• Title/Summary/Keyword: Functional Status

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Changes in Nutritional Status according to Biochemical Assay, Body Weight, and Nutrient Intake Levels in Gastrectomy Patients (위절제 환자들의 혈액의 생화학적 지표, 체중 및 영양소 섭취 변화에 관한 추적 연구)

  • Yu, Eun-Joo;Kang, Ju-Hee;Yoon, Sun;Chung, Hye-Kyung
    • Journal of the Korean Dietetic Association
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    • v.18 no.1
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    • pp.16-29
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    • 2012
  • The purpose of this study was to investigate the changes in nutritional status of gastrectomy patients. The anthropometric and biochemical data were measured at pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. Nutrient intake levels, nutrients adequacy ratio (NAR), mean adequacy ratio (MAR), and the proportion of patients with intake levels inferior to those of dietary reference intakes (DRIs) were analyzed at discharge, 1 month after discharge, and 3 months after discharge. Finally, the data on 23 patients (15 male and 8 female) were collected and used for statistical analysis. Fifteen patients underwent subtotal gastrectomy, and 8 patients underwent total gastrectomy. Compared to pre-operation, body weight and body mass index of subjects significantly decreased at discharge, 1 month after discharge, and 3 months after discharge (P<0.001). Serum albumin (P<0.001), total lympocyte count (P<0.001), total cholesterol (P<0.001), hemoglobin (P<0.001), hematocrit (P<0.001), and mean corpuscular hemoglobin concentration (P<0.05) were significantly different between pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. The proportions of patients with lower nutrient intake levels than DRIs were substantial. MAR at discharge, 1 month after discharge, and 3 months after discharge were 0.70, 0.80 and 0.91, respectively. Especially, the NARs of folate, niacin, vitamin $B_2$, vitamin C, and zinc were all low. Considering the various nutritional problems of gastrectomy patients, systematic medical nutrition therapy is needed after gastrectomy.

Effects of Nutritional Supplementation on Nutirtional Status in Patients with Nonalcoholic Liver Cirrhosis (비알콜성 간경변증 환자에서 영양보충에 따른 영양개선의 효과)

  • 안수현;김오연;이종호;김지영;한광협
    • Journal of Nutrition and Health
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    • v.36 no.6
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    • pp.577-588
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    • 2003
  • Severe protein-calorie malnutrition, common in patients with advanced liver disease, can seriously undermine the capacity for regeneration and functional restoration of liver. Nutritional supplementation for these patients can improve biochemical and hormonal abnormalities. However, these effects were not identified in patient with nonalcoholic liver cirrhosis. To determine effects of nutritional supplementation in patients with nonalcoholic liver cirrhosis, 77 subjects aged 29 to 69 years participated in this study for 12 weeks and were subdivided into three groups; normal diet group (Control group, n = 16), branched-chain amino acid supplementation group (BCAA group, n = 31), nutritional supplementation group (NS group, n = 30). Anthropometric parameters, hemoglobin, hematocrit, blood cell counts, serum levels of lipids, vitamins, minerals and fatty acid composition, and plasma amino acids were examined. The mean values of age and height, and the initial values of weight and body mass index (BMI) were not different among all groups. After 12 weeks, there were no significant changes in these values in Control group. Only NS group showed significant increases in weight, lean body mass, midarm circumference, triceps skinfold thickness. Serum transferrins were increased both in BCAA and NS groups. Plasma levels of branched-chain amino acids, urea amino acids and glutamic acid were also significantly increased in these groups, but plasma levels of ammonia, serum LDL cholesterol and atherogenic index were decreased. However, there were no significant changes in serum levels of vitamin and mineral and composition of fatty acids in phospholipids in these groups. These results showed that the nutritional supplementation for patients with nonalcoholic liver cirrhosis can more improve nutritional status in these people together with increases of weight, body fat and lean body mass, compared to only BCAA supplementation. To ascertain and investigate the appropriate nutritional supplementation for patients with nonalcoholic liver cirrhosis, further studies are necessary.

Survey on the Management Status in Korean Medical Clinics and Doctor's Awareness, 2008-2010 (최근 3년간(2008-2010년)의 한의원 경영 현황 및 한의사의 인식도 조사)

  • Baek, Younghwa;Kim, Yunyoung;Jang, Eunsu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.5
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    • pp.667-671
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    • 2013
  • The aim of this study was to know the current management status in Korean medical clinics (KMC) and the awareness of Korean medicine doctor. The simple random extraction method from the membership list of 'The Association of Korean Medicine' in 2010 was used for survey. The questionnaire which had used in 2008 was revised, and those were sent to each KMC by mail. A total of 107 data were acquired and frequency analysis was conducted. The result showed that the annual average employees working in each KMC was 2.9 persons and the number of daily outpatient was 33.8 person in 2010. The proportion of sales covered by medical insurance at KMC has been increasing annually as 42.9%, 43.5%, and 44.8% of total sales, whereas the uninsured sales was 57.1%, 56.5%, and 55.2% of total sales in 2008, 2009, and 2010 respectively. All of the responders recognized that the current situation of Korean medical service market was not good and the reason was mainly resulted from undeveloped medical technique, popularized use of functional foods for health and alternative medical care by Western medicine. To expand Korean medical service, the expansion of sales covered by public health medical insurance, government support and advertizement for public relation were needed.

