• Journal of Nutrition and Health
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• 제26권9호
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• pp.1085-1097
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• 1993

Recently, as korean eating habits have been westernized, the incidence of large intestinal disease, which has been recognized as western diseases until now, has been increasing. This study was conducted to find the association of fiber intake and large bowel function. This was a cross-sectional survey, the data were obtained by self-administering questionnaire and study population was adults aged more than 18 years old in Seoul(N=1200). The response rate was 81.8%. The results were summarized as followed: 1) The factors associated with bowel function was sex, habits of defecation such as regularity and frequencies of defecation, fecal form, gastrointestinal diseases, psychological scores, self-assessment of physical status, exercise and alcohol drinking. 2) The association between the amount of fiber intake and bowel function was significant. This association was still significant, when the confounders such as disease of upper digestive system and alcohol drinking were controlled.

• 대한간호학회지
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• 제34권2호
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• pp.372-378
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• 2004

Purpose: The purpose of this study was to measure the functional status of stroke patients cared for in different long-term care settings. Method: We assessed all stroke patients in two home health care agencies, four nursing homes and one geriatric hospital in Korea (n=171) using the Resident Assessment Instrument (RAI), which comprises Activity of Daily Living (ADL), urine incontinence, bowel incontinence, a Cognitive Performance Scale (CPS),and being understood and understanding others. Data was collected by face-to-face surveys with patients. Results: The mean ADL score, urine incontinence score, bowel incontinence score, CPS, and being understood score and understanding others score were lowest for the patients receiving home health care, and highest for the patients in nursing homes. Low scores described poor and high scores good functional status. The results showed significant differences in physical and cognitive function scores between the three groups of patients. Conclusion: This study suggests that there may be large differences between the patients in these three types of long-term care settings. These findings can be used to help develop and implement efficient long-term care programs.

• 한국식품영양학회지
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• 제24권4호
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• pp.622-629
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• 2011

This study was performed to investigate the effect of rice bran dietary fiber powder on serum lipid levels, bowel function, and mineral absorption in rats. Four weeks old male Sprague Dawley rats(SD rat) were divided into four groups : control group fed 5% cellulose as a fiber source, RB10 fed 5% of cellulose and 10% of rice bran dietary fiber powder, RB20 and RB30. The animals were fed the experimental diets for 4 weeks. Serum lipid levels were not significantly different among the groups. But, fecal total cholesterol(TC), triglycerides(TG), and high density lipoprotein cholesterol(HDL-c) excretion increased in the RB30 group. Fecal weight and fecal water content were higher in the rice bran added groups than those in the control group. Transit time was significantly shorter in the rice bran fiber-added groups than that in the control. Weight of the stomach and large intestine in the RB20 and RB30 groups were significantly greater than those in the other groups. Absorption rates of Ca, Mg, P, and Zn decreased significantly in the RB30 group compared to those in the other groups. A high amount of rice bran increased fecal lipids, including TC, TG and HDL-c. Rice bran increased fecal weight and fecal water content and shortened gastrointestinal transit time. However, a high level of rice bran diet decreased mineral absorption rates.

• 한국식품영양과학회지
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• 제39권5호
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• pp.684-691
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• 2010

