• 한국학교보건학회지
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• 제11권2호
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• pp.171-187
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• 1998

In recent years, adolescent issues including smoking, drinking, drug abuse, juvenile delinquency, deviant sexual behavior, mental health problems, high suicide rate, juvenile delinquency and absence without due notice, etc are emerging as serious social problems and the debate on these controversial issues is heating up. The previous studies on adolescent health behavior and social juvenile delinquency such as run-away from home and absence without due notice have been conducted mostly by cause analysis utilizing social demographic factors or biological factors. In other words, the main factors analyzed were demographic and economic factors or parent's educational level, etc, which were the fixed environmental ones that were unable to cause the change in the health behavior. Accordingly, the purpose of this study is to analyze factors which are changeable and fixable among the factors influencing the adolescent's health behavior and misconducts and, eventually influencing factors which can be used as the basis to establish health policies and health promotion program to reduce the health risk behavior and misconducts of adolescents. The study subjects were selected by dividing senior high school student in Seoul by region and through random sampling. The 890 subjects were selected from 10 schools including the preparatory school, vocational schools and institutional schools. The duration of the study was for July 1-5, 1997 for the first survey and the second one, for August 25-September 10. Regarding the analysis method, the SAS program was used. The adoptablity of theoretical model was tested through covariance structural analysis utilizing PC-LISREL 8.12 Program. The major findings of the study are as follows: As a result of establishing the model of factors influencing health behavior and juvenile delinquency, in case of male students as the health behavior self-efficacy, education level of fathers, economic level, self-control and the health interest of parent were higher, students were more likely to practice the health promoting behavior. Juvenile delinquency and health risk behavior were prevalent among those with the less shyness, the lower health behavior self-efficacy, lower self-control, lower self-assertiveness, lower economic level. The self-control was the most powerful factor. In case of female students, those with higher health behavior self-efficacy were more likely to practice the health promoting behavior whereas those with lower health behavior self-efficacy, lower self-control, lower self- assertiveness, less shyness were more likely to practice health risk behavior and juvenile delinquency. In case of prep schools, those with higher health behavior self-efficacy and better perceived health status were more likely to practice the health promoting behavior while those with less shyness, lower health behavior self-efficacy and lower academic achievement were more likely to engage in health risk behavior and juvenile delinquency. In case of vocational schools, as health behavior self-efficacy and economic level were higher, the practice rate of health promoting behavior was higher. As the self-control, shyness, self-assertiveness, health behavior self-efficacy were lower, the rate of health risk behavior and juvenile delinquency were higher. In case of social institutional schools, as, the health behavior self-efficacy, social support and economic level, health interest of parents were higher, the rate of health promoting behavior were higher. As the self-control, shyness, self-assertiveness, health behavior self-efficacy and social support were lower, the rate of health risk behavior and juvenile delinquency were higher. So the health promoting behavior was positively related to the health behavior self-efficacy, health interest of parents, social support, education level of fathers, level of perceived health status, economic level. The health risk behavior and juvenile delinquency were higher with the lower health behavior self-efficacy, self-control and self-assertiveness, lower health locus control, less shyness and loneliness, lower economic level and academic achievement. In conclusion, the health risk behavior and juvenile delinquency can be reduced by enhancing self-control, self-assertiveness, health behavior self-efficacy and social support. According to the final model drawn by connecting health behavior and juvenile delinquency, the reduction of health risk behavior can greatly contribute to decreasing social juvenile delinquency as the process of juvenile delinquency was extended from common behaviors to problem behaviors and further into juvenile delinquency.

