• 동의생리병리학회지
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• 제21권1호
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• pp.291-297
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• 2007

Although Traditional Korean Medicine had always referred to Mamok(痲木: Paresthesia) as the prodrome of stroke for a long time, yet there were only few research papers on it. Hence, the purpose of this research is to explore the relationship between Mamok(痲木; Paresthesia) as the prodrome and an attack of stroke. Setting 509 Korean impatient women as the subject of research, 264 of the whole are stroke patients and 245 are non-stroke patients. Blood tests, questionnaires, and body measurements (height, weight, waist, hip) are performed to the subjects. Basic population traits, life-style, and past history are included in the contents of questionnaires. whether or not they have experience the numbness, description about the clinical characteristics of the symptom, the body parts which the symptom occurred, the onset of the symptom, and the incidences are examined in the category inquiring the numbness of the hand and foot. After adjusting for age, unilateral numbness was associated with significantly increased risk of stroke. When adjusted for other factors(Half of WHR, History of Hypertension and Diabetes mellitus, Cigarette smoking, Alcohol drinking, Education, Marital status, Regular exercise), the risk of stroke was positively associated with unilateral numbness.(Age Adjusted Odds Ratios=2.282(95%CI=1.107-4.705), Multivariate Odds Ratios=4.105(95% CI=1.233-13.671)) Whereas no significant association was observed in the onset and the incidence of unilateral numbness. This study suggest that preceding Mamok(痲木; paresthesia) before stroke attack is may be common prodrome symptoms of stroke. Prospective cohort study on the association between Mamok(痲木;Paresthesia) as the prodrome and an attack of stroke in Korean population will be necessary.

• 대한영양사협회학술지
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• 제22권2호
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• pp.106-117
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• 2016

Osteoporosis is a major health problem that can lead to mortality. This study was conducted to estimate the prevalence of osteopenia and osteoporosis separately and to assess the risk factors associated with osteopenia/osteoporosis in Korean men aged 50 years and over. A total of 1,136 subjects were analyzed among the participants of the Korea National Health and Nutrition Examination Survey (KNHANES) 2010~2011 by using SPSS statistics complex samples (windows ver. 23.0). The prevalence rates of osteopenia and osteoporosis were 46.3% and 7.3%, respectively, and the mean ages of both osteopenia and osteoporosis risk groups were significantly higher than that of the normal group. The mean values for lifetime tallest height and bone mineral density in whole body, total femur, femoral neck, and lumbar spine were significantly lower in the risk group(osteopenia/osteoporosis) than in the normal group, whereas the mean values for height, body weight, BMI, waist circumference, alkaline phosphatase, parathyroid hormone, fasting blood glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides of the two groups showed no significant differences. The intakes of energy and carbohydrates were significantly higher in the risk group than in the normal group. The results of multiple logistic regression showed that being underweight and having hypercholesterolemia were significantly related with the prevalence of osteopenia/osteoporosis, whereas health habits such as smoking and exercise, chronic diseases such as obesity and hypertension, and nutrient intakes were not. These findings suggest the need for further studies to examine osteopenia/osteoporosis risk factors and outcomes specificly focused on Korean men.

• 보건교육건강증진학회지
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• 제12권1호
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• pp.111-127
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• 1995

This study was designed to investigate the relationships between children's physical growth and health and their raising conditions and to find out the important conditions to improve their physical growth and health. The rasing conditions were classified into three major parts; i. e., family conditions, conditions of nutrition up-taking, and conditions of rest or sleep and exercise or play. Then, the questionnaire including the items to survey these three areas of raising condition and the items to evaluate the health status were given to children' mothers or fathers and filled up by them. The data of their 4 anthropometric measures; body weight, stature, sitting height and chest girth, were also collected from their latest records of health examination. The data of health status were converted to health scores representing 6 domains of health; digestive organs, respiratory organs, auto-nerve systems, fatigue, others and health as a whole. Then, correlations of raising conditions were determined with four antropometric measures and 6 health scores as criterion variables. Then, number of families to live together, and child's birth order in the domain of family conditions, habits of unbalanced diet, eating frequency of eggs, fruits, green and yellow vegetables, light colored vegetables, milk products in the domain of nutrition up-take, and the time for study at home, the place for play, the number of friends to play with together, the hours for playing out of door, the hours for playing sports, and the hours to move their body for assisting house keeping were picked out to investigate their relationships with physical growth and health status. Then, their habits of unbalanced diet and eating frequency of eggs, green or yellow colored vegetables, and milk products were found more influential conditions and more over, birth order, the time for study at home, the time to play out of door showed moderate degree of connection with physical growth and health status in early childhood.

