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Effect of exercise on cystatin C as a risk factor for renal failure and hypertension

  • Kwon, Yoo Chan;Park, Sang Kab;Park, Hyun Tae;Kim, Eun Hee;Park, Jin Kee;Jang, Jae Hee
    • Korean Journal of Exercise Nutrition
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    • v.16 no.1
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    • pp.27-33
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    • 2012
  • This study was conducted to investigate the effect of a 24-week combined exercise training program in older women with hypertension. Women with hypertension who were 70 years and older were randomized into two groups: combined exercise group (CE; n = 15) and a control group (n = 15). The CE group performed a combined exercise training program four times per week for 24 weeks and the control group did not. Five factors, including body composition (percent body fat and skeletal muscle mass), health-related physical fitness, adipocytokines (interleukin-6 [IL-6] and tumor necrosis factor-alpha [TNF-α]), kidney risk factors (glomerular filtration rate [GFR] and cystatin C), and systolic and diastolic blood pressure were measured before and after the program. The findings showed that total muscle mass, health-related physical fitness factors, and GFR increased significantly in the CE group compared to those in the control. Additionally, systolic and diastolic blood pressure and IL-6, TNF-α, and cystatin C levels in the CE group decreased significantly after the intervention. In contrast, total muscle mass decreased significantly and blood pressure remained unchanged in the control group. These results suggest that CE training may positively impact circulating levels of adipocytokines and cystatin C and improve physical fitness levels in elderly women with hypertension. Therefore, CE training helps to prevent renal disease and improve health-related physical fitness, eventually leading to a better quality of life.

Optimizations of 3D MRI Techniques in Brain by Evaluating SENSE Factors (삼차원 자기공명영상법의 뇌 구조 영상을 위한 최적화 연구: 센스인자 변화에 따른 신호변화 평가)

  • Park, Myung-Hwan;Lee, Jin-Wan;Lee, Kang-Won;Ryu, Chang-Woo;Jahng, Geon-Ho
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.161-170
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    • 2009
  • Purpose : A parallel imaging method provides us to improve temporal resolution to obtain three-dimensional (3D) MR images. The objective of this study was to optimize three 3D MRI techniques by adjusting 2D SESNE factors of the parallel imaging method in phantom and human brain. Materials and Methods : With a 3 Tesla MRI system and an 8-channel phase-array sensitivity-encoding (SENSE) coil, three 3D MRI techniques of 3D T1-weighted imaging (3D T1WI), 3D T2-weighted imaging (3D T2WI) and 3D fluid attenuated inversion recovery (3D FLAIR) imaging were optimized with adjusting SESNE factors in a water phantom and three human brains. The 2D SENSE factor was applied on the phase-encoding and the slice-encoding directions. Signal-to-noise ratio(SNR), percent signal reduction rate(%R), and contrast-to-noise ratio(CNR) were calculated by using signal intensities obtained in specific regions-of-interest (ROI). Results : In the phantom study, SENSE factor = 3 was provided in 0.2% reduction of signals against without using SENSE with imaging within 5 minutes for 3D T1WI. SENSE factor = 2 was provided in 0.98% signal reduction against without using SENSE with imaging within 5 minutes for 3D T2WI. SENSE factor = 4 was provided in 0.2% signal reduction against without using SENSE with imaging around 6 minutes for 3D FLAIR. In the human brain study, SNR and CNR were higher with SENSE factors = 3 than 4 for all three imaging techniques. Conclusion : This study was performed to optimize 2D SENSE factors in the three 3D MRI techniques that can be scanned in clinical time limitations with minimizing SNR reductions. Without compromising SNR and CNR, the optimum 2D SENSE factors were 3 and 4, yielding the scan time of about 5 to 6 minutes. Further studies are necessary to optimize 3D MRI techniques in other areas in human body.

