• Title/Summary/Keyword: 가는 허리

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Effect of a public health center-based nutrition education program for hypertension in women older than 50 years of age (50세 이상 여성을 대상으로 한 보건소 기반 고혈압 영양교육의 효과 평가)

  • Park, Seoyun;Kwon, Jong-Sook;Kim, Hye-Kyeong
    • Journal of Nutrition and Health
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    • v.51 no.3
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    • pp.228-241
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    • 2018
  • Purpose: The health risk of women increases after menopause. This study evaluated the effectiveness of a public health center-based nutrition education program for hypertension in women older than 50 years of age. Methods: The program included 8-week nutrition education and 8-week follow-up with keeping a health diary and nutrition counseling. The program was evaluated three times: before and after the nutrition education, and after the follow-up. The subjects were classified into hypertensives (n = 44) or normotensives (n = 71). Results: The rate of taking antihypertensive drugs in the hypertensive group was 86.4%. The systolic blood pressure decreased in the hypertensive and normotensive groups after nutrition education (p < 0.05). The body weight (p < 0.001), BMI (p < 0.001), waist circumference (p < 0.001), and percent body fat (p < 0.01) were also decreased after nutrition education in both groups. The hypertensive group showed an increase in HDL-cholesterol level (p < 0.001) and decreases in triglycerides (p < 0.01) and LDL-cholesterol (p < 0.05) levels after completion of the program. The normotensive group also displayed significant changes in HDL-cholesterol (p < 0.001) and triglycerides (p < 0.01). The dietary habits and nutrition knowledge on sodium and hypertension were improved in both groups (p < 0.001). The total score of dietary behavior related to the sodium intake was improved in the normotensive group (p < 0.001). The total score of the high sodium dish frequency questionnaire decreased in both groups after nutrition education and completion of the program compared to that before the program. Decreases in the consumption frequencies of noodles, pot stews and stews, Kimchi, and beverages were significant. The total self-efficacy score was increased in both groups by the program (p < 0.001). In particular, the hypertensive group showed improvement in all items. Conclusion: This public health center-based nutrition education program may contribute to the prevention and management of hypertension and chronic diseases in women over 50 years of age.

Comparison of the Effectiveness of Dietary Intervention between Calorie Restriction Diet and Food Selective Method according to Yin and Yang Constitution in Obese Woman (열량제한식과 체질식에 따른 비만 여성의 체중감량 효과)

  • Sim, Seon-Ha;Hur, Bons-Soo;Hong, Kyung Hee
    • The Korean Journal of Food And Nutrition
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    • v.28 no.2
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    • pp.302-312
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    • 2015
  • This study was conducted to evaluate the effects of constitutional diets in comparison with general low calorie diets in obese women. The subjects were 52 adult obese women that participated in a calorie restriction diet program (control group, n=16) or a constitutional diet program (experimental group, n=36) for 8 weeks. The subjects in the experimental group were classified as negative (Yin) or positive (Yang) constitution. The obesity management program focused on the calorie restriction diet (300~400 kcal reduction per day) for the control group, whereas, for a constitutional diet without calorie restrictions was allowed for the experimental group. Daily intakes of nutrient and food were assessed using a 24 hr recall method. Body measurements and blood biochemical parameters were measured at baseline and after 8 weeks. After the intervention, weight, body fat, BMI, waist circumference and hip circumference decreased significantly in both the control and experimental group. Energy intake increased from 1,679.6 kcal to 1,810.6 kcal along with significant increase in protein, carbohydrate, fiber, calcium, phosphorus, iron, zinc, vitamin A, vitamin $B_1$, vitamin $B_2$, niacin and vitamin C in the experimental group. Calcium intake increased from 54.0% to 72.4% of DRI in the experimental group. Hemoglobin concentrations were significantly decreased in the control group, but were increased in the experimental group. In addition, blood glucose, serum total cholesterol and triglyceride were significantly decreased in the experimental group. In conclusion, consumption of a constitutional diet without calorie restrictions for 8 weeks was effective for weight reduction with improvement of blood glucose, serum cholesterol and triglyceride.

