• Title/Summary/Keyword: $HbA_1c$

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Management of Blood Glucose in Diabetes Mellitus Using Modified Jawonjihwang-tang: A Retrospective Case Series of 76 Patients (자원지황탕을 활용한 당뇨병 혈당 관리 치료 76례에 대한 관찰 연구)

  • Jeong, Yong-wook;Jeon, Sang-woo;Lee, Gi-hyang;Kang, Su-bin;Jeong, Min-jeong;Kim, Hong-jun;Jang, In-soo
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1318-1324
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    • 2019
  • Objectives: The purpose of this study was to evaluate the effectiveness of the management of blood glucose in diabetes mellitus using modified Jawonjihwang-tang in a Korean medical clinic, retrospectively. Methods: From 2006 to 2018, 150 patients diagnosed with diabetes who visited a Korean medical clinic were treated with Korean medicine. Then, 81 of them were prescribed Jawonjihwang-tang. Five cases who changed the formula during the procedure were excluded; therefore, 76 cases were finally selected. Their therapeutic effects were evaluated by the variance in glycated hemoglobin (HbA1c). Results: After administration of Jawonjihwang-tang, most patients exhibited a decreased level of HbA1c, and 24 patients had normalized the level of HbA1c. The HbA1c level of all patients decreased from 9.1±2.2 to 7.8±2.2 significantly (p<0.001). Conclusions: It is concluded that Jawonjihwang-tang may control blood glucose in diabetes patients. However, more prospective randomized clinical trials are warranted to verify this conclusion.

Effects of Web-based Diabetic Education in Obese Diabetic Patients (비만형 당뇨환자의 웹기반 당뇨 교육 효과)

  • Kim Hee-Seung
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.924-930
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effect of web-based diabetic education on plasma glucose and serum lipids in obese people with diabetes. Method: A random allocation design with control and experimental groups being assessed pre- and post-intervention was used. Eighteen patients were randomly allocated to an intervention group and 16 to a control group. Participants were requested to input their blood glucose levels weekly for 3 months at http://www.biodang.com by cellular phone or wire Internet. The researcher sentoptimal recommendations to each patient weekly for 3 months using a short message service (SMS) of the cellular phone and wire Internet. Results: Patients in the intervention group had a mean decrease of $1.2\%$ in glycosylated haemoglobin ($HbA_{1}c$) levels and those in the control group had no difference in HbA1c levels. There was a significant mean change in 2-hour post prandial blood glucose (2HPPG) for the intervention group, with a mean change of -120.1 mg/dl. The mean change in the control group, however, was not significant. Conclusion: These findings indicate that this web-based intervention using SMS of the cellular phone for 3 months improved $HbA_{1}c$ and 2HPPG, but did not affect total cholesterol, triglyceride, and high density lipoprotein cholesterol in obese type 2 diabetic patient.

A study on Mechanical and Fatigue Properties of Spheroidal Graphite Cast Iron (구상흑연주철의 기계적 성질및 피로특성에 관한 연구)

  • Park, No-Gwang;Kim, Chang-Ju;Jun, Eui-Jin
    • 한국기계연구소 소보
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    • s.9
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    • pp.83-93
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    • 1982
  • The influence of different heat treatment conditions on microstructure, mechanical and fatigue properties of Spheroidal Graphite cast Iron with 0.4-0.6% Mn was investigated. 1) Maximum tensile strength was arrived by tempering at about $450^{\circ}C$after quenching. Tempering at higher than $600^{\circ}C$ was changed martensitic structure to ferritic structure and secondary graphites were precipitated. 2) The relationship between matrix hardness and total hardness of the specimens are as following. [HB]$T$=0.7[HB] [HB]$M$+35 Maximum tensile strength was arrived at the total hardness of HB400-450. 3) Endurance ratio decreases with increasing total hardness, and fatigue limits can be presumed from as following. $\sigmaf$=$\sigmat$

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Effects of Internet-based Diabetic Education on Plasma Glucose and Serum Lipids in Female Type 2 Diabetic Patients (인터넷 당뇨교육이 여성 제2형 당뇨병 환자의 혈당과 혈중지질에 미치는 효과)

  • Kim, Hee-Seung;Kim, Suk-il
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.311-317
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    • 2004
  • Purpose: The purpose of this study was to evaluate the effects of Internet education on plasma glucose and serum lipids in female type 2 diabetic patients. Method: Control and experimental groups were assessed by a pre-test and at 3 months, 6 months, 9 months, and 12 months. Fourteen patients were assigned randomly to an intervention group and 15 to a control group. Patients in the intervention group were requested to input their blood glucose levels everyday by cellular phone or wire Internet for 1 year. The goal of the intervention was to keep blood glucose concentrations close to the normal range (glycosylated hemoglobin, HbA1c<7%). An intervention was applied to the intervention group weekly for 1 year. Optimal recommendations were sent weekly by a short message service from a cellular phone and wire Internet. Results: Patients in the intervention group had a significant mean change in HbA1c, from 7.6% at pre-test to 6.9%, at 3 months and equalized at 6.7% at 12 months. There was no significant time and group differences observed in the serum lipids. Conclusion: These findings indicate that Internet education would improve and maintain the normal range of HbA1c in female type 2 diabetic patients.

