• 성인간호학회지
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• 제19권5호
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• pp.27-36
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• 2007

Purpose: The purpose of this study was to investigate the knowledge and learning needs on coronary artery disease in diabetic patients by glycemic control. Methods: The subjects consisted of 188 patients at the hospital who had diabetes mellitus. Data was obtained using a knowledge and learning needs questionnaire from January to April 2006. Results: Treatment method, the levels of fasting blood glucose(FBG), and 2-hour postprandial blood glucose(PP2hr) showed meaningful differences between normo-glycemic group(HbA1c < 7%) and hyper-glycemic group($HbA1c{\geq}7%$). The levels of knowledge on coronary artery disease by glycemic control tend to show higher in normo-glycemic group. Etiology and prevention of coronary artery disease were significantly higher in normo-glycemic group than in hyper-glycemic group. The levels of learning needs on coronary artery disease by glycemic control tend to show higher in normo-glycemic group. The learning needs on items of diet control were higher in normo-glycemic group than in hyper-glycemic group. Conclusion: On the base of these results, we should focus on the coronary artery disease education for hyper-glycemic group. Also individual coronary artery disease educational program should be developed for the patients with different level of knowledge and learning needs.

• 한국간호교육학회지
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• 제4권1호
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• pp.53-65
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• 1998

This study was designed and undertaken to analyse the factors associated with sexual satisfaction in diabetic patients. The data were collected from September to November, 1997. The subjects in this study were 77 diabetic patients who visited to check their blood glucose level to the outpatient department of internal medicine in one of hospitals located in Taejon city, The questionnaires developed by Derogatis L. R. were used. Data were analysed using percentages, means, 1-test, ANOVA and Peason-correlation coefficients, done with the SAS program. The results of this study were as follows ; 1. The mean score of sexual satisfaction in diabetic patients was higher than the mid level as 3.14 points in the 5 points scale and male patients' score was a little higher than female's. 2. The mean score of factors associated with sexual life was 3.54 points in spouses' support, 3.44 points in sexual attitude and 2.60 points in body image in the 5 points scale, and 2.76 points in the sexual act in the 6 points scale. The score of above all factors were higher in male patients than female patients. 3. The significant factors associated with sexual satisfaction were spouses' support, body image and sexual act. That is, the higher spouses' support, the more positive body image and the more frequent sexual act, the higher patients' sexual satisfaction. 4. In the relationships between the sexual satisfaction and the general characteristics of the diabetic patients, only religion and the period of disease were statistically significant differents, but the relationships between the sexual satisfaction and the period of disease showed a significant inverse correlation. This results showed that the degree of sexual satisfaction in diabetic patients was relatively high. The major factors associated with sexual satisfaction were spouses' support, body image and sexual act, religion and the period of disease. So, the above factors have to be considered during the nursing intervention on diabetic patients' sexual life.

• 한국조리학회지
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• 제9권4호
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• pp.191-202
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• 2003

21세기 화두를 한마디로 말하면 건강일 것이다. 건강을 위해서 각종 운동 방법 및 운동기구와 건강 보조식품의 판매가 급성장을 하고 있으나, 우리가 섭취하는 음식 즉 식단에 대해서는 무관심하다. 예전에 비해 먹거리인 식재료는 매우 풍부해졌으나 영양 불균형은 오히려 증가하는 추세이며, 잘못된 식생활 습관으로 발생하는 만성질환인 성인병과 생활 습관병의 발생은 심각한 사회적 병리현상으로 나타나고 있다. 따라서 식품도 이젠 맛, 영양을 강조하던 단계에서 인체의 생리적 기능 항진과 질병의 예방 및 치료가 가능한 기능성 식품으로 발전하고 있다. 약선은 동양철학 및 동양 의학의 원조라고 할 수 있는 중국의 의학과 화려한 음식 문화가 만들어낸 것으로 음식에 한약재의 유용성분을 넣어 기능성을 살린 먹거리로 한의학의 약식동원을 기본 이론으로 하고 있다. 중국약선에서는 식품을 차거나 시원한 식품인 한량(한량), 따뜻하거나 뜨거운 (온열) 식품, 즉 한(한), 량(량), 온(온), 열(열) 4가지로 분류하고, 쓴맛(고), 단맛(감), 매운(신), 짠맛(함), 신맛(산) 등 5가지 기본맛으로 식품을 구분하고 있다. 약선식품의 작용은 질병의 예방과 신체 장기를 자양하거나, 기혈, 골격, 피부 등을 자양하고, 노화방지와 질병의 치료작용이 있다. 우리나라에서는 일부 궁중음식원과 산사 음식에서 약선 개념을 도입하고 있으나 아직까지 체계적인 이론 정립과 연구는 미비한 실정으로 본 연구를 통해 궁중의 약선 관련 문헌을 고찰해 보고, 우리나라 실정에 적합한 약선의 도입과 연구발전에 필요한 기본자료로 제공하고, 약선을 이용한 새로운 건강 기능성 조리개발에 도움이 되고자 하였다.