• 대한인간공학회지
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• 제36권3호
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• pp.183-196
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• 2017

Objective: The purpose of this research was to assess the agreement between job physical risk factor analysis by ergonomists using ergonomic methods and physical examinations made by occupational physicians on the presence of musculoskeletal disorders of the upper extremities. Background: Ergonomics is the systematic application of principles concerned with the design of devices and working conditions for enhancing human capabilities and optimizing working and living conditions. Proper ergonomic design is necessary to prevent injuries and physical and emotional stress. The major types of ergonomic injuries and incidents are cumulative trauma disorders (CTDs), acute strains, sprains, and system failures. Minimization of use of excessive force and awkward postures can help to prevent such injuries Method: Initial data were collected as part of a larger study by the University of Utah Ergonomics and Safety program field data collection teams and medical data collection teams from the Rocky Mountain Center for Occupational and Environmental Health (RMCOEH). Subjects included 173 male and female workers, 83 at Beehive Clothing (a clothing plant), 74 at Autoliv (a plant making air bags for vehicles), and 16 at Deseret Meat (a meat-processing plant). Posture and effort levels were analyzed using a software program developed at the University of Utah (Utah Ergonomic Analysis Tool). The Ergonomic Epicondylitis Model (EEM) was developed to assess the risk of epicondylitis from observable job physical factors. The model considers five job risk factors: (1) intensity of exertion, (2) forearm rotation, (3) wrist posture, (4) elbow compression, and (5) speed of work. Qualitative ratings of these physical factors were determined during video analysis. Personal variables were also investigated to study their relationship with epicondylitis. Logistic regression models were used to determine the association between risk factors and symptoms of epicondyle pain. Results: Results of this study indicate that gender, smoking status, and BMI do have an effect on the risk of epicondylitis but there is not a statistically significant relationship between EEM and epicondylitis. Conclusion: This research studied the relationship between an Ergonomic Epicondylitis Model (EEM) and the occurrence of epicondylitis. The model was not predictive for epicondylitis. However, it is clear that epicondylitis was associated with some individual risk factors such as smoking status, gender, and BMI. Based on the results, future research may discover risk factors that seem to increase the risk of epicondylitis. Application: Although this research used a combination of questionnaire, ergonomic job analysis, and medical job analysis to specifically verify risk factors related to epicondylitis, there are limitations. This research did not have a very large sample size because only 173 subjects were available for this study. Also, it was conducted in only 3 facilities, a plant making air bags for vehicles, a meat-processing plant, and a clothing plant in Utah. If working conditions in other kinds of facilities are considered, results may improve. Therefore, future research should perform analysis with additional subjects in different kinds of facilities. Repetition and duration of a task were not considered as risk factors in this research. These two factors could be associated with epicondylitis so it could be important to include these factors in future research. Psychosocial data and workplace conditions (e.g., low temperature) were also noted during data collection, and could be used to further study the prevalence of epicondylitis. Univariate analysis methods could be used for each variable of EEM. This research was performed using multivariate analysis. Therefore, it was difficult to recognize the different effect of each variable. Basically, the difference between univariate and multivariate analysis is that univariate analysis deals with one predictor variable at a time, whereas multivariate analysis deals with multiple predictor variables combined in a predetermined manner. The univariate analysis could show how each variable is associated with epicondyle pain. This may allow more appropriate weighting factors to be determined and therefore improve the performance of the EEM.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.551-560
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• 2016