본 연구는 저항전분이 Loperamide 유도 변비 쥐의 대장내 환경과 혈중지질 농도에 미치는 영향에 대해 실험 조사하였다. 실험동물은 Sprague-Dawley계 수컷 쥐를 사용하였으며 60마리를 정상 셀룰로오스군, 변비 셀룰로오스군, 변비 펙틴군, 변비 RS2군, 변비 고RS2군, 변비 RS3군의 6개 군으로 나누었다. AIN-76 식이를 기본으로 각각 다른 식이 섬유원 즉, 셀룰로오스, 펙틴, RS2, RS3를 첨가하여 에너지 밀도가 동일한 실험식을 변비 유발 쥐에 5주 동안 투여하여 다음과 같은 결과를 얻었다. RS3 투여군과 고농도 RS2 투여군은 맹장 내용물의 비피더스균 수를 정상대조군에 비해 유의적으로 높이는 효과를 나타내었다. 맹장 내용물의 단쇄지방산총량은 셀룰로오스 군에 비해 펙틴과 저항전분군들에서 유의적으로 높았고, 개별 단쇄지방산은 프로피온산의 경우 펙틴군에서 가장 높았으며 부티르산은 CR3군에서 가장 높았다. 저항전분의 투여는 맹장 내용물의 pH를 셀룰로오스군에 비해 유의적으로 낮추었다. RS3 투여는 대장 관내 점막의 두께를 정상대조군에 비해 증가시키는 경향을 보였고, 점액분비 세포의 활성도를 정상대조군과 비슷한 수준으로 나타내었다. 염증지표 $PGE_2$의 수준은 저항전분 보충군들이 정상셀룰로오스군에 비해서는 높았으나 변비 셀룰로오스군이나 펙틴군에 비해서는 유의적으로 낮았다. 뿐만 아니라 저항전분들의 투여는 종류에 관계없이 변비동물에서 혈중 중성지질과 총 콜레스테롤 농도를 낮추고 HDL-콜레스테롤의 비율을 높임으로써 동맥경화지수를 낮추어 지질대사를 개선하는 유익한 효과를 나타내었다. 이상의 결과들에서 저항성 전분들은 장내 비피더스균과 같은 유용균의 증식을 활성화 시키며 단쇄지방산의 생산을 증가시킴으로써 장내 pH를 낮추는 효과를 나타낼 수 있으며, 또한 대장 점막층의 두께와 점액분비 세포수를 증가시키고 염증지표 수준을 낮춤으로서 변비동물의 대장 내의 환경을 건강하게 유지하고 장 기능을 효과적으로 개선시킬 뿐 아니라 혈중지질의 개선효과를 함께 나타낼 것으로 사료된다.

• 한국식품과학회지
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• 제46권5호
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• pp.648-654
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• 2014

본 실험에서는 함초에 포함 되어 있는 불용성 식이섬유를 추출 분리 하여 변비가 유발된 흰쥐에서의 다양한 장 기능 개선 효과에 대하여 알아보았다. 실험은 Sprague-Dawley계 수컷 흰쥐를 사용하였으며 Normal군, Control군, 5% ${\alpha}$-cellulose군, SHDF 5%, SHDF 10%군으로 나누었다. AIN-93 기본식이에 다른 식이섬유를 첨가하여 4주 동안 식이하여 혈청 중 지질 성분의 생화학적 분석, 대변량과 수분 함유량의 변화, 장 통과시간 측정, 분변 중 pH와 담즙산 측정, 대장의 병리조직학적 관찰 등을 통해 결과를 얻었다. 혈중 triglyceride 함량은 Control군에 비해 SHDF 10%군이 유의성 있는 감소를 보여 주었고 심지어, 5% ${\alpha}$-cellulose군과 비교하여 효과적인 감소를 보여주었다. HDL-cholesterol의 함량은 Control군에 비해서 모든 군에서 모두 유의성 있는 증가를 보여 주었다. 채집한 분변의 wet weight와 dry weight는 모두 Control군에 비해 유의성 있는 증가를 보였으며, 배출된 대변에서의 수분양이 유의성 있게 증가하였다. 분변의 장 통과시간이 Control군에 비해 유의적으로 단축되는 것으로 나타났다. 분변의 pH는 Control군에 비해 함초의 식이에 의해 유의성 있는 감소를 모였으며, 담즙산은 유의성 있게 증가했다. 조직의 염색상을 통해 장샘의 길이와 전체적인 형태를 확인한 결과 Control군에 비하여 함초식이군에서 조직의 손상이 회복되는 것을 관찰할 수 있었다. 이러한 결과로 미루어 볼 때, 함초의 불용성 식이섬유는 혈중 triglyceride의 감소와 HDL-cholesterol을 증가시키고, 대변량을 증가시키고 장 통과시간을 단축하여 손상된 장관내 환경을 개선시킴으로써, 장점막층의 빠른 회복을 통하여 변비 등과 같은 장기능 저하에 탁월한 효과를 가질 것으로 생각된다.

