• 제목/요약/키워드: Nutrition care

검색결과 1,257건 처리시간 0.025초

극소 저출생 체중아에서 병원 감염 패혈증의 위험인자 (Risk Factors of Nosocomial Sepsis in Very Low Birth Weight Infants)

  • 김규리;김승연;박호진;기모란;윤혜선
    • Neonatal Medicine
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    • 제17권1호
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    • pp.84-93
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    • 2010
  • 목 적 : 병원 감염 패혈증에 취약한 극소 저출생 체중아에서 병원 감염 패혈증의 발생빈도, 위험인자 분석을 통해서 병원 감염 패혈증의 감소 방안을 모색하고자 하였다. 방 법: 2002년 1월부터 2009년 6월까지 7년 6개월동안 을지의과대학교 대전을지병원과 노원을지병원 신생아 중환자실에 입원한 출생체중 1,500 g 미만의 극소 저출생 체중아 중 출생후 72시간 이상 입원치료를 받았던 총 341명을 대상으로 의무기록을 후향적으로 분석하여, 병원 감염 패혈증의 발생빈도, 원인균, 위험인자, 결과 등을 조사하였다. 결 과:병원 감염 패혈증의 발생빈도는 16.1% 였고, 평균 발병시기는 21.5$\pm$15.9일이었으며, 원인균으로는 Staphylococcus aureus (21.3%), Klebsiella pneumoniae (14.7%), Coagulase negative staphylococcus (9.8%), Enterococcus spp. (9.8%) 순이었다. 위험인자의 다변량 분석에서 의미 있는 위험요인으로 재태기간(odds ratio [OR], 0.87; 95% CI, 0.83-0.91), 5일 이상 UAC를 삽입하는 경우(OR, 2.2; 95% CI, 1.15-4.46), 5일 이상 UVC를 삽입하는 경우(OR, 2.1;95% CI, 1.11-4.16), 말초동맥관을 삽입하는 경우 (OR, 2.1; 95% CI, 1.14-4.04), 정맥관 지방유제 투여(OR, 4.3; 95% CI, 1.13-14.32)로 나타났다. 결 론 : 극소 저출생 체중아의 병원 감염 패혈증을 줄이기 위해서는 제대관을 통한 카테터 삽입을 비롯한 침습적 시술을 최대한 줄이고, 정맥영양을 통한 영양공급을 최대한 단시간에 마치기 위한 방안을 모색해야 할 것으로 사료된다.

EQ-5D를 이용한 일개 광역시 성인의 건강관련 삶의 질 측정 (Measuring Health Related Quality of Life of General Adult Population in One Metropolitan City using EQ-5D)

  • 조민우;이상일;길선령;이지호;강위창;손혜숙;유철인
    • 보건행정학회지
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    • 제18권3호
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    • pp.18-40
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    • 2008
  • Measurements of health related quality of life can be used to compare patients with specific conditions to average individuals in the general population in a similar age and gender group. However there are few data available regarding health related quality of life for the general population of Korea. Therefore, this study was conducted to examine the validity of the Korean version of EQ-5D and to measure the health related quality of life of the general adult population in a metropolitan city. The survey was cross-sectional and employed a stratified and multistage sampling design through 100 examination sites in 5 districts of UIsan. A total of 12,644 individuals from 4,112 households participated in the survey. Of these, we analyzed data from 8,068 adults who were over 19 years old and completed the EQ-5D. To examine the validity of the questionnaire, the differences in 5 dimensions and the $EQ-5D_{index}$ were analyzed with regard to demographic and socioeconomic factors such as sex, age, income, and education. In addition, visual analogue scales (VAS) were used to evaluate the overall health related quality of life issues of the respondents. The level of health related quality of life of the general adult population was then compared with the results from the third Korean National Health and Nutrition Examination Survey and other countries. There were a small number of people with problems related tomobility, self-care, and usual activity. In addition, many people complained ofpain/discomfort and anxiety/depression. The complaint rate in each dimension, VAS, and $EQ-5D_{index}$ indicated relatively better states for males, the younger group, the higher income group, and the higher education group. In addition, the level of health related quality of life of the general population of Ulsan was relatively higher than that of Koreans nationwide as well as the populations of other countries. EQ-SD provided a valid measure of the health-related quality of life of the general adult population. In addition, the results of a survey of Ulsan revealed that the quality of life of its population is better than that of the overall population of Korea and of the populations of other countries.