Comparison of Impedance Parameters and Occupational Therapy Evaluation in the Paretic and Non-paretic Upper Extremity of Hemiplegic Stroke Patients

  • Yoo, Chan-Uk;Kim, Jaehyung;Hwang, Youngjun;Kim, Gunho;Shin, Yong-Il;Jeon, Gyerok
    • Journal of Korea Multimedia Society
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    • v.20 no.12
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    • pp.1980-1991
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    • 2017
  • Many stroke patients undergoing rehabilitation therapy require a quantitative indicator for the evaluation of body function in paretic and non-paretic regions. In this study, the impedance parameters were acquired to assess the physical status in the upper extremity of thirty six stroke patients with hemiplegia caused by cerebral hemorrhage (10 patients) and cerebral infarction (26 patients), using bioelectrical impedance. Prediction marker (PM), phase angle (PA), PM/PA, and resistance (R) versus reactance ($X_c$) were utilized to evaluate the functional status of the paretic and non-paretic regions. In addition, the hand grip strength (HGS) and the pinch strength (lateral, palmer, tip) were measured on the upper extremity of hemiplegic stroke patients. PM was distributed in inversely proportional to HGS, but PA was distributed in proportional to HGS. However, there were a number of patients with HGS of 0, regardless of the impedance parameters (PM, PA, R vs. $X_c$). Paretic and non-paretic status in upper extremity of these patients could not be analyzed using impedance parameters. At the rehabilitation therapist's instructions, they were unable to move the hand and fingers of the paretic upper extremity by cranial nerve damage, motor nerve damage, and severe cognitive decline.

Prevalence and Related Factors of Dementia in Elderly People in Jeju Island (제주도 노인들의 치매유병률과 관련요인)

  • Hong, Seong-Chul;Lee, Chang-In;Ko, Keum-Ja;Kang, Moon-Jung;Hyun, In-Sook;Jung, Min;Chu, Min-Sun;Chae, Soo-Gyung;Lee, Hye-Sook;Park, Eun-Ok
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.221-237
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    • 2003
  • As the population ages, health problems of the elderly, including functional disorders and cognitive impairment, have become some of the most important social issues in Korea. The purpose of this study is to discover the rate of prevalence and factors related to dementia among the elderly in Jeju Province. 2405 elderly in Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics: health behavior, quality of life, and MMSE-K. Prevalence of dementia was 9.4%(11.7% of females, 4.1% of males). Factors related to dementia, analyzed by multiple logistic regression, were age, working status, subjective health status, social support, and subjective economic status. In community health care for the elderly, factors relating to dementia have to be considered. When planning community health care, priority should be given to the elderly who: need care but live alone; lack social support; have a low standard of living; believe they are not in a good state of health; or whose life satisfaction is low.

A study on the present status and improving management of the non-eligible people in Korean long-term care insurance system (노인장기요양보험 등급외 판정자의 관리현황과 개선방안)

  • Kwon, Jin-Hee;Han, Eun-Jeong;Lee, Jung-Suk;Park, Chong-Yon
    • Health Policy and Management
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    • v.20 no.2
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    • pp.104-127
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    • 2010
  • To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.

Biopsychosocial Factors and Perceived Disability in Saleswomen with Concurrent Low Back Pain

  • Pensri, Praneet;Janwantanakul, Prawit;Worakul, Puangsoi;Sinsongsook, Thanes
    • Safety and Health at Work
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    • v.1 no.2
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    • pp.149-157
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    • 2010
  • Objectives: To quantify disability level in salespeople with concurrent low back pain (LBP) and to determine the relative associations between demographic, occupational, psychosocial and clinical factors and back disability. LBP is the most common cause of work-related disability in people under 45 years of age and the most expensive cause of work-related disability, in terms of workers' compensation and medical expenses. Evidence suggests high prevalence of LBP in salespeople. Methods: A cross-sectional survey was conducted in which 184 saleswomen with a current episode of self-reported LBP working in a large up-scale department store filled out a battery of 6 self-administered questionnaires and received a standardised physical examination. Results: Saleswomen with concurrent LBP had low disability levels. Factors significantly associated with disability were pain intensity, measured by a visual analogue scale, in the past week (p < 0.001), physical and mental health status (p < 0.001, p = 0.003, respectively), fear avoidance scores for both work and physical activities (p = 0.031, p = 0.014, respectively), past history of LBP (p = 0.019), and self-reported frequency of pushing or pulling objects placed in high positions during work (p = 0.047). A significant level (45%) of the variance in disability status was explained by these variables. Conclusion: In clinical management of LBP workers who required prolonged standing, such as salespeople, clinicians should look for modifiable risk factors associated with disability. Specific measures need to be taken to prevent disability due to LBP among salespeople.

