• 농촌의학ㆍ지역보건
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• 제34권3호
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• pp.375-385
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• 2009

본 연구는 농촌지역 성인의 주요 식품 섭취 빈도와 혈압, 비만도, 허리/둔부 둘레비, 콜레스테롤과의 관계를 분석하고자 G군 소재 890명(남성 438명, 여성 452명)명을 조사대상으로 식품섭취 빈도 및 생리적 지수에 대한 조사를 하였으며 그 결과는 다음과 같다. 본 연구대상자는 남자가 49.2%, 여자가 50.8% 이었고, 연령별로는 60세 이상이 39.7%이었다. 학력으로는 고졸 이상이 43.8%이었고, 결혼한 경우가 84.3%이었으며, 직업은 농업인 경우가 46.7% 이었다. 자신의 건강상태를 좋다고 인지한 경우는 31.9%이었고, 나쁘다고 인지한 경우는 21.9%이었다. 흡연자는 20.7%이었으며, 혈압상태는 고혈압전단계가 14.9%이었고, 고혈압인 경우가 12.1% 이었다. BMI는 25.0kg/$m^2$이상인 비만인 경우가 27.1%이었다. WHR은 남자인 경우는 0.90이상, 여자인 경우는 0.85이상으로 비만인 경우가 42.0%이었다. 콜레스테롤은 200mg/dl이하로 정상인 경우가 76.1%이었고, 201mg/dl를 넘는 경우가 23.9%이었다. 뇨당은 양성인 경우가 8.7%이었다. 연령을 보정하여 식품섭취 빈도와 생리적 지수와의 관계를 보면 혈압은 과일류(p=.003)를 자주섭취한 군이 혈압이 정상이었으며, BMI는 우유류(p=.045)를 자주 섭취한 군과 주류(p=.007)를 적게 섭취한 군이 BMI가 정상이었다. 허리/둔부 둘레비는 채소류(p=.046)와 우유류(p=.021)를 자주섭취한 군과 주류(p=.003)를 적게 섭취한 군이 정상이었고, 콜레스테롤은 곡류(p=.020), 두류(p=.039) 및 해조류(p=.007)를 자주 섭취한 군이 콜레스테롤 수치가 낮은 결과를 보였다. 이상의 연구결과를 종합하면 혈압은 과일류, BMI는 우유류와 주류, 허리/둔부 둘레비는 채소, 우유류 및 주류, 콜레스테롤은 곡류, 두류 및 해조류 섭취와 유의한 관련성을 보여 식생활 개선에 대한 인식을 높이고 개개인에게 맞춤식 건강 증진 사업을 전개해 나가는 것이 필요하다고 사료된다.

• 치위생과학회지
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• 제16권3호
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• pp.249-255
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• 2016

본 사례보고는 대전 동구보건소에서 7년간 실시하고 있으며 매년 천 명 이상이 참가하는 노인 불소도포 스케일링 사업의 진행과 만족도, 논의사항 등을 보고하여 노인 구강보건사업 실행에 도움을 주고자 함이다. 2009년 시범사업은 대한노인회 대전동구지회와의 협의를 통해 각 경로당에 관련 공문을 보내고 신청 경로당에 직접 방문하거나 인근지역의 여러 경로당을 합하여 주민센터에서 사업을 진행하였으나 이후에는 경로당 중심 사업보다는 복지관이나 주민센터를 중심으로 진행하였다. 대전 동구치과의사회와 사전 협의 후 사업이 진행되었기 때문에 사업진행에 문제가 없었으나, 스케일링 후 지혈이 되지 않는 1건의 의료사고가 있었으며 이후로 지혈관련 전신질환이나 약물복용에 관한 사전 조사를 강화하였다. 2013년 본 사업에 대한 만족도 조사 동의자 355명 중 홍보 95.2%, 대기시간 73.2%, 스케일링 99.7%, 불소도포 91.5%, 틀니관리교육 96.6%, 칫솔질교육 98.6%가 만족한다고 하였다. 사업 참여 이유에 대한 구두대면조사 대상자 137명 중 44.9%는 무료라서, 12.5%는 치과에 가면 불필요한 치료를 받으라고 할까 봐 마음이 불편해서, 8.1%는 치과보다 제대로 치아관리를 해주는 것 같아서, 8.1%는 이동이 편리해서, 7.4%는 노인 우대를 잘 해주어서 등의 순으로 나타났다. 본 사업에 다시 참여하지 않겠다는 의견은 치과에 가서 하면 된다 1.5%, 다른 치료를 해주지 않는다 1.5%, 답변 거부 1.5% 등의 순으로 나타났다. 본 사업담당자의 의견은 사업의 지속적 참가자들의 구강환경관리 향상에 사업이 효율적이라 판단되나 농촌지역이나 취약계층 밀집지역의 경로당들은 사업 신청을 하지 않거나 신청인원 부족으로 사업의 효율성 때문에 배제되는 점, 스케일링의 보험급여화 이후 사업의 비용에 대한 고려가 필요하다고 하였다. 따라서, 취약계층을 사업에 포함하기 위한 방안 마련과 건강보험 급여화와 중복이 되는 보건소 사업에 대한 평가가 필요하다고 제안한다.