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Continuity and Change in Korean Welfare Regime ; After 1990 (한국 사회복지정책의 변화와 지속;1990년 이후를 중심으로)

  • Hong, Kyung-Zoon;Song, Ho-Keun
    • Korean Journal of Social Welfare
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    • v.55
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    • pp.205-230
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    • 2003
  • This article examines the continuity and change of Korean welfare regime during 1990s. Democracy, globalization and the financial crisis changed the landscape of Korean society as a whole and provided a catalyst for the change of the Korean welfare regime. In order to show how and what changed in Korean welfare regime, this study concentrates on the transformations of income maintenance programmes and social welfare services. The changed aspects are as follow: (1) The ratio of social expenditure to GDP has increased during 1990s and now stood at ten percent level. (2)Rather than backing up the company welfare, government strove to build and expand income maintenance devices for all citizens. (3) The poverty and inequality reduction effects of income maintenance programs are very weak in early 1990s, but they are gradually getting stronger impact on poverty and inequality. But, there are also continuance. (1) In spite of the relative development of income maintenance programs, social welfare services are still poorly designed as before. (2) The expenditure level of social welfare services shows sharp contrast to income maintenance programs and lagged behind the other OECD countries. (3) The expansion of social service sector employment are also not so salient. In 2002, social service employment is only at close to 2.5 per cent of the total employment. Accordingly, korean welfare regime is now characterized by a model which is to curb poverty and inequality by engaging in direct government provision of income maintenance programs, but refrain from expanding social service by relying on net welfare which encourage the provision of services within the family. A implication of our analysis is that the expansion of social welfare Korea saw after 1997 was not really an regime shift. According to the arguments of Peter Hall, first and second order changes in policy do not automatically lead to third order changes which imply regime shift. Policy changes which occurred during 1990s was not accompanied by a shift in policy paradigms. Family dependency in welfare is not yet changed.

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Cell Differentiation Might Predict the Recurrence in Surgically Resected Non-Small Cell Lung Carcinoma (비소세포폐암 수술 후 세포분화도가 재발에 영향을 미친다)

  • Kang, Hyung-Koo;Cho, Sung-Gun;Lee, Hye-Min;Park, Sung-Woon;Lee, Byung-Ook;Lee, Jae-Hee;Kim, Bo-Min;Park, In-Won
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.1
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    • pp.10-15
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    • 2010
  • Background: Lung cancer is the most common cause of cancer mortality in Korea. The TNM stage at presentation in patients with non-small cell lung cancer (NSCLC) has the greatest impact on prognosis. Patients who undergo a complete resection for NSCLC are likely to develop recurrent and/or metastatic disease. There are several factors influencing the development of recurrence. We explored risk factors of recurrence in patients with stages I and II NSCLC, who had undergone curative resection. Methods: We reviewed patients who had complete surgical resection as definitive treatment for stage I or II. Patients followed up for more than 36 months. We evaluated several factors which might have relationship with recurrence, such as patient's demographic factors, TNM staging, pathologic finding, tumor markers and surgical technique. Results: A total of 75 patients were enrolled for analysis, of whom 58 were men and 17 were women with mean age of 61 (range, 37 to 76) years. The average size of tumors was 3.9 cm (0.7 to 10 cm). There were 64 patients with stage I NSCLC and 11 with stage II NSCLC. Among 64 patients with stage I NSCLC, 35 patients showed recurrences whereas 8 patients have recurred in stage II NSCLC. Grade of differentiation of tumor was closely related to the recurrence. Seventy-five percent of patients who had poor tumor differentiation experienced a recurrence. In contrast, 3 patients of twelve had recurrences, who revealed differentiation in their tissue (p<0.05). Conclusion: Tumor differentiation could be a predictive factor for tumor recurrence in patients who have undergone curative resection for stage I or II NSCLC.

Stream Health Assessment on Hoeya River Basin and Other Streams Based on Fish Community and Land Use in the Surrounding Watersheds (어류군집과 하천주변 토지이용에 따른 회야강 수계와 인근하천의 건강성 평가)

  • Kim, Jeong-Hui;Yoon, Ju-Duk;Jo, Hyunbin;Chang, Kwang-Hyeon;Jang, Min-Ho
    • Korean Journal of Ecology and Environment
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    • v.45 no.4
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    • pp.392-402
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    • 2012
  • In this study, to analyze the stream health using fish assemblage and make effective management, we conducted fish monitoring in the Hoeya River basin and neighboring streams. A total of 33 species classified into 12 families were collected from 29 sites in 2007. Dominant species was Zacco platypus (Relative abundance, RA: 24.8%), and subdominant species was Rhynchocypris oxycephalus (RA: 16.2%). Eight Korean endemic species and 4 exotic species were identified. Moreover, two species (Opsariichthys uncirostris amurensis and Hemiculter eigenmanni) were translocated from other basin. To evaluate stream health of the study sites, Index of Biological Integrity (IBI) was applied, based on fish assemblages. Overall, IBI values were "C (Fair)" or "D (Poor)" condition, according to the grade except two sites which recorded "B (Good)". The correlation between land use pattern of surrounding watershed and IBI was analyzed to verify impact of development on stream health using fish assemblage. As a result, when percentage of the developmental groups increased, IBI values were decreased (Pearson correlation, r=-0.425, p=0.022). In contrast, increment of percent forest and grass land was positively correlated with IBI (r=0.556, p=0.002). The agricultural group and IBI did not significantly correlate with each other (r=-0.231, p=0.333). In this study, we identified a relationship between land use of surrounding watershed and stream health using fish data (i.e. IBI). These results could be provided useful fundamental information to establish management and restoration plan in the Hoeya River basin and other rivers distributed in Korea.