세계 산양유산업의 최근 진보 및 향후 전망 (Recently Ongoing Progresses and Future Prospects of Worldwide Dairy Goat Industry)

  • 정후길;김선진;석민정;강경진;유영현;윤슬기;김선영;정유경;박종현
    • Journal of Dairy Science and Biotechnology
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    • 제34권4호
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    • pp.217-229
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    • 2016
  • Goat milk production and processing is a dynamic and growing industry that is fundamental to the health of hundreds of millions of people worldwide and is recognized as an important contributor to many national economies. Goat milk has contributed significantly to the economic and nutritional quality of life in developing countries, particularly in the Mediterranean, the Middle East, Eastern Europe, and Latin America. Goat milk has played an important role in the health and nutrition of infants and the elderly, and is also known to be beneficial and therapeutic for people with milk allergies. The potential and value of the nutritional, health, and therapeutic effects of goat milk and specialized goat milk products are now attracting attention. Various products can be made from goat milk based on its chemical properties. In addition, special products such as hair, skin care, products, and cosmetics produced using goat milk have garnered more attention in recent years. Nevertheless, high quality products can only be made from good quality goat milk. Advanced technical treatments are necessary to produce high quality goat milk that meets consumer expectation of nutritional, hygienic, and good sensory products. Good taste has been a critical criterion when deciding to buy and consume goat milk and associated products. However, it may be possible to produce more value-added products that cater to the new trends in consumer needs and thus maintain economic sustainability of goat milk industry.

지역 환경적 요인이 한국 여성의 유방암 조기검진 수검률에 미치는 영향 : 국민건강영양조사 제 4기를 중심으로 (Breast cancer screening rates-related factors Korea women ever considering area environmental characteristics: The fourth Korea National Health and Nutrition Examination Survey(KNHANES IV))

  • 이미화;김상현
    • 디지털융복합연구
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    • 제12권11호
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    • pp.437-449
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    • 2014
  • 본 연구는 국민건강영양조사 제 4기를 중심으로 다수준 분석을 이용해 지역 환경적 요인이 유방암 수검률에 미치는 영향을 분석하고자 수행되었다. 총 14,338명의 대상자 중 연구목적을 충족하는 4,143명을 분석하였다. 통제변수를 포함하지 않은 기초모형의 유방암 수검률의 지역 간 분산은 0.061이고, 개인변수만을 적용했을 때 지역 간 유방암 수검률의 분산은 0.034이었다. 분산의 변화율은 44.26%였다. 또한 개인변수와 지역변수를 함께 적용했을 때 지역간 유방암 수검률의 분산은 0.023이다. 분산의 변화율은 62.30%로서, 지역변수 3가지(유방 악성 신생물로 인한 여성의 십만명당 연령표준화 사망률, 유방촬영장치, 일반회계 중 복지예산(사회보장) 비중)가 지역 간 유방암 수검률의 분산을 18.04%를 추가로 설명한다고 할 수 있다. 따라서 개인적 요인 이외에 지역 환경적 요인이 동일 지역의 특성을 공유함으로써 유방암 수검률에 영향을 미치는 것으로 나타났다. 추후 유방암 수검률에 영향을 미치는 요인을 규명하는 연구에서는 지역 환경적 요인들도 중요하므로 이에 대한 고려가 필요하다.

