• Title/Summary/Keyword: Nutritional diagnosis

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Lower Serum Cholesterol Level is Associated with More Serious Injury in Psychiatric Patients with Suicide Attempt (자살을 시도한 정신과 환자에서 낮은 혈청 콜레스테롤 농도와 심각한 자살 수행과의 연관성)

  • Kim, Yong Ku;Lee, Heon Jeong;Kim, Ji Yeon;Choi, So Hyun;Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.6 no.2
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    • pp.227-234
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    • 1999
  • An association of low total cholesterol in blood with psychiatric diseases and suicidal behavior has been suggested. As part of an attempt to further explore this relationship, we examine first, whether serum cholesterol levels in psychiatric patients with suicidal attempt would be lower than in non-suicidal psychiatric inpatients or normal controls, second, whether such significant difference of cholesterol levels would be present when the diagnostic groups are analyzed separately, third, whether low cholesterol level would be associated with a history of serious suicidal attempts, and finally, whether low cholesterol level in suicide attempters is a state or a trait marker. We determined the serum cholesterol levels in 231 patients admitted to an emergency room following an suicidal attempt, in the same numbers of age-, sex- and diagnosis- matched non-suicidal psychiatric controls, and in the same numbers of age-, sex matched normal controls. The seriousness of an attempt was divided into 5 grades according to the degree of the resulting medical injury. Total cholesterol levels in suicide attempters were significantly lower compared with both psychiatric and normal controls, when sex, age, and nutritional status (i.e., body mass index) were controlled for. This significant relationship was observed in major depressive disorders and personality disorders, but not in schizophrenia and bipolar type I disorders. The severity of suicide by a lowering of blood cholesterol was related to the magnitude of the cholesterol reduction. After treatment of their psychiatric ailments, the cholesterol levels in suicide attempters were significantly increased. This result suggests that low cholesterol level in psychiatric patients might be a potential biological marker of suicide risk. It is hypothesized that low cholesterol levels is associated with the suicide by modifying the serotonin metabolism, the production of interleukin-2 and melatonin metabolism in psychiatric patients.

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Determination of Nitrogen Content in Rice Tissue Using Near Infrared Spectroscopy

  • Song, Young-Ju;Cho, Seung-Hyun;Nam-Ki, O.H.;Park, Yeong-Geun
    • Proceedings of the Korean Society of Near Infrared Spectroscopy Conference
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    • 2001.06a
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    • pp.1262-1262
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    • 2001
  • The rice plant is one of the important staple crops in Korea. The high yield with low cost in rice is required the soil fertility and the development of new precise method of fertilizer application by nutritional diagnosis. Now, in Korea, the nitrogen application system for the rice plant is composed of the basal fertilization, fertilization at tillering stage and fertilization at panicle stage, which the nitrogen fertilization at panicle stage amount to about 30 percent in the total amount. Thus, this experiment carried out to the development of the system that can measure the nitrogen content in the rice plant at panicle stage rapidly with the near infrared spectroscopy, and to predict the appropriate quantity of the nitrogen fertilization at panicle stage based on calibration model for test of nitrogen content in rice plant. The samples were collected from 48 varieties in 4 regions which are mainly cultivated in the southern part of Korea. And then, it collected by classifying into the leaf, the whole plant and the stem since 7 days before the nitrogen fertilization at panicle stage. The ranges of the nitrogen contents were 1.6∼4.0%, 1.7∼3.0% and 1.4∼2.7% in the leaf, the whole plant and the stem, respectively. In the calibration models created by each part of the plant under the Multiple Linear Regression(MLR) method, the calibration model for the leaf recorded the relatively high accuracy. The mutual crossing test on unknown samples were carried out using Partial Least Square(PLS) calibration model. That is, the nitrogen content in the stem was tested by calibration model made by the leaf model and that of stem was tested by calibration model made by whole plant sample. When unknown leaf sample was tested by calibration model made by all sample that collected from each part in rice plant such as leaf, stem and whole plant, it recorded the highest accuracy. As a result, to test the nitrogen content in the rice plant at panicle stage, the nitrogen content in the leaf shall be tested by the calibration model composed of the leaf, the stem and the whole plant. In future, to estimated the amount of nitrogen fertilization at panicle stage for rice plant , it will be calculated based on regression model between rice yield and nitrogen content of leaf measured by calibration model made by mixed sample including leaf, stem and whole plant.