• 한국임상수의학회지
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• 제25권5호
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• pp.330-339
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• 2008

세라마이드, 콜레스테롤, 자유지방산은 각질세포간 주요 지질로써 피부장벽의 생성과 유지에 있어 중요한 역할을 담당한다. 그러나, 개에서 각질세포간 지질에 대한 역할은 거의 알려져 있지 않다. 본 연구는 개에서 1.25% sodium lauryl sulphate (SLS)에 의한 피부 장벽손상 유발후 2% 세라마이드, 2%콜레스테롤, 2% 리놀레익산과 이들 세가지 지질의 혼합제 (혼합제)의 장벽손상 복구를 평가하고자 실시하였다. 피부장벽기능은 표피경유수분소실(TEWL), 피부 수화도, 피부 산도, 피부 두께 측정을 통하여 평가하였고 최종적으로 조직학적 분석과 투과 전자 현미경 (TEM)을 통하여 피부 장벽구조를 평가하였다. SLS는 개의 피부에 효과적으로 피부장벽 손상을 유발하였다. 표피경유수분소실은 세라마이드와 혼합제 적용부위에서 계면활성제 및 대조군과 비교하여 유의적인 감소를 나타내었다 (p<0.05, p<0.01). 표피경유수분소실은 12일째에 모든 지질 적용군에서 유의적으로 감소하였으나 특히 세라마이드와 혼합제에서 콜레스테롤과 리놀레익산보다 유의적으로 감소하였다 (p<0.01). 실험 기간 동안, 피부 수화도는 세라마이드와 혼합제에서 유의적 증가를 보였다 (p<0.01). 조직학적 분석에서도 각각의 지질들은 피부손상을 회복시켰다. 특히 세라마이드와 혼합제의 효과가 탁월하였고 각질층의 두께도 대조군에 비해 유의적으로 증가되었다. 피부 산도는 세라마이드, 리놀레익산, 혼합제에서 유의적으로 감소하였다 (p<0.05). 따라서 세라마이드와 혼합제의 국소적용은 계면활성제에 의한 피부 장벽 손상에 효과가 탁월함을 확인하였으며 아토피와 같은 염증성 피부염과 외부 자극에 의한 피부 장벽 손상시에도 세라마이드 또는 혼합제의 병용이 효과적일 것으로 사료된다.

• Korean Journal of Acupuncture
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• 제39권3호
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• pp.84-90
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• 2022

Objectives : Acupoints are divided into three categories: classical acupoints, extra-acupoints, and Ashi points. The aim of this study was to understand the meaning and features of Ashi points. Methods : We examined the original meaning of Ashi points from the classical medical texts, including the Beijiqianjinyaofang, the Essential Prescriptions Worth a Thousand Gold for Emergencies, and the Huangdi Neijing, the Yellow Emperor's Canon of Internal Medicine. Results : First, the Ashi method is to locate the points for the acupuncture and moxibustion based on the patients' reactions mainly manifested by sensations of comfort and pain, which can help identify not only Ashi points but also classical and extra-acupoints. Thus, Ashi points may or may not match to classical or extra-acupoints, and we propose that Ashi points should not be classified mutually exclusive to classical or extra-acupoints. Second, there are several similarities between Ashi points and myofascial trigger points. They are located by palpation and have no fixed anatomical positions. Patients experience painful but pleasant feeling when Ashi and myofascial trigger points are pressed, and stimulation of these points have treatment effects. Conclusions : We suggest that Ashi method be used to identify the acupoints based on how patients react when these points are pressed. Ashi points may or may not correspond to classical or extra-acupoints, and share traits with myofascial trigger points.

