• 제목/요약/키워드: Life style modification

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Risk Factors of Gastric Cancer and Lifestyle Modification for Prevention

  • Kwang-Pil Ko
    • Journal of Gastric Cancer
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    • 제24권1호
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    • pp.99-107
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    • 2024
  • Gastric cancer has been consistently decreasing worldwide, whereas cardia gastric cancer is on the rise. This indicates that the exposure rates to epidemiological causes are changing. In this study, we aim to review the risk factors for gastric cancer with respect to cardia and non-cardia types. One of the most significant risk factors for gastric cancer is Helicobacter pylori infection. H. pylori infection is known as a risk factor for non-cardia gastric cancer, and there have been results indicating that H. pylori infection is not associated with cardia gastric cancer. However, in the East Asian region, there is epidemiological evidence suggesting that H. pylori infection might be a risk factor for cardia gastric cancer. Smoking and alcohol consumption are known risk factors for gastric cancer, regardless of anatomical location. Obesity is considered a factor in the development of cardia gastric cancer. However, further research is needed to understand the specific relationship with non-cardia gastric cancer. The consumption of high-salt and processed meat is more distinctly associated with noncardia gastric cancer than in cardia gastric cancer. In addition to these factors, exposure to chemicals and radiation are considered risk factors for gastric cancer. Primary prevention of gastric cancer involves eliminating or avoiding risk factors such as H. pylori eradication and adopting a healthy lifestyle, including quitting smoking, reducing alcohol consumption, maintaining a healthy weight, and having a low-salt diet.

한국 농촌자연부락의 녹지체계에 관한 연구 (A Study on the Open Space System in Korean Rural Settlement.)

  • 문석기
    • 한국조경학회지
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    • 제15권2호
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    • pp.43-56
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    • 1987
  • The concept of ‘Open Space’ is conceived to be very valuable subject of interest in developing modern settlement system. In Korea, many new and old residential sites have been developed or renewed to fulfil the housing demands. And such trends seem to continue for the time being. What is more, the requirments for more comfortable residential environments, that is deeply concerned with ‘Open Space’, inorease gradually. As a basis for designing more efficent residential environments to fit Korean morden life style, self - grown, traditional and agricultural villages are studied. This study is concenturated on the Open Space System with its socio - cultural and physical backgrounds. For this, data and materials are some widely collected and are analysed focused on the systems and structures of ‘Open Spaee’. Some results from this study are summarized as follow ; 1. It is assumed that the number of houses per village is around 60, and that its area reaches to the radious of 3-4km. 2. ‘POONGSU’is a generally adopted theory based on natural elements like mountians, waters, and orientations when locating villages and composing their spatial structures. As a result of this, the basic structures of villages and Open Space are defined. 3. Circulation system is integrated to the hierachyal order system ; that is, Passing Road \longrightarrowEntry Road\longrightarrowCentral Read\longrightarrowDisperse and Access Road. 4. The natural and agricultural land uses are overlapped with diverse outdoor activities - religious services, play and recreation, relaxation, etc - without any physical modification. 5. At each villages, several artificial and spot - like green facilities are found. And distinctive functions, meanings, and locationalities are given to each of them. On that, they become a visual and psychological centers of each village. 6. In addition to its basic function of circulation, Central Road takes the sence of place for outdoor activities. Because of this charactor, it plays an important role of activating the village life and binding the various Open Space elements.

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폐쇄성수면무호흡증(Obstructive Sleep Apnea)의 치료에 대한 치과의사의 임상적 접근 (Clinical approach for treatment modality of obstructive sleep apnea: focus on the role of dentists)

