vegetables (spinach, pumpkin, mushroom), margarine/butter, nuts, coffee and apple juice, fried chicken, coke than those of HC had (p<0.05). The intake of vitamin $B_1$, vitamin $B_2$ (p<0.05) and vitamin E (p<0.001) of AD patients were significantly lower than those of HC. The intake for Ca and Zn of AD patients were remarkably lower than RDA for each nutrient. Moreover, AD patients' index of nutritional quality (INQ) and nutrient adequacy ratio (NAR) of vitamin E, vitamin $B_1$, vitamin $B_2$ were lower than those of HC. AD patients' dietary quality including dietary diversity score (DDS), dietary variety score (DVS), DMGFV (dairy, meat, grain, fruit, vegetable), dietary quality index (DQI) was poor. This results indicate that atopic dermatitis patients had significantly different food preference and food frequency when these were compared with those of healthy people. The dietary diversity, dietary variety and dietary quality of atopic dermatitis patients were very limited.

• Journal of Nutrition and Health
• /
• 제23권6호
• /
• pp.408-417
• /
• 1990

Sprague Dawley 종 수컷쥐(체중 약 450kg) 48마리를 3군으로 나누어 종류가 다른 불포화지방산으로 구성된 실험식이를 6주간 투여하였다. 이때 지방을 15%(W/W)로, 불포화지방산인 n6 linoleic acid의 급원으로는 옥수수기름, n3 $\alpha$-linolenic acid의 급원으로는 들기름, n3 EPA와 DHA의 급원으로는 생선유를 투여하되, 포화지방산과 monoenoic acid의 총량을 거의 같게 공급하여 불포화지방산의 영향만을 관찰할 수 있도록 하였다. 어유를 투여한 군의 cholesterol과 HDL-chol양은 옥수수기름과 들기름을 투여한 군에 비해 유의성있게 낮았으며, 불포화지방산의 혈장 cholesterol을 저하시키는 능력은 n3 EPA+n3계 불포화지방산군인 어유와 들기름군이 n6계 불포화지방산군인 옥수수기름군에 비해 유의성있게 더 컸다. Lipoprotein의 상대적인 함량은 식이 불포화지방산의 종류에 의해 영향을 받지 않았으며, 혈장과 적혈구 및 간의 토로페롤 수준은 유사한 수준이었으며 과산화산물 활성은 지방산의 불포화도 정도에 비례하여 증가되었으며 SOD활성의 증가로 인해 간조직의 과산화물의 수준이 감소되었다.

• Journal of Nutrition and Health
• /
• 제41권4호
• /
• pp.307-316
• /
• 2008

The purpose of the study was to investigate nutritional status of chronic obstructive pulmonary disease (COPD) patients and to find out the differences according to the stages of disease. From March to October, 2006, 41 stable male patients of mild to severe COPD patients were recruited from Seoul National University hospital. The patients' of body weight and fat free mass were assessed by bioelectrical impedance analysis. The nutritional status of the patients was also assessed by 3-day recall, index of nutritional quality (INQ), dietary diversity score (DDS), dietary variety score (DVS), food group index pattern and dietary quality index (DQI). The total of 41 patients were classified into three groups, stage I, stage II and stage III groups according to the classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD) standard. The mean age of the patients in each stage were 67.2-66.9 years showing no significant difference. The ratio of $FEV_1$/FVC were $57.5{\pm}7.3$, $46.9{\pm}7.6$ and $38.2{\pm}6.8%$, respectively showing significant differences according to the stages of disease. The fat free mass of the stage II ($48.2{\pm}4.7kg$) and III ($47.3{\pm}4.5kg$) was significantly lower than that of stage I ($53.1{\pm}6.9kg$) patients. There were significant correlation of fat free mass with $FEV_{1}$, and BMI (body mass index) with $FEV_{1}$/FVC ratio (p < 0.05). COPD patients showed the diet-related clinical symptoms of anorexia, dyspnea, dyspepsia, and chewing difficulty. Daily intakes of calorie, K, vitamin $B_2$ and folate of the patients were very low ($83.8{\pm}20.7%$, $58.9{\pm}14.4%$, $70.7{\pm}19.6%$ and $74.4{\pm}10.2%$, respectively) however, they did not significantly different according to the stages of disease. Daily intake of calcium was significantly lower in the stage III patients (p < 0.05). The mean scores of dietary variety score was significantly lower in the stage III patients (p < 0.001). Dietary quality index of the patients were not different among the stages of disease and the scores indicated poor quality of diet. As a summary, we found that body fat free mass, regularity of exercise, frequency of having snacks and dietary variety score were significantly associated with the severity of chronic obstructive pulmonary disease.