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Risks of Hyperlipidemia, Hypertension, High Blood Glucose and Liver Dysfunction in Moderately and Severely Obese Children

  • Kim, Eun-Kyung;Kim, Chang-Ok;Lee, Jung-Sook;Park, Gye-Wol;Ji, Kyung-Ah
    • Nutritional Sciences
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    • v.5 no.4
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    • pp.234-244
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    • 2002
  • This study was conducted to compare the rates of hyperlipidemia, hypertension, high blood glucose, and liver dysfunction, between 64 obese children (24 boys and 11 girls who were moderately obese, and 21 boys and 8 girls who were severely obese) and 45 normal weight children (31 boys and 14 girls) from 13 elementary schools in Kangnung city. Among the boys with severe obesity, the levels of serum triglycerides and LDL-cholesterol (133.60 $\pm$ 49.99 mg/dl and 105.00 $\pm$ 41.12 mg/dl( respectively) were significantly higher compared to the normal Weight group (81.16 $\pm$ 23.59 mg/dl and 87.74 $\pm$ 32.095 mg/dl, respectively) of moderately obese group (102.30 $\pm$ 36.03 mg/dl, 89.99 $\pm$ 32.10 mg/이, respectively). In girls, only serum triglycerides were significantly higher in the severely obese group (154.30 $\pm$ 46.84 mg/dl), compared with the normal weight group (80.00 $\pm$ 25.31 mg/dl) or moderately obese group (106.40 $\pm$ 41.73 mg/dl). In boys, blood pressure in the severely obese group (systolic: 120.5 $\pm$ 9.74 mmHg; diastolic: 80.95 $\pm$ 10.44 mmHg) was significantly higher compared with the groups of normal weight or moderately obese children. The rate of hypertriglyceridemia was significantly different among normal weight, moderately obese, and severely obese boys (9.7%, 41.7%, and 76.2%, respectively). The proportion of boys who had an Atherogenic Index(AI) higher than 3 was found to be significantly higher in the severely obese group (28.6%), compared to 6.5% in the normal weight group and 4.1% in the moderately obese group. Among boys, a significantly higher rate of hypertension was found in the severely obese group, which showed high systolic blood pressure and high diastolic pressure (81.0% and 81.0%), compared with the normal weight group (16.1% and 22.6%) and moderately obese group (33.3% and 33.3%). In conclusion, the diagnosis and management of obese children needs to be tailored to gender and the degree of obesity. Furthermore, a systematic management program needs to be developed for early screening and detection of obesity in order to minimize the risk of hyperlipidemia and hypertension, especially in severely obese children.

The Effect of Moxibustion at Chonjung(CV17, Shanzhong) on Patients with Dysphagia after Stroke (중풍환자(中風患者)의 연하장애(嚥下障碍)에 전중혈 구치료(灸治療)가 미치는 효과(效果))

  • Na, Byong-Jo;Rhee, Jun-Woo;Lee, Cha-Ro;Park, Young-Min;Choi, Chang-Min;Sun, Jong-Joo;Jung, Woo-Sang;Moon, Sang-Kwan;Park, Sung-Wook;Cho, Ki-Ho;Kim, Tae-Hun
    • The Journal of Internal Korean Medicine
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    • v.26 no.2
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    • pp.353-359
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    • 2005
  • Objectives: Dysphagia is a common in stroke patients. Dysphagia often affects the rehabilitation of stroke patients by increasing the risk of nutritional deficits and aspiration pneumonia. Despite the proliferation of physical therapies including swallowing training, much controversy remains regarding the application and benefit of them. Therefore, in this study, the clinical effect of moxibustion at Chonjung(CV17, Shanzhong) on post-stroke dysphagia were assessed using Swallowing Provocation Test(SPT). Methods: Dysphagia subjects were selected by Dysphagia Screening Test. Swallowing function was tested by Swallowing Provocation Test(sec). Direct moxibustion was applied to the acupoint, Chonjung, five times and Swallowing Provocation Test was performed before and after 30 minute. The Latency Time of Swallowing Reflex (LTSR) was checked by SPT. To find factors related with improving swallowing function, Cold-Heat and Excess-Deficiency Diagnosis were considered. Results: A total of 42 patient were included, but two of them were excluded due to severe coughing. Overall, the swallowing reflex improved significantly. In subgroup analysis on brain lesion, non-brain stem lesion patients significantly improved. Moxibustion was more effective in the cold group than in the heat group, but there were no differences between the Excess and the Deficiency groups. Conclusions: The result of this clinical study suggest that moxibustion at Chonjung(CV17, Shanzhong) is an effective treatment for the dysphagia patients after stroke, especially in non-brain stem lesion and the cold diagnosed patients.