  • 신원철;이덕원;정유진;김태경
    • 대한치과의사협회지
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    • 제53권1호
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    • pp.47-56
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    • 2015
  • Obstructive sleep apnea (OSA), most common respiratory disorder of sleep, is characterized by intermittent partial or complete occlusions of the upper airway due to loss of upper airway dilating muscle activity during sleep superimposed on a narrow upper airway. Termination of these events usually requires arousal from sleep and results in sleep fragmentation and hypoxemia, which leads to poor quality of sleep, excessive daytime sleepiness, reduced quality of life and numerous other serious health consequences Untreated OSAS can cause various problems such as hypertension, diabetes, stroke, cardiac disease, daytime sleepiness. Various treatments are available, including non-surgical treatment such as medication or modification of life style, surgical treatment, continuous positive airway pressure (CPAP) and oral appliance (OA). Oral appliance is known to be effective in mild to moderate OSA, also genioglossus muscle advancement (GA) or maxillomandibluar advancement (MMA) is a good option for OSA patients with muscular or skeletal problems. Although the prevalence of OSA is increasing, the proportion of the patient treated by dentist is still very law. Dentists need to understand the mechanism of OSA and develop abilities to treat OSA patients with dental problems. The purpose of this paper is to give a brief overview about OSA and the dentist's role in OSA patients.

서울시 중년남성에서 육체적 활동량이 총 사망률에 미치는 영향에 관한 코호트 연구 (A Cohort Study of Physical Activity and All Cause Mortality in Middle-aged Men in Seoul)

  • 김대성;구혜원;김동현;배종면;신명희;이무송;이충민;안윤옥
    • Journal of Preventive Medicine and Public Health
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    • 제31권4호
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    • pp.604-615
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    • 1998
  • Although previous studies revealed the association of physical activity with mortality rate, it is unclear whether there is a linear trend between physical activity and mortality rate. In this study, the association of physical activity with the risk of all-cause mortality was analysed using Cox's proportional hazard model for a cohort of 14,204 healthy Korean men aged 40-59 years followed up for 4 years(Jan. 1993-Dec. 1996). Physical activity and other life style were surveyed by a postal questionnaire in December 1992. Total of 14,204 subjects were grouped into quartiles by physical activity. Using death certificate data, 123 deaths were identified. The second most active quartile had a lowest mortality .ate with relative risk of 0.44(95% C.I. : 0.23-0.84) compared with most sedentary quartile, showing a J-shape pattern of physical activity-mortality curve. By examining the difference in proportion of cause of the death between most active quartile and the other quartiles, there was no significant difference of proportional mortality from cardiovascular deaths, cerebrovascular deaths or deaths from trauma. The covariates were stratified into two group between which the trend of RR was compared to test the effect modification. There was no remarkable effect modification by alcohol intake, smoking, body mass index, calorie consumption, percent fat consumption. In conclusion, moderate activity was found to have more protective effect on all-cause mortality than vigorous activity and that the J-shape pattern of physical activity-mortality curve was not due to the difference of mortality pattern or effect modification by alcohol intake, smoking, body mass index, calorie consumption and percent fat consumption.

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비만 아동에 대한 설문지의 분석과 재구성 (Revision of a Questionnaire to Assess Health Behaviors in Obese Children)

  • 박소은;염혜원;서정완;이혜진;박혜숙
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제7권2호
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    • pp.215-227
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    • 2004
  • 목적: 소아 비만은 급속하게 증가하고 있다. 소아 비만의 치료는 행동 수정을 하는 것이 중심이 되므로 생활 습관과 식습관을 파악하는 것이 중요하다. 본 저자들은 비만을 효율적으로 관리하기 위해 기존에 사용해오던 설문지를 보완하고자 하였다. 방법: 이대 목동병원 비만클리닉에 방문한 94명의 소아를 대상으로 기존에 개발되어 사용되고 있는 소아용과 부모용 설문지를 작성하게 하였다. 문항별 무응답률, 부모용과 소아용 설문지의 공통 항목에 대한 일치율(%)을 살펴보았다. 문항 분석을 통하여 추가 및 삭제할 부분을 검토하였다. 결과: 문항별 응답율은 매우 높았다. 부모용과 소아용 설문지의 공통 항목에 대하여 62.8~91.5%까지의 비교적 중등도 이상의 일치율을 보였다. 학교급식의 음식 선호도는 평상시 음식습관으로 파악할 수 있으며, 취사선택 할 수 없는 항목으로 판단하여 삭제하였다. 좌식생활 시간을 파악하기 위하여 TV 시청 시간외 컴퓨터나 비디오 게임 시간 항목, 간식의 종류로 인스턴트나 패스트푸드 외에 섬취한 음료의 종류와 양을 기록하는 항목, 어머니의 직장 항목을 추가하였다. 또한 부모와 아동의 답변이 일치하므로 일반적인 생활 습관은 부모가, 집 밖에서의 음식과 운동에 관한 항목은 비만 아동이 기록하도록 설문지를 재구성하였다. 결론: 비만 아동과 부모의 설문지를 분석한 결과 일치도가 높으므로 비슷한 항목을 중복되지 않게 재구성하였다. 비만아동의 습관파악을 위하여 생활습관은 부모가, 집밖에서의 음식섭취와 운동 습관은 아동이 직접 기록하도록 비만 설문지를 재구성하였다.

