• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2001년도 제4회 국제학술 심포지움
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• pp.1-9
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• 2001

Health Insurance System in Korea was introduced in 1977 and expanded health insurance benefits for all people in 1989. The development of medical service and technology takes a growing concerning for public health and medicine. And also, it helps to extend the average life span of Koreans. Therefore, the old people are steadily increased over seven percent of total population and will take more than 14% in 2023. Generally, the old people have the chronic disease such as diabetes and hypertension. Also, smoking, stress, environmental pollution and lack of exercise, leading cause of cancer, cardiovascular disease and respiratory infections have affected to state economy negatively. Therefore, health promotion law was established for a variety of health promotion process, including education, program implementation and community development. The goals and strategies for health promotion are as following: . Practice of healthy life: - Strengthen publicity activities on smoking and exercise. - Program development for nonsmoking and exercise. - Program extent for community health. Strengthen of mental health: - Planning of national survey for mental patient. - Prevention of alcoholism - Setting up special hospital for alcoholism . Constant cancer management under government - Developing medical treatment and prevention program. - Early diagnosis for the whole nation . Management of chronic disease - Strengthen of Prevention Program . Reinforcing of oral health - A national survey of oral health - Oral health education

• 국제물리치료학회지
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• 제1권2호
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• pp.185-191
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• 2010

Background: This study investigated effective posture for gluteus medius rehabilitation training and effects of isometric muscle activity by electrophysiology through EMG while performing dynamic isotonic behavior of weight placed differently on upper limbs. Method: 16 healthy male subjects 20 to 29 years of age volunteered for the study. Lateral stabilizer right gluteus medius activity was assessed using EMG while the right lower extremity maintains single limb support, and the left upper extremity elevation movement maintains 5 seconds without load, 1RM to 1 repetition, 5RM to 5 times, 10RM to 10 times, 5RM and 10RM maintain 5sec. Results: Comparison of the mean value of EMG data showed a statistically more significant difference in upper extremity elevation movement on opposite upper extremity added weight than one that was not added on a single limb weight bearing posture(p>.05). Weight supported side gluteus medius activity for 1RM, 5RM, 10RM weight difference and movement repetition did not differ(p>.05). Comparison in maximum value showed statistically significant differences in not adding weight on upper limb elevation exercise and 1RM, 5RM, 10RM repeated behavior. Elevation behavior and repetition appeared over 70% of MVIC. Conclusion: Unilateral weight bearing stance added weight in the opposite upper limb elevation movement was an indirect exercise to effectively stimulate gluteus medius activity. Applying various added weight will have effective exercise on the early stages of rehabilitation because activity gluteus medius did not differ through added weight.

• 동의생리병리학회지
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• 제22권5호
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• pp.1299-1303
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• 2008

Since exercise training induces mechanical stress to the heart, we examined the activation pattern of mitogen-activated protein kinase(MAPK)s signaling pathway by immunohistochemistry. The immunoreactions of MAPKs signaling with c-fos and Schiff's reaction were increased in the cardiac muscle of exercised rat compared to normal one except immunoreaction for MEK1/2 and ERK1/2 and p38. However, the immunoreaction of phospho-JNK and phospho-p38 with early gene c-fos were arrested markedly in water extract of Alliium sativum (WEAS) treated rat compared to exercised one. Since MAPKs signaling does play a protective role in response to pathological stimulus in the heart, results in the present study suggest that WEAS may act as a alleviating agent for exercise-induced stress to. heart through regulating MAPKs signaling activation.

• Osong Public Health and Research Perspectives
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• 제8권5호
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• pp.308-317
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• 2017

Objectives: We aimed to examine the effects of various leisure activities on cognitive impairment in young-old (aged 65-74 years) and old-old (aged ${\geq}75$ years) adults. Methods: In total, 10,279 elderly Korean individuals from the 2014 Korean National Survey on Older Adults' cohort were enrolled in our study. Cognitive impairment was assessed using the standardized score of the Mini-Mental State Examination for Dementia Screening, whereas leisure activities were recorded via self-reporting of the extent and type of leisure activity the subjects involved in over the past year. Multivariate logistic regression was used to assess the effect of leisure activities on cognitive impairment, while controlling for potential covariates. Results: The subjects were more likely to participate in cognitive activities than in non-exercise physical activities. After controlling for selected covariates, involvement in cognitive activities was found to be a significant predictor of cognitive impairment in both the groups, whereas involvement in non-exercise physical activities was not a predictor of cognitive impairment in individuals aged ${\geq}75$ years. Moreover, depressive symptoms, rural residence, and hearing difficulties were common predictors of cognitive impairment among elderly-Korean-individuals. Conclusion: Leisure activity involvement may help delay cognitive impairment, which is often concomitant with aging. Hence, an early intervention service may significantly benefit both young-old and old-old individuals.