An Analytical Study on the Growth of Anoplocnemis dallasi Kiritschenko (장수허리노린재(Anoplocnemis dallasi Kiritschenko)의 成長分析)

  • Park, Sang Ock;Lee, Chang Eon
    • The Korean Journal of Zoology
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    • v.14 no.3
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    • pp.139-158
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    • 1971
  • This study was initiated to observe the growth of the lengths of the body, the antenna, the rostrum, the fore leg, the middle leg, the hind leg and the width of pronotum in the postembryonic development of Anoplocnemis dallasi. The specimens measured were fifty in the first instar larva and seventy for each instar from the second instar larva to adult stage. The authors applied the growth formula and the relative growth formula to analyse the changing pattern of the growth of each part. In this paper, having applied the formulae the y=a+bt+$ct^2$ for the absolute growth and $y=bx^{\alpha}$ for the relative growth, we obtained the following results: $\circled1$ The growth quantity: The rostrum shows the slowest, straight increase, but the other shows the curving increase. The body, the hind leg, the middle leg, the fore leg, the antenna, the width of pronotum and the rostrum are systematically slow. $\circled2$ The ratio of the growth quantity: The increase rate of the rostrum shows the straight, while the other shows the curving patterns. The largest value is the increase rate of the width of pronotum (8.816 times) and the smallest one is the rostrum (3.054 times). $\circled3$ The growth ratio for each instar: The maximal ratio of the growth quantity is in the young instar larva, but the minimal one is in an advanced instar larva. $\circled4$ The growth rate: The antenna shows a decrease pattern, while the other an increase pattern. $\circled5$ The specific growth rate: The rates of the antenna, the for leg, the rostrum, the hind leg and the middle leg show a decrease pattern. In the width of pronotum and the body, they increase in the terms of the young instar larva and they increase later. The antenna shows the most rapid decrease, and the fore leg, the rostrum, the hind and the middle leg are slow in order. $\circled6$ The "$\alpha$" of the width of pronotum shows the strongest positive allometry, but the rostrum shows the weakest negative allometry to all parts. $\circled7$ The coefficient of the relative growth of each part shows a parallel fashion in the relative growth to body length, to width of pronotum, to antenna, to rostrum, to fore leg, to middle leg and to hind leg. $\circled8$ If the coefficient of the relative growth, the growth ratio ($\alpha$) increase, the initial growth index (b) is disposed to decrease and vice versa. $\circled9$ The growth center is in the terms of the young instar larva in case of the negative allometry, but it is in the terms of an advanced instar larva in case of the positive allometry.

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Land-Cover Change Detection of Western DMZ and Vicinity using Spectral Mixture Analysis of Landsat Imagery (선형분광혼합화소분석을 이용한 서부지역 DMZ의 토지피복 변화 탐지)

  • Kim, Sang-Wook
    • Journal of the Korean Association of Geographic Information Studies
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    • v.9 no.1
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    • pp.158-167
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    • 2006
  • The object of this study is to detect of land-cover change in western DMZ and vicinity. This was performed as a basic study to construct a decision support system for the conservation or a sustainable development of the DMZ and Vicinity near future. DMZ is an is 4km wide and 250km long and it's one of the most highly fortified boundaries in the world and also a unique thin green line. Environmentalists want to declare the DMZ as a natural reserve and a biodiversity zone, but nowadays through the strengthening of the inter-Korean economic cooperation, some developers are trying to construct a new-town or an industrial complex inside of the DMZ. This study investigates the current environmental conditions, especially deforestation of the western DMZ adopting remote sensing and GIS techniques. The Land-covers were identified through the linear spectvral mixture analysis(LSMA) which was used to handle the spectral mixture problem of low spatial resolution imagery of Landsat TM and ETM+ imagery. To analyze quantitative and spatial change of vegetation-cover in western DMZ, GIS overlay method was used. In LSMA, to develop high-quality fraction images, three endmembers of green vegetation(GV), soil, water were driven from pure features in the imagery. Through 15 years, from 1987 to 2002, forest of western DMZ and vicinity was devastated and changed to urban, farmland or barren land. Northern part of western DMZ and vicinity was more deforested than that of southern part. ($52.37km^2$ of North Korean forest and $39.04km^2$ of South Korean were change to other land-covers.) In case of North Korean part, forest changed to barren land and farmland and in South Korean part, forest changed to farmland and urban area. Especially, In North Korean part of DMZ and vicinity, $56.15km^2$ of farmland changed to barren land through 15 years, which showed the failure of the 'Darakbat' (terrace filed) project which is one of food increase projects in North Korea.