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몽골전통의학의 관점에서 본 발열성 질환에 대한 고찰 (An Introduction of Febrile Disease in Mongolian Traditional Medicine)

  • 김태훈;롭승냠;김종인;최준용;최선미
    • Journal of Acupuncture Research
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    • 제26권4호
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    • pp.91-98
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    • 2009
  • Objectives : The objective of this review is to introduce the basic concepts on the febrile disease in the Mongolian Traditional Medicine(MTM). Methods : We comprehensively reviewed related textbooks in Mongolian and articles searched from China National Knowledge Infrastructure(CNKI) on febrile disease about MTM and summarized the pathophysiologic basis of, and treatment principles in MTM. Results and Conclusions : 1. In MTM, there are basic concepts such as theory of Arga-Bilig, theory of five elements, theory of three elements(人體三素), theory of seven constitutions and three discharges(七元三濊). Most of all, theory of three elements, which is about the basic elements of human body in MTM, is important fundamental notions for explaining human physiology and pathology. In MTM, It is explained that the imbalance of three elements, namely khii, shar, bad-kan is the root of all disease. Especially, febrile disease is treated by suppressing activated shar and blood(血液), which have fire characters, and managing various additional symptoms by balancing three elements and eliminating miasma(邪氣), inappropriate substances such as bile water(shar yc, 黃水) or blood stasis(惡血) simultaneously. 2. In MTM, both of internal treatment modalities(various medicinal therapy) and external treatment modalities(physical therapy) have been used for febrile disease. Food therapy and life style modification also have been recognized as important treatment methods. These aspects correspond to wholism theory of Korean Traditional Medicine(KTM). Further studies about details of each treatment methods will discover new applicable treatment method and make broaden the external boundaries of the KTM.

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소아 폐쇄성 수면무호흡증후군 1례 (A Case of Childhood Obstructive Sleep Apnea Syndrome)

  • 신홍범;이유진;정도언
    • 수면정신생리
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    • 제11권2호
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    • pp.106-109
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    • 2004
  • 소아의 폐쇄성 수면 무호흡증은 흔히 편도 아데노이드 비대증으로 인해 발생하는 것으로 알려져 있으나 비만, 두개 악안면 기형 등 다양한 원인에 의해서도 발생할 수 있다. 소아의 폐쇄성 수면 무호흡증은 야뇨증, 사건 수면, 행동 장애 등과 같은 다양한 합병증을 동반할 수 있다. 그 원인이 편도 아데노이드 비대증이면 수술적인 제거를 통해 증상 호전을 기대할 수 있으나 비만 등 다른 원인에 의한 것이라면 지속성 상기도양압술과 체중 감량 및 생활습관 변화를 통한 치료가 필요하다. 저자들은 편도 아데노이드 절제술 시행 후에도 심한 폐쇄성 수면 무호흡증이 지속되고 다양한 합병증이 나타난 환아에서 상기도양압술로 무호흡 관련 증상 및 동반된 합병증의 호전을 보인 1례를 경험하였기에 보고한다.