The Job Status of Health Teacher, School Nurse, during Epidemic Outbreak of Influenza H1N1 in School (학교 신종플루 확산기 동안의 초등학교 보건교사의 직무현황)

  • Shin, Sun-Mi;Kim, Hye-Soon;Hong, Min-Soon;Lee, Hee-Woo
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.63-70
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    • 2010
  • Purpose: To identify the need to reform in the crisis response of Health Teacher, School Nurse, in elementary school during epidemic outbreak of influenza H1N1. Methods: 139 elementary health teachers, school nurse, in seoul elementary school responded in the questionnaire, and we analysed by using frequency and percent, t-test, and paired t-test. Results: The Job status became 121% more 'during influenza H1N1 (flu) outbreak' than Job status of 'before outbreak'. The proportion of the flu-related duty among their daily workload was up to 77.5%. The administration-related workload of the flu-related duty was 30.8%. and students' health assessment including temperature measurement 18.7%. Furthermore, an impediment of usual daily work due to an increaed flu-related workload was 95.7%, and no alternative plan such as disposition of assistant labor force was 86.1%. Especially, an impediment of health education was 61.0%, so the major concern was the loss of health education. We compared average scores (a five-point Likert scale) of health teachers' work motivation, exhaustion, work relationship and Job management of 'during' with 'before' flu-outbreak. The difference range of 'during' minus 'before' work motivation score was from -0.4 points to -0.9; work exhaustion range from 1.8 to 1.9; the difficulty of relationship between students, school personnel, parents of students, and health teachers from 1.4 points to 1.3 points; and the consideration of changing Job, taking time off from the Job and retirement from 1.4 to 1.6 points. Conclusion: The health teachers had a heavy workload due to flu-outbreak. They also experienced the impediment of usual work implementation. However, there was a shortage of alternative plan such as disposition of an assistant labor force. Under their Job status like this, the health teachers' motivation score was decreased and work exhaustion was increased. Furthermore, they had a lot of relation difficulty with students and school personnel. Therefore, we suggested that in contrast to the usual Job status, there is a need to have a prepared response during school crisis like flu-outbreak such as improved response system in seoul metropolitan education office, simplification or dispersion of administrative work, and temporary call-center for simple inquiries or advices.

A Study on Health Promotion Needs Assessment of the Rural Elderly in Korea (한국농촌노인의 건강증진관리요구에 관한 연구)

  • Cho So Young;Kim Jum Ja
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.146-161
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    • 1996
  • This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

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Various Nitrogen Efficiencies and their Interrelation Among Rice Varieties (수도품종간(水稻品種間) 여러 질소효율(窒素効率)의 상호관계(相互關係))

  • Park, Hoon;Mok, Sung Kyun
    • Korean Journal of Soil Science and Fertilizer
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    • v.9 no.2
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    • pp.83-92
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    • 1976
  • The relationships between various nitrogen efficiencies among 57 rice cultivars grouped into three developmental categories were investigated by simple correlation with (12kg/10a) and without nitrogen fertilizer under the field condition. The relationship showed similar in a group or among all varieties of three groups. Yield among varieties showed highly significant correlation with Fe (fertilization efficiency: yield increment/nitrogen applied), E (nitrogen efficiency for yield), Ef(efficiency of nitrogen derived from fertilizer) and Eu (fertilizer use efficiency: nitrogen derived from fertilizer divided by total nitrogen applied). The E was correlated significantly and positively with harvest index (HI), percent translocation (T) of nitrogen to ear and negatively with nitrogen uptake amount (N), nitrogen concentration in grain (GN%) and in straw (SN%). The E depends almost on Ef and only inTongil group partly on Es (efficiency of nitrogen derived from soil). The Ef contributes to Fe more than Eu does (Fe = $Ef{\cdot}Eu$). It appears that Ef and Eu increased from the old group to the recommended local varieties, but only EF and Es increased markedly when rice was developed from recommended local group to Tongil line ($indica{\times}japonica$ hybrid selction). The fact that E and Fe depend more on Ef among rice varieties is very good contrast to the result that E and Fe depend more on Es and Eu respectively among soils in the previous investigatigation. The Ef appears as the most important parameter for rice varietal selection under fertilizer application system.