• Journal of Gastric Cancer
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• 제9권3호
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• pp.117-127
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• 2009

목적: 의료진은 암 환자들에게 적절한 건강 관련 정보를 제공함으로써 암 환자들이 자신의 질병과 치료에 대한 불확실한 상황을 극복하여 스스로 건강을 관리하는 것을 도울 수 있다. 효과적으로 정보를 제공하기 위해서는 환자가 실제 알고자 하는 정보 내용을 파악하는 것이 필요하다. 본 연구에서는 위암 수술 후 환자의 정보 요구 경향을 확인하고자 하였다. 대상 및 방법: 위암 수술 후 환자로, 2008년 11월 18일 삼성서울병원 위암센터에서 주관한 '위암 환자의 날' 행사에 참여한 대상자에게 설문지를 배부하여 직접 작성하도록 하였고, 수집된 190명의 설문지를 분석하였다. 설문 도구는 검사, 치료, 예후, 추후 관리, 성 생활, 위암 관련 정보 영역과 7개의 단일 문항의 총 37개 문항으로 구성되었다. 결과: 정보 요구는 예후, 치료 기간 동안 스스로 할 수 있는 건강 관리 방법, 추후 관리, 위암 관련 정보, 치료, 검사 등의 순으로 높게 나타났다. 문항별로 살펴보면, 예후, 식이, 치료 중의 건강 관리와 관련한 문항에서 높은 정보 요구를 보였다. 대상자의 연령이 젊을수록 검사, 치료, 성 생활, 위암 관련 정보 영역의 정보 요구가 높았다. 결론: 기존에 축적된 병원의 치료 결과 및 예후 자료에 근거한 객관적인 예후 관련 정보를 교육 프로그램에 반영하고 암 환자 및 보호자가 이해하기 쉽도록, 그리고 치료 과정에 적극적으로 참여할 수 있도록 적절한 정보를 전달하여야 할 것이다.

• 호스피스학술지
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• 제2권1호
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• pp.87-111
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• 2002