• Archives of Plastic Surgery
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• 제38권5호
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• pp.687-690
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• 2011

Purpose: Pemphigus vulgaris, a rare autoimmune blistering disease of the skin and mucous membranes remains a challenging disease to treat. Management is focused on immunotherapy against autoimmune antibodies that target keratinocyte cell adhesion molecules, and antibiotics preventing secondary infections. There is no established dressing protocol and skin is usually manipulated the least amount possible in order to minimize irritation. The authors suggest that early initiation of aggressive bathing and debridement of skin lesions, with nutritional support, is essential in accelerating resolution. Methods: A 40 year-old male previously diagnosed with pemphigus vulgaris was admitted due to exacerbation of mucocutaneous lesions involving the epidermis and mucosa of the whole body. Steroids, immunosuppressants, intravenous immunoglobulin and antibiotics were administrated, but infection and de-epithelialization progressed, while his general condition deteriorated with a weight loss of over 20 kilograms. The plastic surgery department intervened with daily bathing, debridement of unhealthy debris and non-traumatizing coverage of growing epithelium. Total parenteral nutrition and mobilization with rehabilitation therapy was initiated as early as possible. Results: After bathing, healthy epithelium gradually covered the patient's entire body, while his general condition improved with a corresponding weight gain of 14 kgs. Conclusion: Treatment of pemphigus vulgaris focuses on immunotherapy and infection control. However, an equal amount of attention should be laid on early intervention with daily dressings including bathing and irrigation, nutritional support, and exercise as this accelerates resolution of existing infections, promotes healthy epithelialization and leads to faster recovery.

• 운동영양학회지
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• 제16권2호
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• pp.65-71
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• 2012

Oxygen is the final acceptor of electron transport from fat and carbohydrate oxidation, which is the rate-limiting factor for cellular ATP production. Under altitude hypoxia condition, energy reliance on anaerobic glycolysis increases to compensate for the shortfall caused by reduced fatty acid oxidation [1]. Therefore, training at altitude is expected to strongly influence the human metabolic system, and has the potential to be designed as a non-pharmacological or recreational intervention regimen for correcting diabetes or related metabolic problems. However, most people cannot accommodate high altitude exposure above 4500 M due to acute mountain sickness (AMS) and insulin resistance corresponding to a increased levels of the stress hormones cortisol and catecholamine [2]. Thus, less stringent conditions were evaluated to determine whether glucose tolerance and insulin sensitivity could be improved by moderate altitude exposure (below 4000 M). In 2003, we and another group in Austria reported that short-term moderate altitude exposure plus endurance-related physical activity significantly improves glucose tolerance (not fasting glucose) in humans [3,4], which is associated with the improvement in the whole-body insulin sensitivity [5]. With daily hiking at an altitude of approximately 4000 M, glucose tolerance can still be improved but fasting glucose was slightly elevated. Individuals vary widely in their response to altitude challenge. In particular, the improvement in glucose tolerance and insulin sensitivity by prolonged altitude hiking activity is not apparent in those individuals with low baseline DHEA-S concentration [6]. In addition, hematopoietic adaptation against altitude hypoxia can also be impaired in individuals with low DHEA-S. In short-lived mammals like rodents, the DHEA-S level is barely detectable since their adrenal cortex does not appear to produce this steroid [7]. In this model, exercise training recovery under prolonged hypoxia exposure (14-15% oxygen, 8 h per day for 6 weeks) can still improve insulin sensitivity, secondary to an effective suppression of adiposity [8]. Genetically obese rats exhibit hyperinsulinemia (sign of insulin resistance) with up-regulated baseline levels of AMP-activated protein kinase and AS160 phosphorylation in skeletal muscle compared to lean rats. After prolonged hypoxia training, this abnormality can be reversed concomitant with an approximately 50% increase in GLUT4 protein expression. Additionally, prolonged moderate hypoxia training results in decreased diffusion distance of muscle fiber (reduced cross-sectional area) without affecting muscle weight. In humans, moderate hypoxia increases postprandial blood distribution towards skeletal muscle during a training recovery. This physiological response plays a role in the redistribution of fuel storage among important energy storage sites and may explain its potent effect on changing body composition. Conclusion: Prolonged moderate altitude hypoxia (rangingfrom 1700 to 2400 M), but not acute high attitude hypoxia (above 4000 M), can effectively improve insulin sensitivity and glucose tolerance for humans and antagonizes the obese phenotype in animals with a genetic defect. In humans, the magnitude of the improvementvaries widely and correlates with baseline plasma DHEA-S levels. Compared to training at sea-level, training at altitude effectively decreases fat mass in parallel with increased muscle mass. This change may be associated with increased perfusion of insulin and fuel towards skeletal muscle that favors muscle competing postprandial fuel in circulation against adipose tissues.