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Development of Job Standards of Clinical Dietitian for the Clinical Nutrition Therapy to Cancer Patients in Hospitals (암 환자의 임상영양치료를 위한 임상영양사의 직무분석과 직무표준 개발)

  • Choi, Soo-Kyong;Wie, Gyung-Ah;Lee, Song-Mi;Kim, Eun Mi;Park, Mi-Sun;Sohn, Cheongmin;Woo, Mi-Hye;Ju, Dal Lae;Cha, Jin-A;Seo, Jung-Sook
    • Journal of the Korean Dietetic Association
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    • v.21 no.2
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    • pp.91-109
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    • 2015
  • The present study was conducted to provide the basis for improvement of clinical nutrition services through development of job standards of clinical dietitian for the clinical nutrition therapy to cancer patients in hospitals. Developing A Curriculum (DACUM) method was used for job analysis and development of job standards for clinical dietitians for cancer care. Based on DACUM analysis, information about duties, tasks, and task elements of clinical dietitians for cancer care was collected. Developed job standards were applied to clinical nutrition care for cancer patients in hospitals for evaluation. Based on DACUM analysis, consultations from professionals, and field application tests, the final job standards were composed of four duties, 18 tasks, and 56 task elements. The duties consisted of nutritional assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring evaluation. For cancer nutrition care, 109 work activities were developed. They were composed of 75 basic and 34 recommended work activities. The application of developed job standards for clinical dietitians for cancer care at 10 hospitals showed a performance rate of 72.3%. In conclusion, job standards for clinical dietitians for cancer care developed in this study might be effectively used as guidelines for providing clinical nutrition services for cancer patients in hospitals.

Appetite and Related Factors among Community Elders in Korea (국내 일부 재가 노인의 식욕부진 실태와 관련 인자 분석)

  • Park, Soojin
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.43 no.9
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    • pp.1431-1438
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    • 2014
  • This study assessed the risk and prevalence of anorexia as well as associated factors among home-dwelling elderly adults. The subjects were 419 elderly men (116) and women (303) aged 65 years and older ($76{\pm}5.6yr$) living in Korea. Data were collected by personal interviews using questionnaires. The collected data were analyzed by descriptive statistics and Pearson's correlation. The prevalence of anorexia was 35.1% among participants. Male elders (74.1%) had higher proportions of anorexia than female elders (20.1%) (P<0.001). Significant differences in the appetite were observed according to type of disease, depression, and activities of daily living (ADL) index. In the poor appetite group, central nervous system diseases were the primary illness in male elders (P<0.01), whereas endocrine diseases were the primary illness in female elders (P<0.01). Elders with good appetites had less symptoms of depression (P<0.001) and greater independence in ADL (P<0.001). These results explored the high prevalence of anorexia in geriatric populations in Korea and its impact on elderly nutritional status and health. Further research should be performed to identify the causes of anorexia and establish an intervention protocol allowing the early diagnosis of anorexia.

Study on the Utilization of Complementary Alternative Therapy in elder Arthritics (노인 관절염 환자의 보완.대체요법 이용실태)

  • Park, Kyung-Sook;Ryoo, Eon-Na;Moon, Kyung-Sun;Lee, Won-Yu;Lee, Sung-Ock;Kim, Myung-Hee;Youn, Mi-Sun;Oh, Jung-Mi;Hwang, Yun-Young;Kim, Hyung-Aee
    • Journal of muscle and joint health
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    • v.10 no.2
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    • pp.142-155
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    • 2003
  • The purpose of this study was to investigate the rate of utilization, kinds and effective complementary-alternative therapy in elder arthritics, and then utilize the results as basic data for nursing intervention for elder arthritics. Study subjects consisted of 157 elder arthritics over 60 years old, data were collected through a structured questionnaire and face to face interviews. Data collection was done from July 2001 to August 2001. Subjects were sampled out from outpatients of department of rehabilitation of a university hospital in S city, outpatients of a local hospital in D city, and outpatient at public heath center in K and S city. Sexual distribution of subjects showed male 19.1% and the female 80.9%. The diagnosis distribution showed degenerative arthritis at 91% and reumatoid arthritis at 8.9% Duration of arthritics was 10 years over by 46.5%, duration of hospital treatment was 1-5 years by 41% The degree of pain by arthritis pointed out a mean point of 3.37 on a 5-point numeric scale 94.2% of subjects have experience complementary-alternative therapies used. Of the kind the subjects used, physiotherapy occupied 38.2%, Oriental medicine 36.3%, physical exercise 35.7%, nutritional therapy 22.3%, animal diet 8.9%, herbal diet 3.8%. The hardest thing due to arthritis represented disability in daily life by 59.8% and the pain problem by 30.5%. In conclusion, results of the study reveal that elder arthritics have used physiotherapy, Oriental medicine, physical exercise. Concrete strategies for nursing intervention about these complementary-alternative therapy are required to the established soon.