The hospice activities in Korea have still stood in the premature stage, although the contemporary hospice program, which professionally accommodates terminally ill patients, appeared in the history 35 years ago. Especially, the availability of the facility hospice is not only poor in number, but also lack of a guideline for the conduct of the facility. Saemmul Hospice has keenly felt the necessity of more facility hospices and has interchanged experiences and informations with people interested in hospice. However, the number of facilities has fallen short of one's expectations, and many problems have been revealed in order to maintain the operation. This paper was written in order to improve these atmospheres and to help more terminally ill cancer patients properly. This paper clarifies in detail the principle of management, the method of practice in each departments of Saemmul Hospice, expected effects and supplemental items. We try to provide concrete and practical informations and to help extensively for all peoples who are to begin or currently working. 1.Facility: It secures, maintain, and manage the hospice environment for all around care of patients effectively. 2.Education and Volunteer: It trains and manages hospice volunteers devoted to hospice. 3.Financial: It manages donation by healthy soul with an effective method. 4.Administration and Organization: It executes the administration efficiently and constitutes the organization to operate. 5.Medical and Nursing: It offers the maximum professional supports to a hospital. 6.Medicine and alternative medicine: It improves the quality of life of patients by medical and pharmaceutical approach and by other possible methods available. 7.Nutrition: It helps patients to have diets in accord with the order of the creation. 8.Belief: It offers spiritual care which allows the profound relationship with God. 9. Funeral ceremonies: Funeral ceremonies may heal grieves of families faced with their deaths. 10. Bereaved families: It supports the families after the deaths of patients. 11.Reception and consultation: It seeks to help the patients who meet the purposes for which Saemmul Hospice is established. 12.Publication: It allows publicity activities for Saemmul Hospice. Facility hospice programs are able to overcome the disadvantages that the other type of the hospice possess, like as the economic burdens of the families, and the patients' losses of comforts of home after being transferred to a hospital. Facility hospice can provide home atmosphere with professional manpower and facilities like hospital to the patients. Therefore, it can also improve patients' qualities of life and make them comfortable death. We anticipate that the hospice program in Korea would be more active to let more people be indebted to maintain the nobel human dignity and to cross beautifully in the most painful process of dying in the journey of their lives.

• Advances in pediatric surgery
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• 제12권2호
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• pp.167-174
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• 2006

Central venous catheter (CVC) for long-term venous access is indispensable for various reasons including hyperalimentation, frequent blood sampling, frequent IV drug use in pediatric patients. We report clinical experience of surgical neonates in whom CVC was inserted primarily via great saphenous vein into suprarenal inferior vena cava. From March 2004 to March 2006, we performed CVC insertion via saphenous vein - contralateral side to main wound - into suprarenal inferior vena cava in surgeries of neonates. 2.7Fr or 4.2Fr, single lumen, tunneled Broviac catheters (Bard Access system, Inc, Salt Lake City, Utah) were used. Skin exit site of tunneled catheter was located in ipsilateral flank area just below edge lower rib. At the end of the procedure, location of the catheter tip was confirmed by plain radiography of abdomen. We retrospectively reviewed the admission records of the patients including nursing staff charts. Nine (50.0 %) patients were male and nine (50.0%) were female. Median gestational age was 38 weeks (range, 29-42 weeks) and median birth weight was 3,105 gm (range, 1,040-3,720 gm). Median age at catheter insertion was 38.5 days (range, 1-236 days). The purpose of CVC insertion was short-and long-term hyperalimentation in nine (50.0 %) patients. CVC insertion was performed in operation room under general anesthesia in sixteen (88.9 %) patients (in these cases, CVC insertion was performed just prior to concurrent operation) and neonatal intensive care unit (NICU) under local anesthesia with adequate sedation in two (11.2%). During the admission period (total catheter-indwelling time: 553 days), CVC functioned well without any significant side effects. Transient swelling of the ipsilateral leg (n=1, 5.6 %) and transient migration of catheter tip (n=1, 5.6 %) were noted, which did not affect function of the indwelled CVC. Mean catheter-indwelling time was 30.7days (range, 3-72 days). All catheters were removed electively except two mortality case. Complications, such as thrombosis, infection, kinking or extravasation of drugs, were not observed in our study period. Tunneled trans-great saphenous vein inferior vena cava catheters are not only comparable to cervical CVCs in terms of function and complication rates, but also very beneficial in selected patients, especially those in whom cervical approach is technically impossible or contraindicated.