• Journal of Nutrition and Health
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• 제30권5호
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• pp.465-477
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• 1997

The purpose of this article is to know the effects on bowel function of the kind of fiber and the amount of fiber in SD-rats. To do this experiment, we select of $\alpha$-cellulose as n insoluble cellulose source and alginic acid and pectin as soluble cellulose source. The rats diets contained callolose camcentrations of 1.0%, 3.6%, 6.0% and 10.0%. After that, we raised the SD-rats for 4weeks and measured the amount of food intake, body weight, the food effciency ratio, the length of liver and stomach the weight of the intestines, the transit time through the intestines, pH in feces, and the amount of bile acid and Ca, Mg, pp. 1) The amount of food intake was 15.75-31.00g/day. It was highest in the 10.0% cellulose group and the lowest in the 3.6% and 6.0% alginic acid group (p<0.05). The body weights of rats were 277.50-349.809. It was highest in the 1.0% pectin group and lowest in the 3.6% alginic acid group, 6.0% cellulose group, and 10.0% pectin group. It had differences according to the content fiber and the kind of dietary(p<0.01). The food efficiency ratio was (p<0.01). The higher the content of dietary fiber, the lower the calory and the food efficiency ratio. 2) Transit time was 446.0-775.0 minutes and it showed signidicant ifferences according to the content and kind of dietary fiber(p<0.01). It was long in the 1.0% cellulose group and 1.0% pectin group but short in the 10.0% alginic acid group. As the content of dietary fiber increased, the transit time through the intestines was shortened. The length of small intestine was 101.03-120.40cm and there were no difference cegardloss of the content and kind of fiber. The length of the large intestine was 20.92-25.42cm and there were significant differences according to the content and kind of the fiber. High-fiber diets resulted in increases in the length of the large intestine. 3) The weight of the liver was 8.68-10.96g and there were no differences according to the content and kind of fiber. The weight of stomach was 1.28-1.74g and there were no differences resulting from the kind of dietary fiber, but it was highest in the 10.0% alginic acid group. The weight of the small intestine was 5.52-8.04g with no difference resulting from to the kind of fiber. It was highest in the 10.0% the alginic acid group and lowest in the 1.0% alginic acid group(p<0.05). The weight of large intestine was 2.50-3.30g with no differences related to the kind of dietary fiber. It was heaviest in the 6.0% and 10.0% alginic acid groups and in the 10.0% pectin group with differences related to the content of fiber(p<0.05). 4) The pH of the feces was 5.82-6.86 according to the kind of dietary fiber, alginic acid group was high at 6.66, the cellulose group was 6.26. but the pectin group was low at 6.30. There were difference according to the content of fiber, but no consistency. The content of bile acid was 6.25-34.77umol per 1g of dry feces. According to the kind of dietary fiber, the alginic acid group was low at 12.91umol, cellulose group was 18.64umol and, the pectin group was the highest at 27.78umol(p<0.001). Based on the content of dietary fiber, alginic acid group was low at 1.0%, but high at 3.6% pectin group(p<0.001). 5) The amount of feces was 1.00-5.10g/day. The weight of rat feces was 2.23g/day in the alginic acid goup, 2.75g/day in the cellulose group, and 1.82g/day in the pectin group. According to the content of fiber, cellulose group was high at 10.0% but alginic acid group was 1.0%, and there were significant difference according to the dietary fiber. The more the content of fiber, the more increase the content of feces in alginic acid, cellulose and pectin group. The content of Ca in the feces was 80.10-207.82mg/1g of dry feces. In the dietary fiber, alginic acid group was 193.08mg, cellulose group was 87.5mg, pectin group was 138.16mg. In the content of fiber, alginic acid group was high at 1.0% and 3.6% but low at 10.0% of Pectin group. The content of Mg was 19.15-44.72mg/1g of dry feces. According to the kind of dietary fiber, alginic acid group was 35.33mg, cellulose group was 23.60mg, and pectin was 36.93mg. According to the content of fiber, pectin group was high at 1.0% and low at 10.0% of cellulose group. The content of P was 1.65-4.65mg/1g of dry feces. According to the kind of dietary fiber, alginic acid group 2.23mg/g dry feces, cellulose group was 2.29mg/g, pectin group wa 4.08mg/g dry feces. In the content of fiber, pectin group was high at 6.0% and low at 6.0% alginic acid group, but there were significant difference among the analysis value. The conetnt of Ca and MG was higher in soluble alginic acid group and pectin group than in insoluble cellulose group. The high the content of the dietary fiber, the lower the food efficiency ratio and the short the transit time through intestine with the increase of the length of large intestin as well as the higher level of the stomach, the small intestine and the large intestine. According to the content of the dietary fiber, the amount of the feces, Ca, Mg and P was increased but the length the small intestin, the weight of liver, pH of the feces and the amount of bile acid showed no differences and consistency.