• 한국균학회지
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• 제37권1호
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• pp.86-90
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• 2009

KACC에서 분양받은 C. militaris 4균주와 야생에서 채집된 6균주 그리고 교배 육성한 4균주를 대상으로 DNA분석에 의한 분류동정을 시행하였다. 표준균주 10균주와 교잡균주 4균주에서 조사된 전 부위(ITS1, 5.8S rDNA, ITS2)에서 많은 염기서열 차이를 보이고 있으나 같은 종으로 확인된 표준균주들과 수집균주들과 비교한 바 같은 균으로 분류된 것을 확인할 수 있었다. 교잡에 쓰여 졌던 표준 균주에서 교잡된 교잡균주 중 가장 우수한 교잡균주 mat1과 교잡에 사용되었던 표준균주(MPNU10306, MPNU10366)를 선택하여 RAPD 분석을 하였으며, RAPD에서 나타난 각 균주간의 다양한 유전적 변이가 관찰되었다. 이는 새로운 C. militaris종 균주로 판단되어지며, HPLC 분석에서도 교잡에 쓰여 졌던 표준균주보다 교잡한 C. militaris 균주가 cordycepin 생산량이 우수하게 나타났으며, 이는 교잡균주가 cordycepin 함량을 보다 더 높일 수 있음을 의미하고 상업적 가치가 있을 것이라 판단되어지며, 지속적인 연구가 필요할 것으로 생각된다.

• Nutritional Sciences
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• 제5권4호
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• pp.221-227
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• 2002

The objective of this study was to examine the effects of a weight loss program on the degree of obesity and levels of resting energy expenditure (REE) in overweight subjects according to their mitochondrial uncoupling protein 2 (UCP 2) genotype. Twenty-three subjects with a body mass index (BMI) greater than 27 were recruited from the Obesity Clinic of the Kyung-Hee University Hospital during the period of December 2000 - August 2001. The subjects were genotyped for the exon 8 allele; 15 subjects were found to be of del/del genotype, 8 were del/ins, and none were of ins/ins genotype. No significant association was found between the different UCP 2 genotypes and the initial levels of weight, fat mass (FM), lean body mess (LBM), BMI, REE, and REE/LBM ratio. After 12 weeks of a weight loss program, body weight and FM were significantly decreased, while LBM, total body water (TBW), and REE were not changed, irrespective of UCP 2 genotype. Initial fasting plasma levels of albumin, glucose, triglyceride, lipoprotein cholesterol, insulin, free triiodo-thyronine (T3), free fatty acid (FFA), and leptin were not different according to the UCP 2 genotype; furthermore, these blood parameters were not changed after the 12-week weight loss program. However, plasma levels of leptin decreased in both the del/del and ins/del genotypes, from 18.7 ng/ml to 13.4 ng/ml (p<.05), and from 18.1 ng/ml to 13.9 ng/ml (p＜.05), respectively, after the weight loss program. In conclusion, this study found no significant association between the del/del or del/ins UCP 2 genotypes and differing levels of REE or differing degrees of obesity, either before or after a weight loss program. This study provided evidence that a well- managed weight loss program could maintain levels of REE, which plays an important role in the maintenance of energy balance.