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A STUDY ON THE EVOLUTION OF GLOBULAR CLUSTERS

  • Lee, See-Woo
    • Journal of The Korean Astronomical Society
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    • v.11 no.1
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    • pp.1-30
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    • 1978
  • The four dimensional classification of globular dusters with the parameters, Z, Y, age and HB type is presented defining two new parameters. $(B-V)_{1/2}\;and\;S_{3/2}$ which are shown to be tightly correlated with Kinman's spectral types and the helium abundances obtained from the R-method, respectively. The Z- and Y- abundances are derived from $(B-V)_{1/2}\;and\;S_{3/2}$, respectively, and the latter parameters determine the age class of clusters with help of Dickens' HB type, which is a function of Z. Y and age. For the examined forty two globular clusters the computed range at Z and Y are $1.5{\times}10^{-4}{\leq}Z{\leq}4.5{\times}10^{-2}\;and\;0.23<Y{\leq}0.41$. The age difference between the oldest (HB type 1) and the youngest (HB type 7) clusters is roughly estimated to be $2-4{\times}10^9$ years. Using these four parameters the known anomalous C-M diagrams seem to be reasonably interpreted without taking into account some complicate parameters such as unusually overabundant heavy elements, mass loss and mass spread, etc. The four dimensional scheme strongly suggests the slow successive collapses of the proto-Galaxy rather than a single fast collapse, and by this slow collapse model the inversion of chemical abundance gradient in the Galaxy can be explained. It is also shown that the clump position along the RGB near the HB level removes down to the fainter magnitude as the Z(Y)- abundance increases (decreases).

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Studies on hematologic values and types of blood protein in Jindo dogs II. Types of blood protein of Jindo dogs (진도견(珍島犬)의 혈액상(血液像)과 혈액단백질형(血液蛋白質型)에 관(關)한 연구(硏究) II. 진도견(珍島犬)의 혈액단백질형(血液蛋白質型))

  • Kim, Woo-kwon;Han, Bang-keun;Kim, Ja-suk
    • Korean Journal of Veterinary Research
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    • v.28 no.2
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    • pp.299-305
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    • 1988
  • The phenotypes of hemoglobin, albumin and transferrin of 3U2 Jindo dogs in Jindo area were studied by starch gel electrophoresis for hemoglobin and albumin, and by polyacrylamide gradient gel electrophoresis for transferrin. The results obtained were as follows: 1. In the hemoglobin phenotypes, three phenotypes, HbAA, HbAB and HbBB, which were controlled by two allelic genes, $Hb^A$ and $Hb^B$, were observed and their frequencies of appearance were 1.65%, 10.60% and 87.75% respectively. The distribution of gene frequency was calculated as 0.0695 in $Hb^A$ and 0.9305 in $Hb^B$. 2. In the albumin phenotypes, three phenotypes, Alb FF, Alb FS and Alb SS, which were controlled by two allelic genes, $AIb^F$ and $AIb^S$ were observed and their frequencies of appearance were 12.59%, 25.56% and 61.85% respectively. The distribution of gene frequency was calculated as 0.2537 in $AIb^F$ and 0.7463 in $AIb^S$. 3. Analysis of transferrin phenotypes showed 6 different types which were controlled by three allelic genes, $Tf^B$, $Tf^C$ and $Tf^D$ and their frequencies of appearance were 54.04% in TfBB, 17.54% in TfBC, 9.82% in TfBD, 8.07% in TfCC, 7.37% in TfCD and 3.16% in TfDD. The distribution of gene frequency was calculated as 0.6772 in $Tf^B$, 0.2053 in $Tf^C$ and 0.1175 in $Tf^D$.

