• Title/Summary/Keyword: 고혈압환자

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Pancreatic polypeptide family-PP, NPY, PYY (위장홀몬에 대한 최신 정보)

  • Lee, K.Y.
    • Journal of Yeungnam Medical Science
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    • v.5 no.2
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    • pp.1-8
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    • 1988
  • 위장관에서 분비되는 많은 국소호르몬 중에서 이미 널리 알려진 것을 외에 구조적인 공통점을 가진 새로운 group인 pancreatic polypeptide family에 대한 정보를 요약하여 보았다. PP, NPY 및 PYY는 그 구조적 유사점들에도 불구하고 분비되는 장소가 판이하여, PP는 위와 췌장의 국소호르몬으로서, NPY는 중추 및 말초신경의 신경충동전달체로서, 또 PYY는 하부위장관 점막에서부터 분비되어 전신 호르몬처럼 작용하고 있다. 이들 NPY와 PYY의 혈관수축작용과 혈압상승작용은 우리의 흥미를 끌기에 충분하다. 특히 PYY는 주로 하부장관 특히 결장과 직장의 분비조직에서 많이 발견된다는 점과 돼지의 뇌혈관을 수축시켰다는 점이 주목할 만한 것이다. 우리나라에는 많은 고혈압 환자가 있으며, 고혈압을 비롯한 여러가지 원인에 의한 뇌졸중(뇌출혈 포함) 환자도 많이 발생하고 있다. 민간의 속설에 의하면 출혈성 뇌졸증이 기온이 낮은 계절에 보다 자주 발생하는 경향이 있으며, 이른아침 화장실에서의 배변시 자주 발생한다고 한다. 물론 이러한 속설을 뒷받침할 만한 자료가 없으므로 학문적 견지에서의 신빙성 여부를 논할 가치는 없겠으나, 배변시 비교적 강한 자극을 받고 활발한 운동을 하는 결장과 직장에 PYY의 분비세포가 집결되어 있다는 점과 PYY의 뇌혈관수축작용 및 혈압 상승작용 등을 고려해 볼 때, 출혈성 뇌졸증과 PYY의 상관관계는 추구해볼 만한 사항이라 사료된다.

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Convergence Effect Factors of Hypertension and Diabetes Mellitus on Depression and Suicidal Impulse (고혈압과 당뇨병이 우울과 자살생각에 미치는 융합적인 영향 요인)

  • Lee, Hyun Sook;Hong, Seong Ae
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.123-129
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    • 2017
  • The purpose of this study is to investigate the effects of hypertension and diabetes mellitus on depression and suicidal impulse through the total inspection on specific rural areas in Gangwon-do. This survey selected adults over the age of 30 and conducted from May 19 to Sep. 30 in 2014. Of the 1,200 questionnaires distributed, 970 were completed and returned to be used for the study. To figure out the actual condition of hypertension and diabetes among the participants, the research examined the degree of their depression and suicidal impulse. It examined their smoking and exercise habits to check their health conditions. The research showed that patients diagnosed with hypertension and diabetes had a higher tendency of depression and suicidal impulse. The significant variable affecting depression is suicidal impulse(p<0.001>). Also, the significant variables affecting suicidal impulse are hypertension and depression. Based on these results, local health institutions need to include mental health services for the patients with hypertension and diabetes and coordinate them comprehensively and effectively.

Management Behavior in Hypertension and Diabetes of Rural Adults in Korea (일 농촌지역 성인의 고혈압과 당뇨병 관리 행태)

  • Lee, Hyun-Sook;Hong, Seong-Ae
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.355-362
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    • 2017
  • The purpose of this study was to analyze the management behavior in patients with hypertension and diabetes through the total inspection of a specific rural area. Data was collected through self-administered questionnaires from May 19th to September 21st in 2014. As the result, Among 355 (36.6%) patients who were diagnosed with hypertension, 337 (94.9%) were currently undergoing treatment, and among 109 (11.2%) patients who were diagnosed with diabetes mellitus, 96 (80.1%) were currently undergoing treatment. Among the total of 211 people in hypertension potential risk group, 89 (42.2%) were diagnosed with hypertension, and among the total of 356 people in hypertension potential risk group, 78 (22.0%) were diagnosed with diabetes mellitus. In conclusion, from the results of the analysis, we suggest that effective national strategies for prevention and management for patients with hypertension and diabetes should be established and implemented.