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The Effect of Obesity Levels on Irradiated Small Bowel volume in Belly Board with Small Bowel Displacement Device for Rectal Cancer Radiotherapy (복부판과 소장변위도구를 사용하는 직장암의 방사선치료 시 비만도가 소장의 조사용적에 미치는 영향)

  • Kim, Se-Young;Kim, Joo-Ho;Park, Hyo-Kuk;Cho, Jeong-Hee
    • Journal of radiological science and technology
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    • v.36 no.1
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    • pp.39-47
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    • 2013
  • For radiotherapy in rectal cancer patients treated with small bowel displacement device (SBDD) and belly board, We will suggest new indication of using SBDD depending on obesity index by analyzing correlation between obesity and irradiated small bowel volume. In this study, We reviewed 29 rectal cancer patients who received pelvic radiation therapy with belly board and SBDD from January to April in 2012. We only analyzed those patients treated with three-field technique (PA and both LAT) on 45 Gy (1.8 Gy/fx). We measured patients' height, weight, body mass index (BMI), waist-hip ratio (WHR) and divided BMI into two groups.(${\geq}23$:BMI=group1, <23:BMI=group2) We performed a statistical analysis to evaluate correlation between total volume of bladder($TV_{bladder}$), obesity index and high dose volume of small bowel (small bowel volume irradiated at 90% of prescribed dose, $HDV_{sb}$), low dose volume of small bowel (small bowel volume irradiated at 33% of prescribed dose, $LDV_{sb}$). The result shows, gender, WHR and status of pre operative or post operative do not greatly affect $HDV_{sb}$ and $LDV_{sb}$. Statistical result shows, there are significant correlation between $HDV_{sb}$ and BMI (p<0.04), $HDV_{sb}$ and $TV_{bladder}$ (p<0.01), $LDV_{sb}$ and $TV_{bladder}$ (p<0.01). BMI seems to correlate with $HDV_{sb}$ but does not with $LDV_{sb}$ (p>0.05). There are negative correlation between $HDV_{sb}$ and BMI, $TV_{bladder}$ and $HDV_{sb}$, $TV_{bladder}$ and $LDV_{sb}$. Especially, BMI group1 has more effective and negative correlation with $HDV_{sb}$ (p=0.027) than in BMI group2. In the case of BMI group 1, $TV_{bladder}$ has significant negative correlation with $HDV_{sb}$ and $LDV_{sb}$ (p<0.04). In conclusions, we confirmed that Using SBDD with belly board in BMI group1 could more effectively reduce irradiated small bowel volume in radiation therapy for rectal cancer. Therefore, We suggest using belly board with SBDD in order to reduce the small bowel toxicity in rectal radiotherapy, if patients' BMI is above 23.

Plant Flora and Insect Fauna in the Fallow Paddy Fields of Jeonnam and Jeonbuk Province (전남북지역 휴경논의 식생 및 곤충상)

  • Paik, Chae-Hoon;Lee, Geon-Hwi;Kang, Jong-Gook;Jeon, Yong-Kyun;Choi, Man-Young;Seo, Hong-Yul
    • Korean journal of applied entomology
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    • v.48 no.3
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    • pp.285-294
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    • 2009
  • A study was conducted to find out plant flora, the occurrence of insect pests and natural enemies in the fallow paddy fields of Jeonnam and Jeonbuk provinces from 2004 to 2005. They were identified as 124 plant species in 32 families, 58 insect pest species in 30 families and 11 natural enemy species in 9 families. Plant species belonging to Poaceae and Asteraceae were founded as 28 and 18 species, respectively, and dominated significantly among plants growing in the fallow paddy fields. In insect pests, Conocephalus chinensis, Nysius plebejus, Cletus punctiger, Eysarcoris aeneus, Nephotettix cincticeps, Laodelphax striatellus and Tipula sp. occurred significantly in the fallow paddy fields. Among them, occurrences of N. cincticeps and L. striatellus were low from May to June, and that of L. striatellus was high in August and September. In insect natural enemies, Coenagrion sp., Harmonia axyridis, Propylea japonica and Eristalis tenax occurred significantly in the fallow paddy fields.