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Cytogenetic and Histological Characteristics of Ginseng Hairy Root Transformed by Agrobacterium rhizogenes (Agrobacterium rhizogenes에 의하여 형질전환된 인삼 모상근의 세포 유전학적 및 조직학적 특성)

  • 고경민
    • Journal of Plant Biology
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    • v.36 no.1
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    • pp.75-81
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    • 1993
  • Ginseng (Panax ginseng C.A. Meyer) hairy root transformed with Agrobacterium rhizogenes (strain A4) was examined cytogenetically and histologically to assess its characteristics. The optimum growth of hairy root obtained in hormone-free MS medium (sucrose 30 g/L, pH5-6) for long period cultures. All hairy root strains (HB1, HB2, HB3) had the 2n diploid number (2n=48) of chromosomes in root tip cells. There were no alteration in chromosome structure except in one cell of HB3 strain. Results of SDS-PAGE showed a few difference in pattern and number of bands between normal and hairy root of ginseng. The root anatomy of normal root and hairy root differed each other. The hairy root had a clearly defined vascular strand, and the morphology of cortical cells were disorganised with large intercellular spaces.

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Effects of Elastic Band Resistance Exercise Program on Body Functions and HbA1c of the Elderly with Type 2 Diabetes (탄력밴드 저항운동이 당뇨 노인의 신체 기능과 당화혈색소에 미치는 영향)

  • Park, Sang-Young;Kim, Chung-Sun;Nam, Seok-Hyun
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.362-369
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    • 2012
  • Purpose: This study examined the effects of an elastic band resistance exercise program on the body functions and Glycosylated hemoglobin (HbA1c) of elderly people with type 2 diabetes. Methods: Twenty-seven elderly patients with type 2 diabetes were enrolled in this study (exercise group 14, control group 13). The subjects in the exercise group participated in the program for 60 minutes a day, three times a week, for 12 weeks. All the subject's body functions, HbA1c were measured to compare the following: before the intervention, at the completion of the 12 weeks intervention, and eight weeks after the intervention. Results: Compared to the control group, the exercise group showed significant improvements in the 12 week and follow-up measurement after the intervention in body function, such as the strength of the upper and lower limbs, agility and limit of stability. The body functions of the exercise group improved as the period of intervention progressed. On the other hand, the HbA1c level at each follow-up measurement was similar in the two groups. Conclusion: The 12 week elastic band exercise program is recommended as an effective intervention for improving the body functions of elderly people with type 2 diabetes. Nevertheless, a combined intervention of steady exercise, diet therapy and drug therapy will be needed for further active prevention and management of type 2 diabetes.

Control of Enzymatic Degradability of Microbial Polyester by Surface Modification (표면 개질을 통한 미생물합성 폴리에스테르의 효소분해속도 조절)

  • 이원기
    • Journal of Environmental Science International
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    • v.11 no.12
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    • pp.1315-1320
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    • 2002
  • Since the enzymatic degradation of microbial poly[(R)-3-hydroxybutyrate-co-3-hydroxyvalerate] (P(3HB-co-3HV)) initially occurs by a surface erosion process, a degradation behavior could be controlled by the change of surface property. In order to control the rate of enzymatic degradation, plasma gas discharge and blending techniques were used to modify the surface of microbial P(3HB-co-3HV). The surface hydrophobic property of P(3HB-co-3HV) film was introduced by CF$_3$H plasma exposure. Also, the addition of small amount of polystyrene as a non-degradable polymer with lower surface energy to P(3HB-co-3HV) has been studied. The enzymatic degradation was carried out at 37 $^{\circ}C$ in 0.1 M potassium phosphate buffer (pH 7.4) in the presence of an extracellular PHB depolymerase purified from Alcaligenes facalis T1. Both results showed the significant retardation of enzymatic erosion due to the hydrophobicity and the enzyme inactivity of the fluorinated- and PS-enriched surface layers.

The Effects of a Comprehensive Life Style Modification Program on Glycemic Control and Stress Response in Type 2 Diabetes (스트레스 중재를 포함한 포괄적인 생활습관개선 프로그램이 제2형 당뇨병환자의 당조절과 스트레스 반응에 미치는 효과)

  • Yoo Ji-Soo;Kim Eun-Jung;Lee Suk-Jeong
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.751-760
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    • 2006
  • Purpose: This study was to evaluate the effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes. Method: The participants(n=34) with type 2 diabetes were divided into either a usual care(control) or treatment(experimental) group. The experimental group(n=21) received a program that was based on a comprehensive life style modification protocol at a weekly meeting for 16 weeks. They also participated in individually prescribed exercise and diet along with stress management and self monitoring. The participants were followed for 6 months, during which postprandial glucose, HbA$_{1C]$, and stress response inventory were measured. Result: The experimental group showed a significant lower postprandial glucose and stress response compared to those of the control group. However, there was no significant change in the HbA$_{1C]$ value in either group. Conclusions: These results suggest that a type 2 diabetes comprehensive lifestyle modification program may lead to clinical improvement in glycemic control and reduce the stress response.