Chronic Administration of Monosodium Glutamate under Chronic Variable Stress Impaired Hypothalamic-Pituitary-Adrenal Axis Function in Rats

  • Seo, Hee-Jeong;Ham, Hyang-Do;Jin, Hyung-Yong;Lee, Woo-Hyung;Hwang, Hyun-Sub;Park, Soon-Ah;Kim, Yong-Sung;Choi, Suck-Chei;Lee, Seoul;Oh, Kyung-Jae;Kim, Byung-Sook;Park, Byung-Rim;Lee, Moon-Young
    • The Korean Journal of Physiology and Pharmacology
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    • 제14권4호
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    • pp.213-221
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    • 2010
  • The hypothalamic-pituitary-adrenal (HPA) axis is the primary endocrine system to respond to stress. The HPA axis may be affected by increased level of corticotrophin-releasing factors under chronic stress and by chronic administration of monosodium glutamate (MSG). The purpose of this study was to investigate whether chronic MSG administration aggravates chronic variable stress (CVS)-induced behavioral and hormonal changes. Twenty-four adult male Sprague-Dawley rats, weighing 200~220 g, were divided into 4 groups as follows: water administration (CON), MSG (3 g/kg) administration (MSG), CVS, and CVS with MSG (3 g/kg) administration (CVS+MSG). In addition, for the purpose of comparing the effect on plasma corticosterone levels between chronic stress and daily care or acute stress, 2 groups were added at the end of the experiment; the 2 new groups were as follows: naive mice (n=7) and mice exposed to restraint stress for 2 h just before decapitation (A-Str, n=7). In an open field test performed after the experiment, the CVS+MSG group significant decrease in activity. The increase in relative adrenal weights in the CVS and CVS+MSG group was significantly greater than those in the CON and/or MSG groups. In spite of the increase in the relative adrenal weight, there was a significant decrease in the plasma corticosterone levels in the CVS+MSG group as compared to all other groups, except the naive group. These results suggest that impaired HPA axis function as well as the decrease in the behavioral activity in adult rats can be induced by chronic MSG administration under CVS rather than CVS alone.

국내 경제활동 인구의 직업유형별 적정수면과의 연관성 (Association between job types of economically active population and sleep appropriateness among South Koreans)

  • 김선정;김동준;김은나;유태규
    • 한국병원경영학회지
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    • 제25권3호
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    • pp.67-77
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    • 2020
  • Background: As of 2016, average Koreans sleep 7 hours and 42 minutes, the lowest figure among Organization for Economic Cooperation and Development(OECD) countries, and the number of people with sleep disorders reached 561,000. Accordingly, the government has promoted the provision of 'Multiple Sleep Test' to strengthen the diagnosis service for patients with 'sleep disorder' in july 2018. As a result, healthcare costs for patients with sleep disorder is on the rise every year. In this study, we utilized 'Appropriate Sleep' criteria of United States's National Sleep Foundation(NSF) then investigated Korean's sleep pertinence using 「7th National Health and Nutrition Survey for 2016-2018」 by different occupational type, demographic characteristics, socio-economic characteristics, and health behaviors. Methods: We performed descriptive analysis to examine differences of sleep appropriateness by various sample characteristics. Multivariate logistic regression models were used to examine sleep appropriateness by occupational type and other variables. We also analyzed subgroup models to investigate. Results: As a result, a total of 1,948 (18.37%) study subjects experienced in-appropriate sleep. Results of the Multivariate logistic regression analysis revealed that blue color group had a higher odds ratio (OR) for experiencing in-appropriate sleep (OR=1.179). In addition, the odds ratio of experienced in-appropriate sleep among the elderly aged 70 and over was 2.698, and the odds ratio of the overstressed group was 1.299. Furthermore, sub-group analysis showed that blue color job of female(Or=1.334), high school or below(OR=1.404), divorce/death/separation(OR=2.039), 25%ile-50%lie income group(OR=1.411) more likely experienced in-appropriate sleep. Conclusion: Growing sleep disorder patients and related health care costs are expected. Government should apply detailed 'total periodic sleep disorder management policy' including pre-consultation, examination, diagnosis, treatment, post-consultation, self-management especially to vulnerable population that this study found.