본 연구는 대학생의 성폭력 인식도 및 성폭력 피해경험과의 관계에서 성폭력 허용도의 매개효과를 검증하고자 하였다. 연구대상은 제주특별자치도내 위치한 4개 대학교에 재학중인 남녀 대학생 408명이었으며, 성폭력 인식도척도, 성폭력피해경험척도, 성폭력 허용도 척도를 사용하여 설문을 실시하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째 상관분석 결과 성폭력 인식도와 성폭력 허용도와는 유의한 부적상관을 나타냈고, 성폭력 인식도와 성폭력 피해경험과 역시 유의한 부적 상관을 나타냈다. 이는 성폭력 인식도가 높을수록 성폭력 허용도와 성폭력 피해는 낮아진다는 것을 시사하고 있다. 둘째 성폭력 인식도와 성폭력 피해경험의 관계에서 성폭력 허용도가 매개 효과가 어떠한지를 알아보기 위해 연구모형과 경쟁모형으로 나누어 실시한 결과 성폭력 인식도는 성폭력 피해경험에 직접 영향을 주지 않았고, 성폭력 허용도를 매개로 영향을 미치고 있어, 완전매개 모형인 연구모형이 선택되었다. 즉, 성폭력 허용도가 성폭력 인식도와 성폭력 피해경험의 관계를 완전 매개하는 것으로 나타났다. 이는 성폭력 인식도가 성폭력 피해경험에 직접적으로 영향을 미치기 보다는 성폭력 허용도를 통해 간접적으로 영향을 미친다는 것을 의미한다. 따라서 성폭력 인식도가 잘 정립될수록 성폭력 허용도가 낮아지고, 결국 낮아진 성폭력 허용도 때문에 성폭력 피해가 감소할 수 있게 된다는 것이다. 그러므로 성폭력 인식도를 높일 수 있는 방법으로는 성폭력 예방교육을 체계적으로 실시해야 할 것이다. 성폭력 예방교육은 데이트 관계에 있는 남녀 대학생들이 개인의 성폭력 허용도 수준을 고려하여 그들의 인권적으로 성숙해지고, 정서적으로 적절한 관계를 유지할 수 있도록 이끌어 줌으로써 성폭력 피해를 줄일 수 있을 것이다. 마지막으로 본 연구는 제주특별자치도에 거주하는 대학생을 대상을 실시하여 일반화 시키는데는 한계가 있으므로 후속연구에서는 이를 보완하기 위하여 다양하고 광범위한 대상으로 연구가 이루어져야 할 것이다.

• 대한치과보철학회지
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• 제46권2호
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• pp.185-192
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• 2008

연구목적: 본 연구는 가변형 트레이 개발의 일환으로 그 시제품을 제작하고 비가역성 하이드로콜로이드 인상재를 사용하여 백인과 흑인에 서 인상채득시 트레이의 구강내 적합성를 알아보고자 하였다. 연구재료 및 방법: 가변형 트레이는 한국 성인 악궁의 크기 분석결과를 기본으로 하여 설계하였으며, CAD-CAM 작업을 통하여 견본 모형을 제작한 후 이를 이용하여 실리콘 간이 금형을 만든후 시제품을 제작하였다. 제작된 시제품을 이용하여 국내에 거주하는 백인 60명 (남자 30명, 여자 30명)과 흑인 60명 (남자 30명, 여자 30명)의 인상을 채득한 후 측정부위별로 인상체의 두께와 길이를 측정하여 그 적합도를 평가하였다. 결과: 1. 스탑과 경사면에 의해 트레이의 폭이 적절히 조절되어 균일한 인상체의 두께를 얻을 수 있었다. 2. 백인의 상악 트레이에서는 구개부 중앙이 13.0mm, 구개부 후방이 7.4mm로 비교적 인상체의 두께가 크게 측정되었다. 3. 백인의 하악 트레이에서는 전치 설측 기저부에서 인상체의 길이가 6.7mm로 길게 나타났으며 협측 제1,2 소구치 접촉점에서 폭이 6.7mm로 측정되었다. 설측 후방에서 폭이 2.9mm, 길이는 2.8mm로 조금 작게 측정되었다. 4. 흑인의 상악 트레이에서는 전치 순측 기저부에서 폭이 11.0mm, 구개부 중앙은 12.0mm, 구개부 후방은 11.0mm로 크게 측정되었으며 최후방 변연에서는 제2 대구치에서 후방 변연까지의 거리가 0.8mm로 작게 측정되었다. 5. 흑인의 하악 트레이에서는 전치 순측 기저부에서 폭이 9.2mm, 견치 순면에서 폭이 8.2mm로 비교적 크게 측정되었으며 최후방 변연에서는 제2 대구치에서 후방 변연까지의 거리가 0.3mm로 작게 측정되었다. 결 론: 이상과 같은 연구에 의해 측정된 값을 참고로 트레이의 변연 길이나 폭을 수정하고, 악궁의 해부학적 형태를 반영한다면, 이 가변형 트레이를 사용하여 백인과 흑인에서도 임상에서 보다 쉽고 정확한 인상채득을 할 수 있을 것이다.