• 한국임상수의학회지
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• 제34권6호
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• pp.478-480
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• 2017

A Cocker spaniel (7-year-old, female) was presented with one week of anorexia, halitosis, oral ulcer, intermittent vomiting, acute weight loss and 3-day history of oliguria. The patient was diagnosed with acute on chronic kidney disease and pancreatitis. Hemodialysis was continued three times a week (total 7 sessions) with improved clinical signs and kidney panel, but presented with another episode of abdominal distention, respiratory distress, and large bowel diarrhea. Echocardiography revealed nearly totally occlusive thrombus in the cranial vena cava, as well as a right atrial mass of approximately $2cm{\times}1cm$. The patient was treated with catheter removal, thrombolysis and anticoagulation therapy with recombinant tissue plasminogen activator. During anticoagulation therapy, size of atrial thrombus was not changed and heart function was not improved after treatment. Since clinical signs were deteriorated, the patient was euthanized by owner's request. Catheter-related giant thrombus in right atrium is a rare complication and treatment guideline for atrial thrombus does not exist. This case is first report of hemodialysis catheter-induced thrombus in Korea.

• 한국식품영양과학회지
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• 제25권4호
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• pp.560-567
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• 1996

본 연구는 기능성 식이섬유음료의 섬유급원인 난소화성 덱스트린의 장기능 및 혈청내 지질에 미치는 영향을 알아보기 위해 SDrague-Dawley(평균 체중 819)의 흰쥐를 3군으로 나누어 control군으로 무섬유소 식이군(IC), 섬유소간의 비교를 위해 5% pectin군(IP), 5% 난소화성 덱스트린군(ID)으로 6주간 사육하였다. 얻어진 결과를 요약하면 다음과 같다. 식이 섭취량, 체중 증가량, 식이 효율은 식이간에 유의적 차이는 없었으나, 식이 섭취량이 높을수록 체중 증가량이 증가하였다. ID군이 식이 섭취량, 체중 증가량, 식이 효율이 약간 높은 경향을 보였다. 각군간의 간, 비장, 콩팥의 무게는 유의적 차이가 없었다. 부고환 지방의 무게도 유의적 차이는 없었으나, IP군이 가장 적었고 ID군도 IC군 보다 적은 경향을 보였다. 맹장의 무게는 섬유소를 섭취하지 않은 IC군 보다 ID군에서 유의적으로(p<.05) 무거웠으며, IP군도 IC군 보다는 무거운 경향을 나타내었다. 대장 무게와 길이도 ID군과 IP군이 IC군 보다 더 무겁고 긴 경향을 보였다. 배설된 변량은 ID군과 IP군이 IC군 보다 많은 경향을 보였으며 , 장 통과시간은 IP군이 다른 군 보다 빠르게 나타났다. ID군에서는 차이가 없었다. 혈청 중 총 지질, 콜레스테롤, 중성지방은 모두 IC군에서 높아 pectin이나 난소화성 덱스트린이 고지혈증을 개선시키는데 도움이 될 것으로 생각된다. 변내 지방 함량은 IP군이 가장 많았고(p<.05), ID군도 유의적이지는 않으나 IC군 보다는 많아서 지방의 흡수율이 IC군 보다 낮은 경향을 보였다. Ca의 흡수율은 IP군이 가장 낮았고(p<.05), ID군과 IC군과는 별차이가 없었다. 따라서 이러한 결과는 식이음료 중의 난소화성 덱스트린이 장 통과시간에는 영향을 주지 않으나 전반적인 장기능을 증진시키고, Ca의 홉수를 방해하지 않고 지방의 흡수를 감소시켜 체내 지방대사에 다소 영향을 미칠 것으로 사료된다.