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서울시 교직원의 고혈압 실태파악과 그 요인에 관한 연구 (A Study of Epidemiological Characteristics and Related factors in School Personnel with Hypertension)

  • 신선미;김종희;한규종;이희우
    • 한국학교보건학회지
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    • 제17권1호
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    • pp.55-69
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    • 2004
  • Purpose : To describe epidemiological characteristics and related factors in school personnel with hypertension. Method : 5,384 school personnel (2,638 males and 2,746 females) received physical examination at the Seoul School Health Center in 2002. blood pressure(BP) was classified by JNC 7th report. Normal BP is systolic BP <120 and diastolic BP<80, prehypertension BP is 120-139 or 80-89mmHg, stage 1 hypertension BP is 140-159 or 90-99, and stage 2 hypertension >=160 or >=100 mmHg. each group was evaluated by gender. We used multiple regression and logistic regression. Results : Normotension was 20.13% in males and 48.65% in female, prehypertension 43.4% in males and 38.06% in females, stage 1 hypertension 26.38% in males and 10.99% in females, stage2 hypertension 9.59% in males and 3.2% in females. the older age group had higher distribution of stage 1 hypertension and stage 2 hypertension. The means and abnormal rates of BMI, blood sugar, total cholesterol, GOT, GPT, and GTP was higher when their blood pressure was higher. However, an alcohol habit among lifestyle factors had an inverse effect. Higher Bp was correlated to a higher BMI, FBS, and cholesterol-like dose response. In stage 1 hypertension, the related factors of hypertension for males were BMI, amount of cigarettes smoked, exercise, blood sugar, total cholesterol, and GTP. In stage 1 hypertension, age, BMI, exercise, blood sugar, total cholesterol were related factors in female. In stage 2 hypertension, age and smoking were related factors in male, and age, BMI, and cholesterol in female. Conclusions : It is possible to intervene in all related factors of hypertension except age through life-style modification and appropriate medical management. Active health promotion is needed in School personnel.

Association of Breast Cancer with Sleep Pattern - A Pilot Case Control Study in a Regional Cancer Centre in South Asia

  • Datta, Karabi;Roy, Asoke;Nanda, Durgaprasad;Das, Ila;Guha, Subhas;Ghosh, Dipanwita;Sikdar, Samar;Biswas, Jaydip
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8641-8645
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    • 2014
  • The rising trend of breast cancer both in developed and developing countries is a real threat challenging all efforts to screening, prevention and treatment aspects to reduce its impact. In spite of modern preventive strategies, the upward trend of breast cancer has become a matter of great concern in both developed and developing countries. Chittaranjan National Cancer Institute is a premier regional cancer institute in eastern region of India catering to a large number of cancer patients every year. A pilot case control study of fifty breast cancer patients and 100 matched controls was conducted during 2013 to evaluate the effects of habitual factors like working in night shift, not having adequate sleep, and not sleeping in total darkness on breast cancer of women. The study revealed that not sleeping in total darkness was associated with higher odds of outcome of breast cancer of women. This positive correlation can play a vital role in formulation of preventive strategies through life style modification.

민속복식의 가변성 스타일링 유형분류 (The Type Classification on Modifiable Styling Methods in Wearing Folk Costumes)

  • 김혜리;전혜정
    • 복식
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    • 제61권8호
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    • pp.114-126
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    • 2011
  • Many varieties in folk costumes have inspired fashion designs for a long time. Each country, with a unique style of its own reflects their own traditions, beliefs, customs and morals into their traditional costumes. The traditional methods of creating different ways of drapery methods by using only a rectangular piece of cloth have been passed down from generation to generation and it is still used today. This way of styling has been developed mainly in the Middle East, Asia and Africa and the modifiable ways of creating drapery wearing methods are as follows. The first modifiable styling method is changing the purpose of wearing costumes according to the needs and the wants of the person who wears it. The second method is exposing the knots on the surface of the garments and by doing this, there was no visible difference on the aesthetic formation and it did not alternate for a long time. This means that simple knot shapes have been used to tie edges of rectangular fabrics. The third method is a wrapping type of modifiable styling method, which has been used most commonly in folk costumes because there are lots of ways to wrap a rectangular cloth around the body. The fourth way is the fixed type of modifiable styling method and this method can only be noticed only in the Moroccan Izar using fibulas and belts to alter the shape of the Izar. The fifth method is the composite type of modifiable styling method. This method starts by cutting out cylindrical shapes of fabrics and then wraps or twists it to fit the body. The most significant character of modifiable styling methods in folk costumes is to use rectangular cloths, which varies only in ratio of length, width and sizes. Therefore, this study suggests that rectangular cloths can create enormous amounts of fashion styling which can be easily adapted and created in everyday fashion life.