• Asian-Australasian Journal of Animal Sciences
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• 제28권5호
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• pp.605-611
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• 2015

A synthetic strain of ducks (Anas platyrhynchos) was developed by introducing genes for long duration of fertility to be used as mother of mule ducklings and a seven-generation selection experiment was conducted to increase the number of fertile eggs after a single artificial insemination (AI) with pooled Muscovy semen. Reciprocal crossbreeding between Brown Tsaiya LRI-2 (with long duration of fertility) and Pekin L-201 (with white plumage mule ducklings) ducks produced the G0. Then G1 were intercrossed to produce G2 and so on for the following generations. Each female duck was inseminated 3 times, at 26, 29, and 32 weeks of age. The eggs were collected for 14 days from day 2 after AI. Individual data regarding the number of incubated eggs (Ie), the number of fertile eggs at candling at day 7 of incubation (F), the total number of dead embryos (M), the maximum duration of fertility (Dm) and the number of hatched mule ducklings (H) with plumage colour were recorded. The selection criterion was the breeding values of the best linear unbiased prediction animal model for F. The results show high percentage of exhibited heterosis in G2 for traits to improve (19.1% for F and 12.9% for H); F with a value of 5.92 (vs 3.74 in the Pekin L-201) was improved in the G2. Heritabilities were found to be low for Ie ($h^2=0.07{\pm}0.03$) and M ($h^2=0.07{\pm}0.01$), moderately low for Dm ($h^2=0.13{\pm}0.02$), of medium values for H ($h^2=0.20{\pm}0.03$) and F ($h^2=0.23{\pm}0.03$). High and favourable genetic correlations existed between F and Dm ($r_g=0.93$), between F and H ($r_g=0.97$) and between Dm and H ($r_g=0.90$). The selection experiment showed a positive trend for phenotypic values of F (6.38 fertile eggs in G10 of synthetic strain vs 5.59 eggs in G4, and 3.74 eggs in Pekin L-201), with correlated response for increasing H (5.73 ducklings in G10 vs 4.86 in G4, and 3.09 ducklings in Pekin L-201) and maximum duration of the fertile period without increasing the embryo mortality rate. The average predicted genetic response for F was 40% of genetic standard deviation per generation of selection. The mule ducklings' feather colour also was improved. It was concluded that this study provided results for a better understanding of the genetics of the duration of fertility traits in the common female duck bred for mule and that the selection of a synthetic strain was effective method of improvement.

• 벤처창업연구
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• 제16권1호
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• pp.55-69
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• 2021

여성의 사회 및 경제 활동 참여가 국가 발전에 중요한 요소로 인식되고 있다. 창업 대중화, 디지털 전환, 위코노미 트렌드는 여성이 창업에 도전할 수 있는 기회의 장벽을 낮추었으며 여성기업이 보다 빠르게 성장할 수 있는 환경을 제공하고 있다. 본 연구는 최근에 변화하고 있는 기업의 경영 환경, 여성 창업의 성공 영향요인, 혁신활동을 연계하여 여성 창업가의 성공 의미와 과정, 혁신전략과 성과의 특징을 살펴보는 것이다. 이를 위해 여성 스타트업 중 투자가 큰 분야인 유통/서비스와 소비자 제품/서비스 분야의 4개 기업을 대상으로 사례를 분석하였다. 그 결과, 여성 창업가는 성공의 의미를 '개인의 삶과 일의 균형' 안에서 '고객과의 신뢰 관계 확립을 통해 기업의 가치' 를 만들어 이를 지속하는 것으로 인식한다. 비즈니스 생태계 측면에서 여성 창업가는 '소비자-생산자-판매자의 상생에 기반을 둔 기업 활동' 에 노력하며 성과 중심의 목표 달성보다는 '문제해결 접근 방식으로 과정에 집중' 한다. 또한 섬세한 관찰력과 유연성, 실행력을 통해 '변화하는 트렌드에 적응' 하고 있다. 혁신활동 측면에서 여성기업의 혁신전략은 '고객에 기반한 가치 창출' 을 우선으로 하며 기술혁신보다 '고객중심의 비즈니스 모델' 혁신에 집중하고 있다. 이를 통해 여성기업은 이윤창출의 양적 성장을 중요시 하는 일반기업과 차별화된 몇 가지의 특징을 보이며 '기업의 가치 창출과 지속 성장' 을 얻는 것으로 나타났다. 여성이 창업하기 위한 도전과 기회의 장벽은 낮추어졌고 여성 스타트업이 성장할 수 있는 생태계는 마련되었다. 그러나 아직까지 여성 창업가가 적은 이유는 무엇이며 이러한 갭(gap)을 어디서 메꾸고 접근해야 하는지에 대한 답은 결국 현장의 면밀한 조사와 분석에 있다. 엑싯(Exit)한 여성 스타트업의 사례 축적을 통해 성장 단계별 마일스톤 제시와 여성의 육아와 보육을 고려한 정책대상 세분화도 이루어져야 한다. 본 연구의 결과가 후속연구의 기초자료가 되어 여성 창업가가 경제 주체로서 성장할 수 있는 연구 기반이 되기를 기대한다.