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Customers' perception of the attributes of different formats of menu labeling: a comparison between Korea and the U.S.

  • Bosselman, Robert;Choi, Hyung-Min;Lee, Keum Sil;Kim, Eojina;Cha, Jaebin;Jeong, Jin-Yi;Jo, Mina;Ham, Sunny
    • Nutrition Research and Practice
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    • v.14 no.3
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    • pp.286-297
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    • 2020
  • BACKGROUND/OBJECTIVES: This study compared the perception of customers from Korea and the U.S. on the attributes of different formats of menu labeling The specific objectives were 1) to compare the customers' perceived usefulness, ease-of-understanding, clarity, and attractiveness of different formats of menu labeling between Korea and the U.S.; and 2) to compare the customers' use intention to different formats of menu labeling between Korea and the U.S. SUBJECTS/METHODS: A survey was conducted in Korea and the U.S. The participants were allocated randomly to view 1 of the 7 restaurant menus that varied according to the following types of menu labeling formats: (type 1) kcal format, (type 2) traffic-light format, (type 3) percent daily intake (%DI) format, (type 4) kcal + traffic-light format, (type 5) kcal + %DI format, (type 6) traffic-light + %DI format, and (type 7) kcal + traffic-light + %DI format. A total of 279 Koreans and 347 Americans were entered in the analysis. An independent t-test and 1-way analysis of variance were performed. RESULTS: Koreans rated type 4 format (kcal + traffic light) the highest for usefulness and attractiveness. In contrast, Americans rated type 7 (kcal + traffic light + %DI) the highest for usefulness, ease-of-understanding, attractiveness, and clarity. Significant differences were found in the customers' perceived attributes to menu labeling between Korea and the U.S. Americans perceived higher for all the 4 attributes of menu labeling than Koreans. CONCLUSIONS: The study is unique in identifying the differences in the attributes of different formats of menu labeling between Korea and the U.S. Americans rated the most complicated type of menu labeling as the highest perception for the attributes, and showed a higher use intention of menu labeling than Koreans. This study contributes to academia and industry for practicing menu labeling in different countries using different formats.

Moisture Content of Litter Layer and Its Combustibility by Cigarette Light in Forests (森林內 落葉層의 含水量과 담뱃불에 의한 可燃性)

  • 김관수;장인수;김수정
    • The Korean Journal of Ecology
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    • v.17 no.1
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    • pp.1-9
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    • 1994
  • This study focuses on forest fires attributed to cigarette light, the main source of wild fires, by examining the characteristics of the fire types. It aims to present useful data for preventive measures. Statistics show that the average length of cigarette butts left after smoking is 30mm excluding filter for domestic cigarette smokers. Also the average thickness of litter layer in forests is 58.2mm throughout the nation. The value varies according to how often leaves were trodden by hikers : the accumulation amount of Mt. Sunchi. which is relatively protected from human disturbances, is 29.6% more than that of Mt. Kye-Ryong National Park. Aged trees such as Pznus rzgidu, Quercus acutissima and Larix leptolepis have relatively large inflammable contents, 2.43kg in 15 year-old stand and 2.55kg in 10 year-old stand. This study found out the following fact with regard to the start of lighting and the out-break of fire. Fire breaks out within five minutes in the sample(C), in which Zoysza gaponica and Populus X tomentiglandulosu has been tramped when the sample has 2~6 percent of moisture contents. Coniferous trees such as Pinus rigida and Larzx leptolepis do not burn easily while leaving charcoal. In contrast, deciduous trees with Zoysia japonzca and Populus X tomentiglandulosu are quick to catch fire. As a result of the experiments, it is proved that cigarette light is a very dangerous cause of wild fire especially for dry grass like Zoysia gaponica.

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