• 대한물리치료과학회지
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• 제3권2호
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• pp.1011-1019
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• 1996

The incidence of spinal cord injury increase due to traffic accident, industrial accident and leisure sports. Spinal cord injury damages motor and sensory function below the injury level, also affects autonomic functions associated with voiding and defecation. Sexual dysfunction and psychosocial, vocational maladaptations are also some of the unwanted consequences of injury. The purpose of this study is look for means to prevent and to manage complications in spinal cord injury through investigation and analysis. The subjects of this study in spinal cord injured patients were admitted to the department of physical therapy, Kwangju christian Hospital, Nam Kwang Hospital, Chun Nam university Hospital and Cho Sun university Hospital, from April, 1, 1995 to March, 31, 1996. The results are as follows: 1. The subjects comprised 96 cases of spinal cord injury, ranging from 17 to 85(mean-40.8 yrs) and included 72 males and 24 females. Among these patients, 58 were cervical injury, 20 were thoracic injury and 18 were lumbar injury. 2. As for a major causative of spinal cord injury were traffic accident(59.4%), fall down (27.1 %), and motocycle(4.2%).. 3. The bladder control were taken by indwelling cathetar(41.7%), Crede maneuver(37.5%) and self voiding(16.7%). The bowel control were taken by all aid(61.5%), assitance(32.3%) and self defecation(6.2%). 4. Possible of sexual function were 35 cases (47.9%). 5. The device of transfer used wheel chair(69.8%) and bed(16.7%). 6. The patients with higher cord lesion got more serious pain than lower cord lesion. Also the patients with higher cord lesion got a serious spasticity. 7. The incidence of decubitus ulcer among 96 patients were in case 46(47.9%). The largest group of the pressure sore sites were sacral portion(82.0%), less than 1 month of onset occured a large numbers(50%). Incidence of pressure sore by spasticity occured many patients in case of mild or moderate. Incidence of pressure sore by pain occured many patients in case of severe pain.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제16권2호
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• pp.113-121
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• 1994

Large oral defects following tumor resection pose formidable challenge for the reconstructive surgeon. Ideally, wound closure should utilize like tissue in providing expedient, single-stage closure, returning maximum function while minimizing deformity. Recent methods have reported and utilize variable mucocutaneous flaps. However, the ideal reconstruction has yet to defined. The small bowel serves as a readily available donor site for satisfying reconstructive needs in oropharyngeoesophageal defects. Segments of jejunum may be opened along the antimesenteric border and transferred to oral defect as free tissue transfers. Some of the benefits of this technique have included a one-stage procedure, abundant donor tissue with characteristics similar to oral mucosa, near normal facial appearance, preservation of maximum tongue function and relief of annoying xerostomia by jejunal mucous secretion. Three cases re presented in which two cases show successful use of this flap. The other one patient developed total necrosis of this flap. We report cases of reconstruction using free jejunal flap transfer in oral reconstruction.