A Study on Purchasing and Wearing Status of Korean Women's Athleisure Wear Products - Focusing on Women in Their 20s to 50s - (국내 여성의 애슬레저 웨어 제품구매추구 및 착용실태 조사 - 20~50대 여성을 중심으로 -)

  • Lee, Jong-Kyu;Lim, Ho-Sun
    • Fashion & Textile Research Journal
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    • v.23 no.3
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    • pp.370-379
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    • 2021
  • This study investigated the wearing status and design preferences regarding athleisure wear, focusing on young women in their 20s and 30s and middle-aged women in their 40s and 50s participating in yoga and fitness activities. A total of 332 valid samples were used for the survey by setting the same number of samples for each age group. The results showed that young women in their 20s and 30s exhibited weight control, and middle-aged women in their 40s and 50s maintained their health in relation to exercise. Athleisure wear brands were found to prefer foreign brands over domestic brands. When purchasing athleisure wear, the foremost considerations were material functionality, fit according to body shape, and reasonable prices. The preferred athleisure wear leggings design showed that both middle-aged women and young women preferred nine-piece leggings. Women in their 20s to 50s were found to purchase and acquire information on athleisure wear online. Hence, the pattern of life is rapidly transitioning from offline to online, and the market structure of athleisure wear is gradually transitioning toward an omni-channel society with a distribution market structure that combines information technology(IT) and mobile technologies. Therefore, It is required to develop athleisure wear of various functional products that meet the trends according to the global market environment and consumer class.

Optimized phos-tag mobility shift assay for the detection of protein phosphorylation in planta

  • Hussain, Shah;Nguyen, Nhan Thi;Nguyen, Xuan Canh;Lim, Chae Oh;Chung, Woo Sik
    • Journal of Plant Biotechnology
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    • v.45 no.4
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    • pp.322-327
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    • 2018
  • Post-translational modification of proteins regulates signaling cascades in eukaryotic system, including plants. Among these modifications, phosphorylation plays an important role in modulating the functional properties of proteins. Plants perceive environmental cues that directly affect the phosphorylation status of many target proteins. To determine the effect of environmentally induced phosphorylation in plants, in vivo methods must be developed. Various in vitro methods are available but, unlike in animals, there is no optimized methodology for detecting protein phosphorylation in planta. Therefore, in this study, a robust, and easy to handle Phos-Tag Mobility Shift Assay (PTMSA) is developed for the in vivo detection of protein phosphorylation in plants by empirical optimization of methods previously developed for animals. Initially, the detection of the phosphorylation status of target proteins using protocols directly adapted from animals failed. Therefore, we optimized the steps in the protocol, from protein migration to the transfer of proteins to PVDF membrane. Supplementing the electrophoresis running buffer with 5mM $NaHSO_3$ solved most of the problems in protein migration and transfer. The optimization of a fast and robust protocol that efficiently detects the phosphorylation status of plant proteins was successful. This protocol will be a valuable tool for plant scientists interested in the study of protein phosphorylation.

Research on Technology Status and Development Direction of Wearable Robot (웨어러블 로봇의 기술 현황 조사 및 개발 방향 제안 연구)

  • Kim, Hye Suk;Koo, Da Som;Nam, Yun Ja;Cho, Kyu-Jin;Kim, Seonyoung
    • Fashion & Textile Research Journal
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    • v.21 no.5
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    • pp.640-655
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    • 2019
  • Technology status was investigated by analyzing patents and development cases of wearable robots. Development direction of wearable robot for wearability was also suggested by understanding the problems of wearability from development cases through the FGI technique. The number of patents per technical field was the most in the field of strength support, but AI in the technology field was different in each country; Korea was found to be poor in the category of daily living assistance. The number of patents by technology category was the most in the category of muscular strength assistance. However, the values of AI in the technology category were different in each country; Korea was found to be poor in the category of daily living assistance. Development cases were focused on rehabilitation, so development is not fulfilled uniformly by use purpose. By wearing body parts, robots with single function type were mainly developed. Rigid material robots were mainly developed. It was confirmed that wearable robot technology is not developed evenly in the category of application because it is in the early stage of the technical proposal and centered on main performance improvement. We derived twelve wearable conditions for wearable robots: Shape and Size Appropriateness, Movement Appropriateness, Composition Appropriateness, Physiological Appropriateness, Performance Satisfaction, Ease of Operation, Safety, Durability, Ease of Dressing, Ease of Cleaning, Portability and Ease of Storage and Appearance Satisfaction. Finally, the development direction of a wearable robot for each wearable condition was suggested.