• Journal of Radiation Protection and Research
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• 제24권1호
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• pp.23-30
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• 1999

태생 8일째인 임신한 생쥐에 137-Cs 감마선과 초음파를 조사하였다. 복합조사의 경우 임신한 생쥐는 1.5 Gy 방사선과 $1.0W/cm^2$ 초음파로 -1, 0, 1, 3, 6 시간 간격으로 조사하였다. 사망과 외부 기형은 태생 18일에 검진하였다. 방사선에 의한 태생 8일의 사망 임계값은 0.5에서 1.0 Gy사이였으며, 초음파는 1.0에서 $1.5W/cm^2$ 사이였다. 태생 후반기의 사망은 방사선과 초음파의 복합 치료에 의해 상승적으로 증가되었다. 방사선에 의한 뇌탈출기형 및 무안구증의 임계값은 각각 0.5에서 1.0Gy사이와 1.0에서 1.5Gy 사이였다 초음파에 의한 뇌탈출기형과 무안구증의 임계값은 각각 1.0에서 $1.5W/cm^2$ 사이와 $1.5W/cm^2$ 이상이었다. 복합치료의 경우는 뇌 탈출기형과 무안구증의 빈도가 상승적으로 증가하였다. 한 시간 간격으로 두 가지 치료를 받은 생쥐에서 뇌 탈출기형과 무안구증의 빈도가 최고치에 도달하였다.

• Asian-Australasian Journal of Animal Sciences
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• 제23권10호
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• pp.1354-1363
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• 2010

This study compared the effect of four different feeding methods for gestating gilts on reproductive performance and growth of their progeny. A total of 40 F1 primiparous sows (Yorkshire${\times}$Landrace) were allotted to four treatments in a completely randomized design (CRD). For treatments, gestating period of sows was divided into three trimesters (0-35 d, 36-90 d and 91-110 d) and different amounts of feed were provided to each treatment group by Flat, Down-Up-Down (DUD), Up-Down-Up (UDU) and Down-Up-Up (DUU) feeding methods. The experimental diet was formulated to meet or exceed the standards of NRC (1998). Body weight gain of gestating gilts from d 0 to 110 was affected by feeding method (p<0.05). When gilts were fed constant feed ration (Flat feeding), less body weight loss was observed during lactation (-0.9 kg, p<0.05) and desirable backfat thickness (average 19.5 mm) was acquired at 110 days of gestation. Feed intake of lactating sows tended to be greater (4.22, 3.60, 3.97 and 4.13 kg/d, p>0.05) as sows in Flat feeding treatment had lower backfat thickness during gestation compared with other treatments (p<0.05). When gestating gilts were fed higher amount of feed during mid-trimester, the number of stillborn (1.4 piglet per litter, p<0.05) and mummies (0.8 piglet per litter, p = 0.25) were increased compared to other treatments. Feeding methods for gestating gilts had no effect on litter weight and gain of litter weight during the nursing period. Flat feeding method resulted in decreased plasma glucose concentration at 7 d postpartum (p<0.05), and increased LH concentration at 21 d postpartum (p<0.01) compared to other treatments. These results suggested that higher feed intake of gestating gilts resulted in detrimental effects on body condition and reproductive performance of sows. When gestating gilts consumed constant feed during gestation (2 kg/d), better reproductive performance and less body weight loss in lactation were observed because sows consumed more feed during the whole lactation period. Consequently, Flat feeding will be a desirable feeding strategy for gestating gilts to maximize reproductive performance, and better body condition of sows without any negative influence on the growth of their progeny.

• Asian-Australasian Journal of Animal Sciences
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• 제25권8호
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• pp.1132-1137
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• 2012