Factors Influencing on Musculoskeletal Symptoms of Care Workers in Long-Term Care Hospitals for Job Environment, Psychological Work Demand, Fatigue (요양병원 요양보호사의 작업환경, 심리적 업무요구, 피로가 근골격계 증상에 미치는 영향)

  • Oh, Jinyoung;Ha, Yeongmi
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.559-569
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    • 2020
  • This study was conducted to examine relationships among job environment, psychological work demand, fatigue, musculoskeletal symptoms, then to investigate the factors influencing musculoskeletal symptoms of care workers in long-term care hospitals. A total of 128 care workers recruited from three long-term care hospitals in S city. Self-reported questionnaire survey was conducted from April to May, 2020. The results were as follows: The musculoskeletal symptoms of the care workers were the sum of the frequency of symptom occurrence, duration of symptoms, and intensity of pain in the three parts of the shoulder, hand/wrist/finger, and waist. The average score was 11.41±9.50 points out of 42. According to the hierarchical regression analysis, their musculoskeletal symptoms were significantly influenced by working department(β=.18, p=.034), psychological work demand(β=.21, p=.013) and fatigue(β=.25, p=.003), explained 21.6% of the total variance(F=6.87, p<.001). Based on our results, in order to reduce musculoskeletal symptoms of care workers in nursing hospitals, it is necessary to develop and apply an intervention program that can reduce psychological work demand and fatigue in consideration of the severity of the patient in charge.

Associations between Job Stress and Musculoskeletal Symptoms in Child Care Teachers (보육교사의 직무스트레스와 근골격계 자각증상의 관련성)

  • Kim, Yoon-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.301-310
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    • 2016
  • This study was to conducted to examine the associations between job stress and musculoskeletal symptoms of child care teachers. Questionnaires were administered to 132 child care teachers and the responses were analyzed using the SPSS/WIN 18.0 program. The average total job stress was 2.80. Based on NOISH criteria, musculoskeletal symptoms were prevalent in 46.2% of the participants. The musculoskeletal symptoms by body part appeared mostly on the shoulder (25.8%), followed by the lower back (18.9%), hands/wrist/fingers (17.4%), neck (11.4%), legs/feet (9.1%), and arms/elbows (7.6%). The positive symptom group showed higher levels of total job stress, work overload, and relationship with school parents stress scores than then the symptom free group. Musculoskeletal symptoms were significantly associated with job stress, work overload, and relationship with school parents stress. Overall, the results of this study indicate that it is necessary to develop strategies for reducing job stress to prevent musculoskeletal symptoms.