• Clinics in Shoulder and Elbow
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• 제5권1호
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• pp.23-28
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• 2002

Purpose Displaced lateral end fracture of clavicle and acromioclavicular dislocation type Ⅲ∼Ⅵ may be required surgical treatment. Material and Methods : From May 1998 to March 2001, we operated with Welter plate with minimal incision by one surgeon. Immediately, pendulum and passive exercise was initiated after surgery. The shoulder function was evaluated using UCLA score. Average follow up was on 28(12∼45) months. Results : All 11 patients were regained satisfactory function. Average UCLA score was 31.9(29~35) at last follow up. Conclusion . The merit of Welter plate fixation with minimal incision is simple technique, reduced surgical time, smaller scar than large plate, strong fixation, early exercise, reduced implant failure. The disadvantage is expensive, skin irritatatation by long hook. But Welter plate fixation with minimal incision is a good method of internal fixation and excellent clinical result in surgical treatment of type H displaced lateral end fracture of the clavicle and type Ⅲ∼Ⅵ acromioclavicular dislocation.

• 대한유전성대사질환학회지
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• 제22권1호
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• pp.21-27
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• 2022

Very long-chain acyl-coenzyme A dehydrogenase (VLCAD) deficiency (VLCADD) leads to a defective 𝛽-oxidation, specifically during prolonged fasting, infection, or exercise. Patients with VLCADD usually suffer from cardiomyopathy, hypoketotic hypoglycemia, hepatic dysfunction, exercise intolerance, muscle pain, and rhabdomyolysis, and sometimes succumb to sudden death. VLCADD is generally classified into three phenotypes: severe early-onset cardiac and multiorgan failure, hypoketotic hypoglycemia, and later-onset episodic myopathy. Diagnostic evaluation comprises acylcarnitine analysis, genetic analysis, and VLCAD activity assay. In the acylcarnitine analysis, the key metabolites are C14:1, C14:2, C14, and C12:1. A C14:1 level >1 mmol/L strongly suggests VLCADD. Various treatment recommendations are available for this condition. Dietary management includes decreasing fat content, increasing medium-chain triglyceride levels, and decreasing fasting periods. Supplementation with L-carnitine is controversial. Triheptanoin (a seven-carbon fatty acid triglyceride) treatment demonstrates improvement of cardiac functions. Bezafibrate may improve the quality of life of patients with VLCAD.

• 보건교육건강증진학회지
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• 제15권2호
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• pp.119-142
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• 1998

The purpose of this article is to provide a method of losing weight and early managing risky factors of geriatric diseases by having male and female obese middle school students' participate in behavioral modification and aerobic exercise, foster their own desirable behavioral habit and confidence in solving obesity and continue their living pattern all their life. In order to do this, 64, subjects over 20% obese degree obtained using the standard weight, belonging within 50% range of weight percentage per height(male:32, female:32) were grouped to 4 categories of aerobic exercise therapy, behavioral modification therapy, both therapies combinedly applied and control ones by 8 male and female students allocated to each group respectively, and they were practiced to each program for 12 weeks, and the findings between group were obtained as follows. 1. The male and female middle school students' cholesterol amount of blood fat reduced most in the combinedly performed group of aerobic exercise and behavioral modification therapy. It indicated a statistically significant difference between groups (F(3,56) =9.50, p=.000) and the measurements according to the application period of program as well (F(3,168)=554.94, p=.000). The cholesterol amount per measurement period reduced most between 8 and 12 weeks. 2. The male and female middle school students' high density fat amount increased most in the combinedly performed group of aerobic exercise therapy and behavioral therapy, its descending order of next highest rate was aerobic exercise therapy, behavioral modification therapy and control group. It indicated a statistically significant difference between the distinction of male and female sexes (F(1.56)=13.82. p=.000) and the measurements according to the application period of program (F(3,168) =55.58, p=.000). The high density fatty Quality per measurement period increased most between 8 and 12 weeks. 3. The male and female middle school students' low density fat amount reduced most in the combinedly performed group of aerobic exercise therapy and behavioral modification therapy. It indicated a statistically significant difference between groups (F(3,56)=17.35, p=.000) and the measurements according to the application period of program (F(3,168)=891.14, p=.000. The low density fat amount reduced most between 8 and 12 weeks. 4. The male and female middle school students' neutral fat amount reduced most in the combinedly performed group of aerobic exercise therapy and behavioral modification therapy. It indicated a statistically significant difference between the distinction of sexes (F(1,56)=9.54, p=.003) and groups (F(3,56) =25.57, p=.000) and the measurements according to the application period of program (F(3,168) =566.03, p=.000). The male students indicated the most reduction between 4 and 8 weeks. while the female students between 8 and 12 weeks.