한국 노인의 보철상태에 따른 건강관련 삶의 질 (The Effect of Korean Elderly's Prosthetic Status on Health Related Quality by Using EuroQol-5 Dimension)

  • 박정혜;이민경;이정화;진혜정
    • 치위생과학회지
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    • 제14권3호
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    • pp.417-423
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    • 2014
  • 이 연구는 국민건강영양조사를 이용하여 우리나라 만 65세 이상 노인을 대상으로 보철 상태에 따른 건강관련 삶의 질을 조사하여, 노인의 구강건강증진의 기초자료를 확보하고자 하였으며, 다음과 같은 결론을 얻었다. 전체 연구대상자의 HRQoL은 0.86이었으며, 성별에 따른 HRQoL은 남자에서 0.90에 비해 여성에서 0.82로 남자가 유의하게 높았으며, 월 평균 소득이 증가할수록, 학력수준이 높을수록, 상실치아 개수가 낮을수록 HRQoL이 유의하게 높았다. 연구대상자 중 고정성 가공의치와 총의치 필요한 대상자는 HRQoL이 유의하게 낮았으며, 부분의치와 총의치를 장착하지 않은 대상자에서 HRQoL이 유의하게 높았다. EQ-5D의 현재의 건강 상태 5개의 항목에서 운동능력 항목은 부분의치 장착군에서 비장착군에 비해 어려움에 대한 응답한 비율이 높았으며, 자기관리 항목에서 총의치장착군에서 어려움이 있다고 응답한 비율이 높았다. 불안/우울 항목에서 총의치 장착군이 비장착군에 비해 어려움이 있다고 응답한 비율이 높았다.

성서에 언급된 과실에 관한 연구 (A Study on The Fruits Mentioned in the Bible)

  • 김성미;이광
    • 동아시아식생활학회지
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    • 제9권2호
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    • pp.149-160
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    • 1999
  • This paper is intended to find out what kinds of fruits are mentioned in the Bible and how they were used in those days. It has also analyzed in what terms they are expressed in the Korean Version of the Bible and studied agricultural regulations involved in the religion, and allegorical uses of the fruits. Olives were the primary fruit in the economy of the ancient times, followed by figs and vines. In addition, there are mentioned in the Bible almonds, apples, dates. mulberries and pomegranates. Olive trees have been grown for more than six thousand years. The Hebrew word. Zayit is mentioned in the Bible more than fifty times. Olive trees are not so beautiful in themselves but as they give us humans abundant reap and a lot of oil, they have been thought to be beautiful. Olive trees grow well on the seaside in the salty air and fog. Vines began to grown as early as in the Bronze Age(the period of 3000 to 2000 B.C.). In Northern Greece, grape seeds were found to belong to the year 4500 B.C. or so. The vine gardens produced raisins and wine as well as vines. Figs are the fruit which are first mentioned in the Bible(Genesis 3:7) and they were the precious product of the Palestine people, which is described in Deuteronomy 8:8. Figs are sweet and watery and can easily quench thirst on hot summer days. They were used for cookies and wine in the raw or dried state. An apple, which is tappuah in Hebrew, is mentioned as 'Sagwa' six times in the Revised Korean Version, and in the Korean Joint Version it is twice mentioned as 'Sagwa' and as 'Neungum' four times. In ASV and KJV, 'apple' appears eleven times. which is because' the apple of eye' is translated in the 'Nun-dong-ja(the pupil of the eye)'In the Korean Version. 'Sagwa(apple)'of Proverb 25:11, the Song of Songs 2:3, 2:5, 7:8, 8:5 and Joel 1 :12 have been thought to be doubtful. because apple trees cannot be grown in the areas mentioned in the Bible. Some maintain that the apples in the Bible refer to apricots(Prunus armeniaca, Citrus medica L.) or golden oranges (Citrus sinensis L. Obsbeck) which is confusing. In the Revised Korean Version, 'Salgu(apricots)' appears eight times while ASV and KJV translate almond into 'Salgu'. So since translating a genuine apricot into 'Salgu' can be confusing, a great care should be taken in the translation into Korean. Some hold that as some papyri arround the year 1200 B.C. describes pomegranate, apple, olive and fig trees growing on the Nile delta, tappuah rightly refers to 'Sagwa(apple)' In the Korean Joint Version, Sagwa and Neungum are used together to refer to the same fruit, which should be avoided. It is desirable to use the same word for the same thing. Sagwa' showing up six times In the HeL.Ised Korean Version should all be replaced by 'Neungum' Dates symbolized peace and abundance were used for food in the raw or dried state, and were made into honey. Pomegranates can be eaten in the raw state and be used for sherbets and wine. Juice made of promegranates can be mixed with wine and drunk.

