• 근관절건강학회지
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• 제30권3호
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• pp.254-262
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• 2023

Purpose: This study was to determine the effect of Individualized education-counseling program on the performance of Health behavior and Cardiovascular risk after discharge inpatients with percutaneous coronary intervention. Methods: This study is a quasi-experimental study of the non-equivalence control group and the subjects of this study were patients who underwent percutaneous coronary intervention for coronary artery disease and had no complications due to severe arrhythmia or heart failure. The purpose of the study was explained to the subjects who met the selection conditions, and written consent was obtained, and 50 randomized experimental groups and 50 control groups were selected and assigned. Results: Compared to the control group, health behaviors were significantly higher after 1 week (F=33.63, p<.001) and 12 weeks (F=23.63, p<.001). The cardiovascular risk score based on Framingham risk score differed significantly depending on the measurement period (F=26.18, p<.001), there was no significant difference in the interaction between the two groups and the measurement period (F=0.72, p=.469). Conclusion: It was confirmed that the Individualized education counseling program provided to patients with Percutaneous coronary intervention was effective in increasing the subject's health behavior, but not in lowering the cardiovascular risk.

• 산업융합연구
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• 제19권4호
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• pp.111-126
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• 2021

본 연구는 소방공무원 수험생을 대상으로 12주간 훈련이 체력요인, 심혈관계요인 변화에 미치는 효과를 규명하고자 하였다. 이를 위해 자발적 참여를 동의한 20-30대 남자 40명을 소방공무원 체력검사종목 훈련군(이하 PT group), 소방공무원 체력검사종목과 유산소훈련 병행군(이하 PT+AR group), 소방공무원 체력검사종목과 무산소훈련 병행군(이하 PT+AN group), 소방공무원 체력검사종목과 유무산소복합훈련 병행군(PT+CO group)으로 나누어 실시하였다. 분석항목으로는 체력요인(악력, 배근력, 앉아 윗몸 앞으로 굽히기, 제자리멀리뛰기, 윗몸일으키기, 20m왕복오래달리기), 심혈관계요인(총콜레스테롤, 중성지방, 고밀도지단백 콜레스테롤, 저밀도지단백 콜레스테롤, 글루코스, 허리둘레, 수축기혈압, 이완기혈압) 및 Framingham Heart Risk Score와 체력요인, 심혈관계 요인의 관계를 비교 분석하였으며 다음과 같은 결론을 얻었다. 본 연구에서 실시한 12주간 체력검정을 위한 훈련이 체력과 심혈관계에 효과적임을 확인 할 수 있었다. 따라서, 체력검정을 위한 훈련이 소방공무원 수험생들의 체력향상과 심혈관질환 위험을 감소시키는데 효과가 있는 것으로 판단된다.

• Journal of Korean Biological Nursing Science
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• 제24권3호
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• pp.171-180
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• 2022

Purpose: The purpose of this study was to investigate the nutritional intake status, according to the risk of diabetic complications in Type 2 diabetes patients. Methods: This was a secondary data analysis study that included 83 patients. The nutritional intake was assessed, using 24-hour dietary recall. The risk of diabetic complications was measured, using the Framingham Risk Score (FRS) and Michigan Neuropathy Screening Instrument Questionnaire (MNSIQ). The nutritional intake was analyzed using the CAN-pro 4.0 program. Data were analyzed using descriptive statistics, Chi-square test, and Independent t-test, using the SPSS WIN 26.0 program. Results: The mean FRS and MNSIQ scores for the participants was 14.46± 4.09 and 2.30± 2.22, respectively. Thirty two participants (38.6%) were in the high-risk groups for cardiovascular disease and peripheral neuropathy. The participants consumed high amounts of grain and low amounts of vegetables, fruits, and dairy products when compared to the recommended intake. However, the nutritional intake did not differ according to FRS or MNSIQ levels. Consumption of vegetables and fruits were significantly different between high and low risk groups of MNSIQ. Conclusion: It is necessary to consider the composition of dietary intake to improve the imbalanced diet in Type 2 diabetes patients and prevent diabetic complications. Type 2 diabetes patients should reduce the intake of grains and sodium, and increase vegetable intake. More deliberate future studies are needed, to investigate the relationship between food intake and the risk status for diabetic complication.