• 대한물리치료과학회지
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• 제15권2호
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• pp.33-40
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• 2008

Background: The purpose of this study is to examine the effect of resistance exercise on static and dynamic proprioception by applying elastic bands to the knee flexor, which can be performed earlier than proprioception, a weight bearing pattern. Proprioceptive training may be applied to the early period of recuperation training along with resistance exercise to prevent damage to the knees and the joints in the lower body, as well as the reoccurrence of injury, which is expected to improve the effect of static and dynamic proprioceptive training. Methods: The subjects of this study were 32 men and women in their 20s who volunteered to participate in the experiment which was carried out over the course of 6 weeks from March 14 to April 24 at K Hospital located in Yongin City. They were tested in two groups: the elastic band resistance exercise group (RE: Resistance Excercise Group, n＝17) and the joint motion range exercise group(ROM: Range of Motion Group, n＝15). In this experiment, static and dynamic proprioceptive tests were given to both groups before and after the test. In this study, SPSS Win ver.12.0 was utilized to perform a T-test on the independent samples in order to validate the identical features of subjects in the RE and ROM Group and substantiate the significance as to the difference between both groups before and after the test. Also, a paired T-test was conducted to compare the static and dynamic proprioception of both groups before and after the test. The statistical significance levels were ${\alpha}$＝.05. Results: 1.The static proprioception in both groups, RE and ROM, increased in a statistically significant way after the test(p<.05). 2.The static propriocetion of the RE group increased in a statistically significant way after the test(p<.05). However, the increase of the static proprioception in the ROM group was not statistically significant. 3.Static and dynamic proprioception of the RE group increased significantly more than that of the ROM group after the test(p<.05). Conclusion: The resistance exercise using elastic bands improved the static and dynamic proprioception more than the joint motion range exercise did, reducing the risk of injury by enhancing the location sense of the joints and the sense of motion and shortening the period of recovery from injury. The outcome of the experiment may provide basic data for developing an effective way to reduce the risk of injury among ordinary people and athletes.

• Journal of Yeungnam Medical Science
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• 제3권1호
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• pp.269-278
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• 1986

본 실험의 결과를 요약하면 다음과 같다. 혈중유리지방산은 정상식이시 비운동선수군에서 운동부하시 증가하며 그증가의 정도는 운동부하량과 비례적인 관계를 보였으며 운동선수군에서도 같은 경향이었다. 18시간의 단기간 절식시에는 비운동선수군 및 운동선수군에서 정상식이시에 비하여 2.5배의 증가를 보였으나 비운동선수군은 운동부하량에 따라 증가한데 비하여 운동선수군에서는 변화가 없었다. 혈당은 정상식이시 비운동선수군 및 운동선수군에서 운동부하량에 비례하여 증가했으나 절식시에는 증가의 정도가 완만하였다. 혈중 중성지방 및 콜레스테롤은 비운동선수군 및 운동선수군에서 운동부하에 의한 변화는 없었으며 절식시 중성지방은 정상식이에 비하여 양군에서 현저히 감소하였다. 분당 심박동수는 식이시에 비운동선수군에서 운동부하량에 비례하여 증가하였으며 운동선수군은 비운동선수군보다 완만히 증가하였다. 절식시에는 비운동선수군에서 운동부하량에 비례하여 증가했으나 운동선수군은 운동부하초기에 증가한 후 변화가 없었으며 양군 모두 절식시에 정상식이에 비하여 운동부하량에 따른 증가의 정도가 완만하였다. 운동선수군에서 비운동선수군에 비하여 분당 맥박수가 현저히 낮았으며 운동부하량에 따른 증가용도 낮았다. 이상의 결과에서 단기간의 절식은 운동부하전 및 운동부하시에 정상식이에 비하여 유리지방산의 이용을 증대시켰으며 또한 운동선수군에서의 혈중 유리지빙산, 글루코스 및 심박동수의 변화 양상이 절식시의 그것과 유사한 것으로 보아 단기간의 절식이 체력단련과 비슷한 효과를 가져오는 것으로 사료된다.

• 대한정형외과스포츠의학회지
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• 제4권1호
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• pp.43-48
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• 2005

목적: 전위된 요골두 골절 환자에 있어 보존적 치료 후의 결과를 확인하고자 하였다. 대상 및 방법: 1992년 4월부터 2002년 5월까지 본원에서 보존적 치료 받은 전위된 요골두 골절 환자 중 1년 이상 추시가 가능한 15명의 환자를 대상으로 하였다. 보존적 치료를 받은 15명 모두 남자였으며 평균 연령은 20.2($11{\sim}24$)세였으며 평균 추시기간은 13.4($12{\sim}15$)개월이었다. 그리고 내원 당시에 능동적 회내전 및 회외전이 70도 이상 가능한 환자를 대상으로 하였으며 모든 환자에서 일주일 정도의 장상지 석고 부목 고정술 후 조기 주관절 운동을 시행 하였다. 치료 결과는 변형된 Morrey 등의 기능적 평가와 방사선적 평가로 더 이상의 골편 전위 유무와 유합 소견으로 평가 하였다. 결과: 보존적 치료를 시행한 전위된 요골두 골절 환자 15명 중 변형된 Morrey 등의 기능적 평가에서 우수 8명, 양호 7명의 결과를 보였으며, 조기 주관절 운동을 시행하더라도 골편의 더 이상의 전위나 불유합 소견은 보이지 않았다. 결론: 전위된 요골두 골절 치료시 내원 당시에 회내전 및 회외전의 정도를 확인하고 능동적으로 70도 이상의 소견이 보이는 환자에 대해 부종이 감소된 이후에 조기 주관절 운동을 시킴으로써 관절 운동 범위의 제한을 막을 수 있고 일상 생활으로 복귀가 빨라 질 수 있을 것으로 사료된다.