• 한국인구학
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• 제9권1호
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• pp.41-53
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• 1986

The purpose of this paper is two-fold. One is to investigate the determinants of the demand supply of labor, and another is to project long-term demand and supply of labor. The paper consists of three parts. In the first part, theoretical models and important hypotheses are discussed: for the case of a labor supply model, issues regarding discouraged worker model, permanent wage hypothesis, and relative wage hypothesis are examined and for the case of a demand model, issues regarding estimating an employment demand equation within the framework of an inverted short-run produc- tion function are inspected. Particularly, a theoretical justification for introducing a demographic cohort variable in a labor supply equation is also investigated. In the second part, empirical results of the estimated supply and demand equations are analyzed. Supply equations are specified differently between primary and secondary labor force. That is, for the case of primary labor force groups including males aged 25 and over, attempts are made to explain the variations in participation behavior within the framework of a neo-classical economics oriented permanent wage hypothesis. On the other hand, for the case of females and young male labor force, variations in participation rates are explained in terms of a relative wage hypothesis. In other words, the participation behavior of primary labor force is related to short-rum business fluctuations, while that of secondary labor force is associated with intermediate swings of business cycles and demographic changes in the age structure of population. Some major findings arc summarized as follows. (1) For the case of males aged 14~19 and 2O~24 groups and females aged 14∼19, the effect of schhool enrollment rate is dominant and thus it plays a key role in explaining the recent declining trend of participation rates of these groups. (2) Except for females aged 20∼24, a demographic cohort variable, which captures the impact of changes in the age structure on participation behavior, turns out to show positive and significant coefficients for secondary labor force groups. (3) A cyclical variable produce significant coefficients for prime-age males and females reflecting that as compared to other groups the labor supply behavior of these groups is more closely related to short-run cyclical variations (4) The wage variable, which represents a labor-leisure trade-off turns out to yield significant coefficients only for older age groups (6O and over) for both males and females. This result reveals that unlike the experiences of other higer-income nations, the participation decision of the labor force of our nation is not highly sensitive with respect to wage changes. (5)The estimated result of the employment demand equation displays that given that the level of GNP remains constant the ability of the economy to absord labor force has been declining;that is, the elasticity of GNP with respect to labor absorption decreasre over time. In the third part, the results of long-term projections (for the period of 1986 and 1995) for age-sex specific participation rates are discussed. The participation rate of total males is anticipated to increase slightly, which is contrary to the recent trend of declining participation rates of this group. For the groups aged 25 and below, the participation rates are forecast to decline although the magnitude of decrease is likely to shrink. On the other hand, the participation rate of prime- age males (25 to 59 years old) is predicted to increase slightly during 1985 and 1990. For the case of females, except for 20∼24 and 25∼34 age groups, the participation rates are projected to decrease: the participation rates of 25∼34 age group is likely to remain at its current level, while the participation rate of 20∼24 age group is expected to increase considerably in the future (specifi- cally, from 55% in 1985 to 61% in 1990 and to 69% in 1995). In conclusion, while the number of an excess supply of labor will increase in absolute magnitude, its size as a ratio of total labor force is not likely to increase. However, the age composition of labor force is predicted to change; that is, the proportion of prime-age male and female labor force is projected to increase.