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돈육 패티에 첨가된 적포도주가 동결 저장 중 품질에 미치는 영향 (Changes in the Quality of Pork Patties during Frozen Storage on the Addition of Red Wine)

  • 윤동화;박경숙;양종범;문윤희;이경수;정인철
    • 동아시아식생활학회지
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    • 제17권2호
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    • pp.234-241
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    • 2007
  • The aim of this study was to investigate the effects of the addition of red wine of pork patties during frozen storage on their water holding capacity, thawing loss, cooking loss, diameter change, thickness change, surface color, pH, VBN (volatile basic nitrogen) and TBARS (2-thiobarbituric acid reactive substances). Four types of pork patty were prepared; pork patty without red wine (control), and with the addition of 1%, 3% and 5% red wine (RWP-1, 3 -and t respectively). The pork patties were stored for 5 months at $-20^{\circ}C$. The water holding capacity was significantly decreased during frozen storage, which was not influenced by the addition of red wine (p<0.05). The thawing loss and cooking loss were significantly increased during frozen storage, which also was not influenced by the addition of red wine (p<0.05). There were no significant differences in the diameter and thickness changes during frozen storage, which was not influenced by the addition of red wine (p<0.05). There were no significant differences in the $L^*\;and\;b^*$ values, but the a value was significantly decreased during frozen storage. The $L^*,\;a^*\;and\;b^*$ values of the pork patties containing red wine were lower than those of the control patties (p<0.05). There were no significant differences in the pH and VBN content during the frozen storage period or on the addition of red wine to the patties. The TBARS value of the pork patties tended to increased with increasing in frozen storage period, but were decreased with increasing amount of red wine addition (p<0.05).

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지방의 종류가 돈육 Patty 의 품질 특성에 미치는 영향 (Lipid Type Effects on the Quality Characteristics of Pork Patties)

  • 박경숙;윤동화;문윤희;이경수;박현숙;정인철
    • 동아시아식생활학회지
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    • 제17권3호
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    • pp.364-370
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    • 2007
  • This study was carried out to investigate the effect of lipid type on the physicochemical properties and sensory score of pork patties. The samples consisted of pork patties containing 20% pork fat (PP), 20% olive oil (OP), and 20% soybean oil (SP). The surface color, water holding capacity, increased rate in thickness, decreased rate in diameter, rheological properties, pH, VBN content and TBARS value were determined for the pork patties as the physicochemical properties: the sensory scores were also evaluated. The $L^*$ value for PP was the highest, and the lowest for OP among the samples (p<0.05). For the $a^*$ value OP was the highest among the samples, and the $b^*$ value of OP was lower than that of the PP (p<0.05). The water holding capacity and increased rate of thickness were higher for PP than for OP and SP (p<0.05). The cooking loss and decreased rate of diameter of PP were lower than those of OP and SP (p<0.05). The hardness and springiness of OP and SP were higher than those of PP, and SP had the highest chewiness among the samples (p<0.05). However, cohesiveness and gumminess were not different among the samples. The pH of SP was the highest among the samples, and the TBARS value of OP was lowest (p<0.05). The VBN contents were not different among the samples. The amounts of raw color for OP and SP were higher than that of PP (p<0.05). The raw aroma was not different among the samples. Also, roasted aroma and taste were not different among the samples, but the tenderness, juiciness, and palatability of SP were the highest among the samples (p<0.05).

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