• Nutritional Sciences
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• 제6권1호
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• pp.42-47
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• 2003

The objective of this study was to examine how circulating leptin concentrations and resting energy expenditures (REE) are related to body composition in obese adults, and to examine differences in these parameters according to gender. Twenty-three subjects, 6 males and 17 females, were recruited from patients with a body mass index (BMI) of greater than 27 at the Obesity Clinic of the K University Hospital. Anthropometric assessments and biochemical analyses were performed, and REEs were measured. In spite of having similar BMI values the plasma leptin levels of females (20.0$\pm$6.5 ng/ml) were significantly higher (p<.05) than those of males (14.2$\pm$6.1) ng/ml). In females, plasma leptin concentrations were found to be positively related to body weight. BMI, waist-hip ratio (WHR), fat mass (FM), body fat, and to the circumferences of forearm, waist and hip (p<.0001). However, in males, plasma leptin concentrations were positively related only to suprailiac thickness (p<.05). The higher plasma leptin levels in females compared to males may, at least partially. be explained by the females' higher subcutaneous fat mass. Plasma leptin concentrations appeared to reflect not only total fat mass but also regional fat distribution, especially in females. REE values of males (2254.3$\pm$256.2 kcal/day) were significantly higher (p＜.01) than those of females (1799.1$\pm$454.7 kcal/day). REE values for females were positively related to body weight, BMI, lean body mass (LBM), FM, body fat, and to the circumferences of waist and hip (p<.05); however, REE values for males were (positively) related only to LBM (p<.05). REE values were not related to plasma leptin concentrations for either males or females, indicating that the plasma level of leptin might not be a predictor for REE value.

• Nutrition Research and Practice
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• 제9권4호
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• pp.393-399
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• 2015

BACKGROUND/OBJECTIVES: Thin children may have insufficient intake of energy and nutrients, resulting in reduced immune function and growth. This study aimed to identify the effects of multiple herb formula SEC-22 supplementation on growth, dietary changes, and picky eating behaviors in thin children. SUBJECTS/METHODS: A double-blind, randomized clinical trial was conducted on 79 children aged 2-5 years with poor appetites, BMI percentile < 25, and without any illness. Subjects were given either SEC-22 (n = 35) or placebo (n = 44) for 2 months and followed for an additional 2 months. Three-day dietary records, questionnaires on picky eating behaviors, and anthropometric measures were collected. RESULTS: Energy, carbohydrate intake, and feeding difficulty improved in both groups during the intervention period. However, changes were maintained only in the SEC-22 group after 2 months of follow-up post-supplementation. 'Frequency of trying to feed' was improved in the SEC-22 group compared to the placebo group after the first month of follow-up (P < 0.05). Intakes of potassium and thiamine were improved in the SEC-22 group compared to the placebo group after the first month of intervention (P < 0.05). 'Frequency of food reward', eating amount, and intakes of carbohydrate, potassium, and vitamin C showed significant improvement compared to the placebo group after the second month of follow-up (P < 0.05). CONCLUSIONS: These results suggest that SEC-22 supplementation can improve parental feeding difficulty resulting from insufficient eating amount or picky eating as well as increase nutrient intake in thin children. Although these improvements were observable at least 2 months after supplementation, effects beyond this time frame need to be confirmed.

• 한국방사선학회논문지
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• 제7권3호
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• pp.205-211
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• 2013

이 연구는 동결견 진단을 받은 환자에 대한 한국전통 정골요법(이하 KTO)을 적용하여 통증완화에 대한 유의성 연구가 진행하였던 환자를 대상으로 통증의 감소가 견관절의 가동범위도 증가하는지를 추가적으로 확인하기 위하여 진행하였다. 대상자는 총 14명으로 구성되어 있으며, 두 개 그룹으로 나누어 7명의 실험군과 7명의 대조군으로 하여 2그룹으로 나누어 연구를 진행하였다. 7명은 KTO를 총 10회 시술하고, 7명은 시술하지 않았다. 견관절의 가동범위의 경우 항목별로 살펴보면 KTO를 적용한 그룹은 가동치의 변화를 살펴보았을 때 굴곡(7.33) 신전(10.00) 외전(8.76) 내전(9.05) 외회전(8.10) 내회전(10.00)의 변화가 나타났다. KTO를 적용하지 않은 그룹의 가동치의 변화를 살펴보았을 때 굴곡(4.67), 신전(7.50), 외전(7.14), 내전(9.14), 외회전(6.59), 내회전(9.31)의 변화가 나타났다. 동결견 환자에게 한국전통정골요법을 적용하면 견관절의 가동범위 증가를 가져올 수 있음을 확인하였다.