• 한국환경생태학회지
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• 제27권4호
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• pp.417-428
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• 2013

여우는 한국에서 1980년대 이후로 절멸된 것으로 취급하고 있으며, 현재는 환경부에서 멸종위기 1급 동물로 지정되어 소백산국립공원에서 복원사업이 이루어지고 있다. 본 연구에서는 여우복원사업에 필요한 적정 모델링과 방사 전략을 수립하기 위하여, VORTEX 프로그램을 이용한 개체군 생존력 분석(Population viability analysis: PVA)을 수행하였다. 초기 개체군 0에서 매년 10개체(암5, 수5)를 향후 10년간 지속적으로 방사할 경우, 개체군의 이입으로 50년간 개체군 성장률은 $0.018{\pm}0.204$였으며, 절멸확률은 0.354로 나타났다. 최초 방사 후 16년차에 116.34로 최대 개체군 크기를 보였으나, 17년차부터 매년 1.22의 감소율을 나타내었다. 방사된 여우의 지속적인 성장과 절멸을 방지하기 위해서는 최초 방사 17년 이후 추가적인 방사가 필요하며, 장기적인 여우 존속을 위해서는 매년 12개체 이상을 방사하는 것이 필요한 것으로 분석되었다. 반면 연간 6개체 이하일 경우 50년 후의 절멸 확률은 80% 이상으로 나타났으며, 최소한의 개체군 성장을 위해서는 8개체 이상의 추가 방사가 필요한 것으로 나타났다. 설정된 조건값에서 매년 10개체씩 암수의 성비를 변화하여 6:4 로 10년간 방사할 경우 1:1 비율보다 안정적인 개체군 성장률을 보였으나, 암컷의 비율이 7:3이상으로 높아질 경우 부정적인 결과를 보였다. 재난요인으로 설정된 road-kill과 밀렵은 여우복원사업의 성패에 중요한 요인으로 확인되었다. 초기 적용값을 기준으로 각각의 요인이 3% 감소할 경우에는 절멸 확률은 30%로 낮아졌으며, 3% 이상 증가할 경우 50년 후의 절멸 확률은 약 90%에 이르는 것으로 분석되었다.

• Journal of Acupuncture Research
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• 제24권6호
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• pp.1-14
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• 2007

Backgrounds : Rheumatoid Arthritis(RA) is known as the chronic inflammatory diseasethat induces persistent inflammation in the joint cavity. The destruction of cartilage occurs as the result of bones destoyed by pannus, several influential cytokines induced by the synovial capsulitis, varieties of proteinases, $O_2$ radicals, and the secondary degenerative changes of articular cartilage. The type 2 collagen-induced arthritis model is used in recent experimental research on rheumatoid arthritis. Cervus elaphus sibiricus (Nockyong) has the effect of relieving pain by nourishing the muscles, joints, and bones. It is also known to be efficacious in promoting and enhancing the immune system. The objective of this study was to investigate the effect of Cervus elaphus sibiricus herbal acupuncture to inhibit the generation of proinflammatory enzyme on type 2 collagen-induced arthritis. I investigated the inhibition of mRNA transcription of MIF(macrophage migration inhibitory factor), $TNF-{\alpha}$(Tumor necrosis $factor-{\alpha}$) and MMP-9 (matrix metalloproteinase-9) of Cervus elaphus sibiricus herbal acupuncture using an in vitro test. Also investigated was the inhibition of differentiation of Th 1 cells and activation of cytokines(MIF, $TNF-{\alpha}$, IL-6, MMP-9), which are known to cause initial RA ,and are also related to the morphology of the synovial membranes of the joint capsule, by an in vivo test, using CIA(collagen induced arthritis) model mice. Materials & methods : The laboratory animals used in this experiment were 4 week-old DBA female mice, weighing approximately 20 grams, and adjusted to the laboratory environment. The experiment was divided into the normal group(NOR)-no treated group, control group(CON)-CIA induced group, and sample group(SAM)-Cervus elaphus sibiricus herbal acupuncture treated group. RA was induced in the mice via injection of $50{\mu}{\ell}$ C II mixed CFA. The Cervus elaphus sibiricus herbal acupuncture solution was applied on $GB_{35}$(陽陵泉) for 26 days from the 3rd day of RA inducement. The concentration of the solution was determined via a MTT assay. To research the effect on the expression of MIF, $TNF-{\alpha}$ and MMP-9 mRNA, RT-PCR was performed on synovial membrane cells from the knee joint of CIA mice. C II induced RA knee joint's histo-chemical synovial membrane was observed using a specimen model via the Hematoxilin and Eosin dying technique. Results : The expression of mRNA of RA-related cytokines such as MIF, $TNF-{\alpha}$, and MMP-9 dosedependently decreased in the cell from the synovial membranes of the joint, which is treated with Cervus elaphus sibiricus herbal acupuncture solution. In mice treated with Cervus elaphus sibiricusherbal acupuncture, the damage of synovial membranes of the joint was lessened, and differentiation of Th 1 cells was suppressed. The activation of RA-related cytokines such as MIF was suppressed, and the generation of $TNF-{\alpha}$ and MMP-9 showed a statistically significant decreas. Conclusions : It is speculated that Cervus elaphus sibiricus herbal acupuncture has the therapeutic effect of palliating the damage of the tissue impaired by RA by inhibition of the initial RA progression and by regulating excessive differentiation of Th 1 cell as it suppresses the generation of RA-related cytokines during the highest stage of RA by acting on pro-inflammatory enzymes.