Related Factors of Awareness, Treatment, and Control of Hypertension in Korea : Using the Fourth Korea National Health & Nutrition Examination Survey (고혈압 관리에 영향을 미치는 요인 분석: 제4기 국민건강영양조사자료를 중심으로)

  • Chang, Dong-Min;Park, Il-Su;Yang, Jong-Hyun
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.509-519
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    • 2013
  • The purpose of this study was to identify the factors related to awareness, treatment, and control of hypertension in Korea using data from the 4th KNHANES. The analytical technique employed multivariate logistic regression analysis and the major findings of this research are as follows. First, awareness of hypertension was positively associated with age, occupation, self-rated health, Body Mass Index, and health examination since 2 years ago, in both males and females. Second, treatment of hypertension was positively associated with age, self-rated health, Body Mass Index, and health examination since 2 years ago, in both males and females. Third, control of hypertension was positively associated with age, self-rated health, Body Mass Index, and health examination since 2 years ago, in both males and females. Finally, the results of analysis suggest that the government should especially focus on the vulnerable group and continue to strengthen effective efforts for improving awareness, treatment, and control of hypertension.

Factors Affecting Unmet Medical Care in Elderly Hypertensive Patients

  • Jang, Hye young
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.11
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    • pp.201-208
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    • 2021
  • The purpose of this study is to investigate factors affecting unmet medical care in elderly hypertensive patients. The purpose of this study was to understand the reasons for unmet medical care in elderly hypertensive patients over 65 years of age and to identify the characteristics of each type to improve the medical use system and to contribute to policy making so that unmet medical care does not occur. Using data from the 7th period of the National Health and Nutrition Examination Survey (2016, 2017), 23 sample households were selected using the phylogenetic extraction method among appropriate households and analyzed using the SPSS 18.0 Program. As a result of the study, the unmet medical care of those who had suicidal thoughts compared to those who had not had suicidal thoughts in the past year, when females were higher than males, had worse subjective health status, those who did not subscribe than those who had private insurance, and those who had smoked in the past year. The experience rate was high. This is considered to be able to contribute to improving the medical service system and making policy decisions so that unmet medical care does not occur in the future.

당뇨병 환자의 고혈압 치료를 위한 식사요법

  • 김청
    • The Monthly Diabetes
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    • s.151
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    • pp.24-25
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    • 2002
  • 식사요법은 단순히 어떤 특정 음식을 먹지 않는 것이 아니라 보통의 활동을 하면서 적당한 체중을 유지할 수 있도록 알맞은 양의 음식을 각 영양소별로 골고루 섭취하여 혈압$\cdot$혈당 및 혈중지방이 가능한 정상에 가까운 수준으로 유지되며 합병증을 예방하고, 좋은 영양상태를 유지하도록 하는 것이다.

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당뇨병의 말초혈관 합병증

  • Park, Cheol-Yeong
    • The Monthly Diabetes
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    • s.194
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    • pp.32-35
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    • 2006
  • 고혈당, 고혈압과 같은 위험요인을 적극적으로 개선하고 항혈소판제제의 사용 및 콜레스테롤 강하치료가 필요하다. 그 외에도 체중조절, 금연 등에도 신경을 써야 하며, 고위험 환자를 선별하고 철저히 교육하는 것은 족부궤양을 방지하는 매우 효과적인 방법이다.

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Biological studies on Salicylic Acid derivative of Minoxidil

  • Kim, kyoung sun;joon su Shin;kyoung whan Kang;Kim, bak kwang
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1996.04a
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    • pp.270-270
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    • 1996
  • 미녹시딜은 말초혈관확장제로서 중증의 고혈압치료에 사용하여 왔으나, 이 약물이 투여된 고혈압환자에게서 다모증 현상이 나타난 이후 탈모증의 치료제로서 연구개발되었다. 그러나 미녹시딜은 투약중지와 더불어 모발의 성장이 중지되며 치료전의 상태로 환원되는 기간이 짧은 단점이 있으므로 이를 개선하기 위해 미녹시딜의 4-NH$_2$ 위치에 의약품의 각막박리에 쓰여지고 있는 살리실산을 도입하여 두피 모근 세포로의 약물의 침투성을 높여, 보다 지속적인 새로운 발모제를 개발하고자 하였다.

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The Effects of Group Walking Exercise Program on Blood Pressure and Cholesterol of Elderly Patients with Hypertension (집단걷기운동이 고혈압환자의 신체적 건강에 미치는 효과)

  • Kim, Hee-Gerl;Moon, Ja
    • Journal of Korean Academy of Rural Health Nursing
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    • v.1 no.1
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    • pp.59-64
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    • 2006
  • Purpose: This study was done to identify the effect of a group walking exercise program on weight, obesity, blood pressure and cholesterol in elderly patients with hypertension. Method: From the population of elderly people in Hwasung city, 80 people with hypertension were selected as participants in this study. Frequencies and paired t-test were used to analyze the data. Results: The group walking exercise program lowered weight, obesity, blood pressure, and cholesterol. And such a change appeared to be effective statistically. Conclusion: Therefore, it is important to develop a program and environment that promotes group walking exercise in elderly patients with hypertension.