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A Study on the Characteristics of Nutrient Intake in Metabolic Syndrome Subjects (대사증후군 대상자의 영양소 섭취 특성에 관한 연구)

  • Yoo, Hyun-Jung;Kim, Yang-Ha
    • Journal of Nutrition and Health
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    • v.41 no.6
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    • pp.510-517
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    • 2008
  • This study was conducted to investigate the prevalence of metabolic syndrome(MS) and characteristics of nutrient intake in MS subjects by gender and age. The subjects were 957(447 men and 510 women) who visited medical center for regular medical check-up. The diagnosis of MS subjects was adapted from NCEP-ATPIII with blood glucose, cholesterol, triglycerides, and blood pressure and Aisa-Pacific definition with waist-circumference. Anthropometric and biochemical measurements were practiced, then the nutrient intake analysis was assessed through the 24-hour recall method. The MS prevalence of all subjects was 10.3% in average -17% in men and 4.5% in women, respectively. The energy intake in MS group was 2,047.1 kcal and 1,699.5 kcal for normal group, showing significantly higher in MS compared to normal subjects. For intakes of animal fat, cholesterol, and sodium, MS group were significantly higher than normal group. In respect of gender, men subjects of MS group showed significantly higher nutrient intakes than normal group for energy, fat, and cholesterol. Women subjects of MS group showed higher intakes for energy, carbohydrate, and protein. For 30s, MS group showed higher intakes of energy, animal fat, and cholesterol than normal group. Fat and cholesterol for 40s and energy, carbohydrate, vegetable fat for 50s, MS group showed significantly higher intakes than normal group. In summary, MS group showed higher intakes of energy, animal fat, cholesterol, and sodium than normal group.

Establishment of Critical Ranges of Inorganic Nutrition Contents in Leaves of Watermelon(Cucurbita citrullus L.) in Protected Cultivation (시설재배 수박 엽 적정양분함량 설정)

  • Lee, Ju-Young;Park, Jae-Hong;Jang, Byoung-Choon;Lee, Ki-Sang;Hyun, Byung-Keun;Hwang, Seon-Woong;Yoon, Young-Sang;Song, Beom-Heon
    • Korean Journal of Soil Science and Fertilizer
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    • v.41 no.3
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    • pp.158-163
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    • 2008
  • This study was carried out to elucidate the relationship between yields and inorganic nutrient contents, and then establish of critical range of inorganic nutrient contents in leaves of watermelon in protected cultivation in Gochang from 2004 to 2006. In considering the yields and nutrient contents of watermelon, the critical ranges of macro-nutrient contents in leaves of watermelon at 20 days after transplanting were in N 5.0~6.6%, P 0.30~0.57%, K 3.5~4.2%, Ca 1.7~3.8% and Mg 0.20~0.42%, respectively. The critical ranges of micronutrient content, such as Fe, Mn, Zn, Cu and B, were not found the regular trend with different growth stages. However, the critical range of micronutrient contents in leaves of watermelon at 20 day after transplanting were in Fe 96~128, Mn 67~201, Zn 40~60, Cu 6~9 및 B $41{\sim}82mg\;kg^{-1}$, respectively. Finally, these results might be used at the indicator for critical nutrient contents for diagnosis of nutritional disorder in watermelon in protected cultivation.

The Establishment of Critical Ranges of Inorganic Nutrition Contents in Leaves of Net Melon(Cucumis melo L.) in Protected Cultivation (시설재배 멜론 엽의 적정양분함량 설정)

  • Lee, Ju-Young;Park, Jae-Hong;Jang, Byoung-Choon;Lee, Ki-Sang;Hyun, Byung-Keun;Hwang, Seon-Woong;Yoon, Young-Sang;Song, Beom-Heon
    • Korean Journal of Soil Science and Fertilizer
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    • v.40 no.6
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    • pp.471-475
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    • 2007
  • This study was carried out to elucidate the relationship between yields and inorganic nutrient contents, and then establish of critical range of inorganic nutrient contents in leaves of net melon in protected cultivation in Naju from 2004 to 2006. In considering the yields and nutrient contents of net melon, the critical ranges of macro-nutrient contents in leaves of net melon at 25 days after transplanting were in N 3.4~4.8%, P 0.4~0.7%, K 3.4~5.1%, Ca 2.7~4.1% and Mg 0.6~0.8%, respectably. The critical ranges of micronutrient content, such as Fe, Mn, Zn, Cu and B, were not found the regular trend with different growth stages. However, the critical range of micronutrient contents in leaves of net melon at 25 days after transplanting were in Fe 102~164, Mn 52~116, Zn 28~98, Cu 7~15 and B $36{\sim}72mg\;kg^{-1}$, respectably. Finally, these results might be used at the indicator for critical nutrient contents for diagnosis of nutritional disorder in net melon in protected cultivation.