• 한국운동역학회지
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• 제17권4호
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• pp.99-106
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• 2007

The gait instability in the elderly has been associated with age-related deterioration in physical strength and reducing the potential for elderly falls requires regular exercise. In 2005, National Center for Injury Prevention and Control(NCIPC) reported that most elderly falls occur during activities in daily living(ADL). To better reveal biomechanic mechanisms underlying age-related degeneration in gait stability, and to enhance the assessment of falls risk, an accurate quantification of a person's balance maintenance during locomotion is needed. Instantaneous orientation of the line connecting COP and COM can characterize whole body position with respect to the supporting foot during gait and the angle between this line and the vertical line passing through the COP known as a good assessment to detect the elderly gait instability. Therefore the purpose of this study was to investigate a 6-month walking exercise effects in reducing elderly fall risk factors by using COP-COM inclination angles. Twenty-two community-dwelling elderly participated this study. The participants performed a walking exercise(3 times/week, 1 hour/visit) for 6 months. Laboratory kinematics during walking was assessed at months 0, 3 and 6. Significant increased in gait velocity was found among periods(p=.011, $1.25{\pm}.03$, $1.32{\pm}.03$, and $1.39{\pm}.04\;m/s$ in 0-, 3-, and 6-month, respectively). Also, significant differences in anterior and posteriror inclination angles were found among the periods(p<.05; posterior inclination angles: $12.8{\pm}2.2$, $11.0{\pm}2.9$, & $10.9{\pm}1.9$; anterior inclination angles: $13.7{\pm}1.7$, $14.6{\pm}3.2$, & $1.46{\pm}.21$ in 0month, 3month, & 6month, respectively). These findings provide evidence of significant reduced fall risk factors of community-living older adults associated with a systematic walking program.

• 전자공학회논문지SC
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• 제48권4호
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• pp.63-70
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• 2011

본 논문은 비고정식 가속도계를 이용하여 운동 중 에너지 소비를 추정하였다. 가속도계 기반의 에너지 소비를 추정하는 대부분의 연구는 가속도계를 체중심에 부착한 고정방식이지만 본 연구에서는 가속도계를 고정시키지 않은 상태로 하의 주머니에 넣고 운동 중 에너지 소비를 추정 하였다. 에너지 소비 추정을 검증하기 위해 피험자는 가스 교환 방식의 간접칼로리미터와 고정식과 비고정식의 가속도계를 동시에 착용한 후 모터 구동 방식의 트레드밀에서 실험을 수행하였다. 28명의 피험자중 20명은 실험군으로, 8명은 대조군으로 분류하였다. 실험군의 데이터를 이용하여 간접칼로리미터의 에너지 소비량을 종속 변수로, 가속도 신호의 신호크기 면적을 독립변수로 설정하여 선형 회귀식을 유도하였다(결정계수: 0.98, 유의성: p<0.000). 대조군의 데이터를 이용하여 에너지 소비를 추정한 결과 간접칼로리미터와 비교시 고정식인 경우 15.0%, 비고정식인 경우 17.0%의 평균오차를 보였다. 비고정식과 고정식의 가속도계를 이용한 에너지추정 오차는 2%로 이 결과를 바탕으로 본 연구에서 제안한 비고 정식 가속도계 방식을 이용하여 운동 중 에너지 소비를 추정할 수 있는 가능성을 제시하였다.

• 대한방사선기술학회지:방사선기술과학
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• 제34권4호
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• pp.297-303
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• 2011