• 한국시뮬레이션학회논문지
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• 제29권1호
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• pp.11-21
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• 2020

암을 제외한 한국인의 가장 높은 사망원인은 심뇌혈관질환으로 사망원인의 24%를 차지한다. 현재 국내 환자의 심혈관질환의 위험도 산출은 프레밍험 위험지수를 기반으로 하지만, 국외의 가이드라인에 의존하고 있어 정확도가 떨어지는 편이며, 뇌혈관질환의 예측에 대한 위험도는 산출할 수 없다. 심뇌혈관질환은 예방을 위한 조기증상들의 특징 분석이 어려워 질환예측이 힘들며, 한국인에 적합한 예측 방법이 필요하다. 본 연구의 목적은 심뇌혈관질환 데이터를 이용하여, 특징집합 IG-MLP 평가 기반의 특징선택 방법론을 시뮬레이션 하여 검증하는 것이다. 제안하는 방법은 제4~7기 국민건강영양조사 원시자료를 이용한다. 심뇌혈관질환의 예측에 중요한 특징들을 선별하기 위해, 속성들의 심뇌혈관질환에 대한 정보이득-다층신경망을 이용한 분석을 실시하며, 최종적으로 선별된 특징을 이용한 심뇌혈관질환 예측 모델을 제공한다. 제안하는 방법으로 한국인의 심뇌혈관질환에 관련된 중요한 특징들을 찾을 수 있으며, 최적화된 특징들로 구성된 예측 모델은 한국인에 대해 더욱 정확한 심뇌혈관 예측을 할 수 있다.

• 대한임상검사과학회지
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• 제48권1호
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• pp.22-29
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• 2016

혈중 gamma-glutamyltransferase (GGT)는 지금까지 간기능장애와 대표적인 알코올 섭취 관련 지표로서 폭넓게 사용되어 왔다. 현재 다양한 질환과의 관련성이 밝혀지면서 그 관심이 커지고 있다. 본 연구에서는 고도의 음주군에 해당하는 대상자를 제외하고 GGT 수치가 정상 범위에 속하는 대상자들에서 GGT 수치에 따른 관상동맥 질환 위험 요인과의 관련성을 살펴보고, 연령과 성별에 따른 특성을 비교 검토 하였다. 분석 자료는 2011 국민건강영양조사 데이터를 이용하였다(N=3,619). GGT(IU/L) 수준에 따라 사분위수(quartile) 네 군으로 나누었을 때 GGT기준은 남성의 경우 순서대로 10~20, 21~27, 28~38, 39~71 IU/L 이었고, 여성의 경우 각각 6~12, 13~16, 17~22, 23~42 IU/L 였다. 대부분의 변수에서 평균치는 GGT 4분위수로 갈수록 수치가 높게 나타났으나, 남성에서 연령과 저밀도콜레스테롤은 GGT 2분위수에서 수치가 가장 높았다. FRS와 10년 관상동맥 질환 위험도는 남성에서 GGT 2분위수에서 유의하게 높았고, 여성의 경우 GGT 4분위수에서 유의하게 높았다. 여성의 경우 GGT 수준이 높아질수록 연령이 증가하였으나, 남성의 경우 GGT 2분위수에서 가장 높았다. 연령 70대에서 남성의 경우 1,2분위수 분포가 가장 많고, 여성의 경우 3,4분위수 분포가 많아 그 차이가 뚜렷하게 나타났다. GGT 수치가 정상 범위에 속하더라도 GGT 수치가 증가함에 따라 여러 위험인자와 관련성이 있음을 증명하였다. 그러나 GGT 수치 증가와 함께 관상동맥질환 관련 수치와 10년 위험도 관련 예측치 증가에 대한 부분은 연령과 성별에 따라 서로 다른 양상을 보였다.

• 사상체질의학회지
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• 제21권1호
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• pp.197-216
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• 2009

1. Objectives This study is to investigate the relationship between type A behavior pattern(TABP) and diabetes according to Sasang Constitution. 2. Methods 162 persons(81 IGM persons vs 81 normal persons) out of 666 persons, more than 40 years old, who participated the community based cohort in Wonju City of South Korea from July 2nd to August 30th in 2006, were randomly selected and analyzed. Framingham Type A score, Social Support index, glucose related laboratory results were measured and analyzed according to Sasang Constitution. 3. Results Soeumin in IGM group had significantly high scores in FTA scales compared with Soyangin and Taeeumin, bur in female IGM group and normal group there was no significant difference in FTA scales and TABP frequency by Sasang Constitution. There was no significant difference in social support index in IGM and normal group by Sasang Constitution. There was no significant difference in glucose-related values between TABP/TBBP in IGM group and normal group. Soyangin in female IGM group had significantly high values in insulin(fasting) and HOMA-IR in TABP group, Soeumin group had significantly high values in FBS in TABP group. According to binary logistic regression analysis for IGM, Sasang Constitution was a significant risk factor and the ORs of Taeeumin and Soyangin were significantly higher than that of Soeumin. Social Support index was significantly higher only in female group. 4. Conclusions Adequate questionnaire of TABP for our country or a research of another subjects are needed. And Sasang Constitution is thought to be the reasonable intervention to control diabetes in terms of prevention, treatment and regimen.

• 동의신경정신과학회지
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• 제21권2호
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• pp.157-169
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• 2010

Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.