Objective of this experiment was to evaluate the effect of partial substitution of barley grain with bread by-product (BB) on performance of Awassi ewes and their lambs. Forty Awassi ewes rearing single lambs were randomly allotted into four experimental diets containing various levels of BB. The experimental diets contained 0 (BB0), 10 (BB10), 15 (BB15), and 20% (BB20) of BB on dietary dry matter (DM). The study lasted for eight weeks, in which the first week was used as an adaptation period and seven weeks of data collection. Ewes and their lambs were penned individually where they were fed their lactating diets ad libitum. Ewes and lambs body weights were measured at the beginning and at the end of the experiment. However, milk production and composition were evaluated biweekly. Feeding BB had no effect (p>0.05) on dry matter (DM), organic matter (OM), and crude protein (CP) intakes. However, neutral detergent fiber (NDF) intake was the lowest (p<0.05) for the BB20 and BB15 diets followed to BB10 diet (i.e., 640, 677, 772 g/d, respectively) while the highest NDF intake was for the BB0 diet (i.e., 825 g/d). Similarly, NDF intake decreased linearly (p<0.001) as the BB content increased. Acid detergent fiber (ADF) intake was highest (p<0.05) for the BB0 and BB10 diets (425 and 416 g/d, respectively) followed by the BB15 and BB20 diets (359 and 342 g/d, respectively). Moreover, a linear (p<0.001), quadratic (p = 0.04), and cubic (p = 0.04) effects were observed in ADF intake among diets. Nutrient digestibility was similar among different diets. Bread by-product had no effect (p>0.05) on ewes body weight change and on lamb performance (i.e., weaning body weight and average daily gain). Similarly, no differences (p>0.05) were observed either in milk production or composition by the BB substitution. Inclusion of BB reduced feed cost by 9, 14, and 18% for the BB10, BB15, and BB20 diets, respectively. No differences were observed in milk efficiency (DM intake: milk production; p>0.05) among diets. However, cost of milk production ($US/kg milk) was the lowest (p<0.05) in the diet containing BB20. Results of the present study indicate that feeding bread by-product up to 20% of the diet DM had no effect on performance of Awassi ewes and their lambs and reduced feed cost.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5531-5536
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• 2015

Background: Increased pricing of cigarettes might be one of the most effective approaches for reducing the prevalence of smoking. This study aimed to investigate the effects of increasing cigarette prices through taxation by a tobacco intervention policy on the changes in smoking prevalence in Korean university students. Materials and Methods: The participants in this study were 23,047 healthy university students aged 18-29 years from a health examination in 2011-2015. We investigated the adjusted prevalence of daily and occasional smoking before and after increasing cigarette prices through taxation. Results: The prevalence of occasional smoking was significantly decreased in 2015 from 2014 in both male (from 10.7% in 2014 to 5.4%) and female (from 3.6% to 1.1%) students, but the prevalence of daily smoking did not decrease significantly. The frequency of individuals who had attempted smoking cessation during the past year was significantly higher among occasional smokers in male students (90.2%) compared with daily smokers (64.9%). For female students, there were no differences in experience of smoking cessation, willingness for smoking cessation, or E-cigarette experience between daily and occasional smokers. Conclusions: We found that a policy of increasing cigarette prices through taxation is associated with decreases in the prevalence of occasional smokers, who have relatively lower nicotine dependence compared with individuals who smoke daily. The results of our study suggest that social support and direct intervention for smoking cessation at the community level are needed for university students alongside the pricing policy.

• Asian Pacific Journal of Cancer Prevention
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• 제16권12호
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• pp.4987-4991
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• 2015

Background: The aim of this study was to examine the association of serum isoflavones, adiponectin, and insulin levels with ovarian cancer risk. Materials and Methods: We gathered cases with histologically confirmed epithelial ovarian cancer at Sapporo Medical University Hospital from October 2010 to September 2012. Potential controls were recruited from female inpatients without any history of cancer or diabetes mellitus in different wards of the same hospital over the same period of time. Serum isoflavones, adiponectin, and insulin levels were measured in order to estimate associations with ovarian cancer risk in a case-control study. Data from 71 cases and 80 controls were analyzed with a logistic regression model adjusting for known risk factors. Results: A significant reduction in ovarian cancer risk was observed for the high tertile of serum daidzein level versus the low ($P_{trend}<0.001$). A significant reduction in ovarian cancer risk was also observed for the high tertile of serum glycitein level versus the low ($P_{trend}=0.005$). Furthermore, a significant reduction in ovarian cancer risk was observed for the high tertile of serum adiponectin level versus the low ($P_{trend}=0.004$). Conversely, serum insulin level showed significantly elevated risk for ovarian cancer with the high tertile versus the low $P_{trend}<0.001$). Conclusions: Decreased serum isoflavones levels, such as those for daidzein and glycitein, decreased serum adiponectin levels, and increased serum insulin levels could be shown to be associated with elevated risk of ovarian cancer.