• Clinical and Experimental Pediatrics
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• 제51권1호
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• pp.33-41
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• 2008

목 적 : 소아 청소년 건강관리에서 혈압 측정의 중요성이 점차 강조되고 있는 시점에서 한국의 소아 청소년들을 위한 정상 혈압 참고 치를 만들고자 하였다. 방 법 : 2005년에 새로운 신체성장 표준치를 만들기 위해 시행한 전국 소아 청소년들의 신체계측사업에 혈압 계측사업을 포함시켜 7-20세에 해당하는 소아 청소년 57,433명(남: 29,443명, 여: 27,990명)에서 신장, 체중 및 혈압 계측치를 얻었다. 혈압은 자동 진동혈압계인 Dinamap Procare 200(GE Inc., Milwaukee, Wi, USA)를 이용하여 측정하였고 앉은 자세에서 안정한 후 우측 팔에서 5분 간격으로 2번 측정하였다. 두 측정치의 평균치를 수축기 혈압과 이완기 혈압으로 기록하여 원 자료로 하였다. 체중이 +3SD 이상인 과체중아들 2,373명의 혈압은 제외하고 분석 하였다. 혈압 백분위수 표는 성별, 연령별, 신장 백분위수별로 만들어 졌으며 통계기법은 2004 Task Force in NHLBI (USA)이 사용한 통계기법을 원용한 고정 변형 LMS 방법을 사용하였다. 결 과 : 성별, 연령별(7-18세), 신장 백분위수별(5th, 10th, 25th, 50th, 75th, 90th, 95th) 혈압 참고치가 완성되었으며 신장 백분위수에 대한 자료는 질병관리본부 홈페이지인 http://www.cdc.go.kr/webcdc/에서 확인 할 수 있다. 고혈압의 기준치는 성별, 연령별, 신장대비에서 95 백분위수 이상으로 하고, 전고혈압 기준치는 90-95 백분위수 또는 수축기 및 이완기 혈압 130/80 mmHg 이상으로 정하였다. 결 론 : 이번에 마련된 우리나라 소아 청소년 정상 혈압 참고치는 처음이기 때문에 사용기준 및 고혈압의 기준은 앞으로 지속적인 논의와 연구가 필요할 것으로 생각된다. 또한 본 혈압 표는 자동 진동혈압계로 마련된 것이기 때문에 수동 수은 혈압계를 이용한 혈압 치를 평가하는 기준표로 사용하는 것은 주의해야 할 것이다.