병원 근로자의 VDT 자각 증상에 대한 선행연구를 보면 대부분이 간호사 관련 직종으로 한정되어 있고, 방사선사에 대한 연구는 수행되지 않았다. 본 연구는 2009년 10월 15일부터 11월 2일까지 대전광역시에 소재하고 있는 종합병원에 VDT 작업을 시행하는 보험심사, 원무, 의무기록, 전산, 행정부서 근무자와 방사선사를 대상으로 구조화된 설문지를 활용하여 분석하였다. 연령이 20~29세, 임상경력이 5년 이하, 일반직원이며, 미혼인 대상자가 VDT 증후군 자각증상 중 피부, 심리 증상에서 유의한 차이를 보였으며, 연령이 30~39세, 임상경력이 6~10년, 관리자, 기혼인 대상자가 VDT 증후군 자각증상 중 안관련 증상, 전신 증상, 근골격 증상에서 유의한 차이를 보였다. VDT 증후군 자각 증상 점수를 종속변수로 한 다중선형회귀 분석 결과 관련 요인으로 안관련 증상에 영향을 미치는 요인을 보면 성별, 건강염려, 일상생활 방해이며, 전신증상은 운동, 스트레스, 건강상태 인지 관련, 근골격 증상에서는 임상경력 6~10년, 대인관계, 건강상태 인지 관련 건강염려와 일상생활 방해로 나타났으며, 통계적으로 유의한 차이를 보였다. 타부서 근로자와 방사선사의 VDT 증후군 자각 점수 차이가 크게 나타나지 않았다는 것은 방사선사의 업무가 VDT 작업환경으로 변함으로써 VDT 증후군 자각 증상이 일어날 수 있다고 말할 수 있다. 이는 정기적인 순환근무를 시행함으로써 VDT 작업환경에 지속적인 노출을 피하는 것이 예방 대책이라 할 수 있다.

• 운동영양학회지
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• 제15권4호
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• pp.163-171
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• 2011

The effects of a high-fat diet and fasting on resting energy expenditure and energy substrate utilization were examined using the method of measuring whole body energy metabolism and oxygen uptake. Eight 4-week old male Sprague-Dawley rats were used for the high-fat diet experiment. Energy metabolism was measured using acrylic metabolic chambers over 24 hours. After 1-week of preliminary feeding, 4 rats were fed a chow diet, whereas the remaining 4 rats were fed a high-fat diet (HF) ad libitum, which contained 40% (w/w, calorie base 60%) more fat than that in the chow diet. The flow rate to measure energy metabolism inside the chamber was controlled at a mean of 3.5 L/min, and five chambers were subjected to measurement. One of the five chambers was used to correct errors by measuring the atmosphere. As a result of 5 weeks of control diet and high-fat diet feeding, body weight of the high-fat diet group tended to increase more than that in the control diet fed group, but the difference was not significant. Oxygen uptake and carbon dioxide production changed as time went on over the 24 hr. The respiratory exchange ratio also changed during the 24 hr, and the difference between the groups was significant. The control group showed significantly more carbohydrate oxidation than that of the high-fat diet fed group. A fasting experiment was conducted using six 7-week old Sprague-Dawley male rats. Energy metabolism measurements were performed using the same method as that used in the high-fat diet experiment; resting metabolism was measured prior to fasting, and a fasting condition began from 9:00 am the next day for 3 days to calculate energy metabolism. Both body weight and 24-hour oxygen uptake decreased significantly as a result of 3-day fasting. Total oxygen uptake in the first day decreased, and declined significantly on day 3 of fasting. Total 24-hour carbon dioxide production decreased significantly over the 3 days. The mean 24-hour respiratory exchange ratio decreased significantly. Additionally, energy expenditure during the dark period (20:00-08:00), which is the active period for rats, decreased significantly with fasting, whereas energy expenditure during the light period (08:00-20:00) did not increase by fasting.

• 한국정보통신학회논문지
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• 제13권9호
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• pp.1795-1802
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• 2009

웹캠을 사용한 체감형 기능성게임은 손과 팔 머리 등 온몸을 인터페이스로 사용하는 게임과 운동을 병행하는 새로운 형태의 게임이다. 이때 게이머의 움직임이 미치는 공간이 게임 정보공간으로 이 공간상에 가상객체와의 상호작용이 발생하는 곳이다. 이 공간을 효과적으로 분할, 분석하여 게이머의 공격으로부터 적 캐릭터가 효과적으로 피할 수 있는 방법을 제안한다. 본 논문에서는 게임 공간을 9등분하여 적 캐릭터의 위치와 상, 하, 좌, 우의 게이머의 움직임 정보를 이용하여 충돌 회피를 구현한다. 이를 검증하기 위하여 웹캠, 게임플레이어, 적 캐릭터로 구성된 체감형 기능성 게임을 제작하고, 제안한 기법을 사용하여 충돌 회피를 실험하여 그 타당성을 확인하였다. 특히 적 캐릭터 앞 공간 영역에 움직임 정보가 있는 경우 제자리 뛰기를 하면서 기다리며 충돌회피 공간을 찾음으로써 보다 재미있고, 효과적인 충돌회피가 가능하였다. 제안한 알고리즘은 웹캠을 이용한 체감형 기능성게임의 효과적인 상호작용과 레벨조정 등 개발 알고리즘으로 활용될 수 있다.