평악곽씨정골전통약물적현대연구(平樂郭氏正骨傳統藥物的現代硏究) -평악곽씨(平樂郭氏) 정골(正骨)에 대한 전통약물의 현대적 연구-

  • Gwak Yeom-Haeng;Du Ji-Gyeom;Jo Gyeong-An;Gwak Yeom-Geum;Lee Mu-Eum
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.1
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    • pp.219-227
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    • 2001
  • 중국 낙양의 평악곽씨(平樂郭氏) 정골법은 중국의학의 골상과(骨傷科) 중에서 중요한 학술유파로 널리 알려져 있다. 그 치료법에 있어서 독특하고 체계적인 시술법을 갖추고 있는데, 교정 수기법, 고정방법, 기능훈련, 약물치료 등의 내용을 포함하고 있다. 창상(創傷)에 대한 약물요법에서 "파(破) 화(和) 보(補)" 3단계로 분류된 약물사용 원칙을 제시하였는데, 즉 골정손상의 초기에는 기혈어체(氣血瘀滯)의 병리기전에 입각하여 약물은 활혈화어제(活血化瘀劑)를 주로 사용하고, 중반에는 기혈부화(氣血不和) 경락부통(經絡不通)의 기전으로 파악하고 주로 활혈통락(活血通絡)시키는 약물을 사용하며, 말기에는 구병(久病)으로 기형(氣血)이 휴손(虧損)되므로 보기혈(補氣血) 및 장근골(壯筋骨)의 약물을 주로 사용한다. 이와 같은 평악곽씨(平樂郭氏)의 正骨(정골)에 관한 약물사용 원칙을 토대로 선조의 처방과 경험방 및 후세의 통용방(協定方)을 근간으로 심은 평악곽씨(平樂郭氏)의 正骨(정골)에 대한 전통약물시리즈가 형성되었다. 이러한 처방들은 장기간의 임상활용에서 그 효과가 뛰어나고 안전성이 확보된 것으로 입증되었다. 근골통소환(筋骨痛消丸)은 활혈행기(活血行氣), 온경통락(溫經通絡), 소종지통(消腫止痛)의 효능이 있어 근골의 퇴행성 질환이나 만성 노손(勞損)으로 일어나는 종창(腫脹), 통증, 관절활동의 제한, 목 어깨 허리 다리 등의 통증, 발꿈치 통증, 골절 후 지체(肢體)의 종통(腫痛), 어혈 등에 활용한다. 활혈접골지통고(活血接骨止痛膏)는 접골속근(接骨續筋), 통락지통(通絡止痛)의 효능이 있어 골상(骨傷)을 입은 후 지체(肢體)의 종창(腫脹)이나 통증 또는 골절 등에 사용한다. 이 약은 크림제와 고약제 두가지가 있다. 평악내복접골교양(平樂內服接骨膠襄)은 활혈소종(活血消腫), 접골속근(接骨續筋)의 효능이 있어 각종 근육의 손상이나 골정상에 활용된다. 평낙전근단(平樂展筋丹)은 활혈화어(活血化瘀), 서근지통(舒筋止痛), 통리관절(通利關節), 등의 효능이 있어 타박상으로 인한 지체(肢體)의 종통(腫痛), 관절강직, 활동제한 및 골관절 질환과 풍습비통(風濕痺痛) 등을 치료한다. 전통적으로 외용(外用)에 사용되는 산제(散劑)는 마사지에 주로 활용된다. 임상에서 다양한 제형(劑型)으로 개발되어 분무형태로 쓰이는 근상정(筋傷酊)과 마사지 크림으로 사용되는 평악낙전근접마유제(平樂展筋接摩乳劑)가 있다. 소종활혈(消腫活血) 대포제(袋泡劑)는 산제(散劑)를 티팩 형식으로 사용하는 외용제형(外用劑型)이며, 서근활혈(舒筋活血), 소종지통(消腫止痛)의 효능이 있어 타박상 말기에 근육이 굳어지고, 어반이 형성되면서 통증이 나타나며, 종창(腫脹) 등이 생길 때 사용한다. 사용방법은 따뜻한 물에 담가 우려낸 다음 상처부위를 씨어주면 된다. 특별히 제작된 접골환(接骨丸)은 배보간신(培補肝腎), 익기건비(益氣健脾), 활혈통락(活血通絡), 강근건골(强筋健骨) 등의 작용이 있어 파박상이나 골절이 잘 치유되지 않고 오래 지속되는 경우에 사용된다. 이와 같은 다양한 평악곽씨(平樂郭氏)의 전통적인 정골(正骨)에 관한 약물들은 약리학적 실험을 거쳐 그 독성반응이나 부작용 및 임상효과를 관찰한 결과 통제학적으로 p<0.05-0.01로 나타나 98%의 치료효과를 보였으며, 독성 및 부작용이 없어 안정성이 인정되었으므로 긍정적인 치료효과를 확인할 수 있었다.

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Shape Optimization of Three-Way Reversing Valve for Cavitation Reduction (3 방향 절환밸브의 공동현상 저감을 위한 형상최적화)

  • Lee, Myeong Gon;Lim, Cha Suk;Han, Seung Ho
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.39 no.11
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    • pp.1123-1129
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    • 2015
  • A pair of two-way valves typically is used in automotive washing machines, where the water flow direction is frequently reversed and highly pressurized clean water is sprayed to remove the oil and dirt remaining on machined engine and transmission blocks. Although this valve system has been widely used because of its competitive price, its application is sometimes restricted by surging effects, such as pressure ripples occurring in rapid changes in water flow caused by inaccurate valve control. As an alternative, one three-way reversing valve can replace the valve system because it provides rapid and accurate changes to the water flow direction without any precise control device. However, a cavitation effect occurs because of the complicated bottom plug shape of the valve. In this study, the cavitation index and percent of cavitation (POC) were introduced to numerically evaluate fluid flows via computational fluid dynamics (CFD) analysis. To reduce the cavitation effect generated by the bottom plug, the optimal shape design was carried out through a parametric study, in which a simple computer-aided engineering (CAE) model was applied to avoid time-consuming CFD analysis and difficulties in achieving convergence. The optimal shape design process using full factorial design of experiments (DOEs) and an artificial neural network meta-model yielded the optimal waist and tail length of the bottom plug with a POC value of less than 30%, which meets the requirement of no cavitation occurrence. The optimal waist length, tail length and POC value were found to 6.42 mm, 6.96 mm and 27%, respectively.