• Journal of Preventive Medicine and Public Health
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• 제33권3호
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• pp.343-348
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• 2000

Objectives : This study was conducted to integrate the results of studies assessing the association between chronic noise exposure and blood pressure. Methods : Using a MEDLINE search with noise exposure, blood pressure and hypertension as key words, we retrieved articles from the literature that were published from 1980 to December 1999. The criteria for quality evaluation were as follows: 1) the study subjects must have been workers employed at a high noise level area 2) The paper should use average and cumulative noise exposure as method for exposure evaluation. 3) Blood pressure in each article should be reported in a continuous scale Among the 77 retrieved articles, six studies were selected for quantitative meta-analysis. Before the integration of the regression coefficients for the association between blood pressure and noise level, homogeneity tests were conducted. Results : All studies were a cross-sectional design and the study subjects were industrial workers. Five papers used a time-weighted average for noise exposure and only one paper calculated the cumulative noise exposure level. The measurement of blood pressure in the majority of studios were accomplished in a resting stale, and used an average of two or more readings. The homogeneity of studies was rejected in a fixed effect model, so we used the results in a random effect model. The results of the quantitative meta-analysis, the weighted regression coefficient of noise associated with systolic blood pressure and diastolic blood pressure were 0.05 (95% confidence interval [CI]: -0.03, 0.13) and 0.06 (95% CI: -0.01, 0.13), respectively. Conclusions : Our results suggested that chronic exposure to industrial noise does not cause elevated blood pressure.

• 대한간호학회지
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• 제25권2호
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• pp.316-329
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• 1995

The purpose of this study was to exame the effectiveness of the hand massage as an independent nursing intervention for the cancer patients undergoing radiation therapy. The data were collected with quasiexperimental research design from 40 subjects-20 for experimental group and 20 for control group-of the radiation oncology department of one university hospital in Seoul from January 10th to March 29th, 1994. Subjects agreed to participate in this study and ranged in age from 18 to 82 years with mean age of 52.63. They had insight of their disease and had undergone radiotherapy at least twice. The hand massage developed by Mariah Snyder (1993) based on the Swedish Massage was administered to the experimental group prior to having radiation therapy at the waiting place of radiotherapy room. Hand massage was given to each hand of patient for five minutes once a day. Measurement of the patient's blood pressure, pulse rate, state anxiety and mood were done before and after the administration of hand massage for 5 days. The data were analyzed with paired t-test, t-test an4 the results were summarized as follows ; 1. After administration of the hand massage, the diastolic blood pressure of experimental group was decreased significantly, while the systolic blood pressure and the pulse rate were decreased, but not significantaly. 2. In the experimental group, the level of anxiety was significantaly lower than control group. The mean scores of the difference of the anxiety level after having hand massage was 8.60 in the experimental group and 0.75 in the control group. 3. The difference of the mood scores before and after the massage in the experimental group was decreased significantly. The mean mood score was decreased 4.80 in the experimental group as compared with 2.02 in the control group. 4. The patients after having the hand massage expressed subjectively their feeling of relaxation, well - being and being enjoyable, the significant decreased of physical symptoms and anxiety. The findings summarized that the use of the hand massage for the cancer patient undergoing radiation therapy Produced significant changes in the level of anxiety and relaxation. Therefore it is recommended to use the hand massage as an intervention for the patients.

• 한국융합학회논문지
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• 제6권6호
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• pp.195-200
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• 2015

본 연구는 2014년 경기 남부의 종합건강검진센터에서 30-55세의 건강한 성인 47명을 대상으로 경동맥 초음파검사와 혈액검사 그리고 체격측정을 실시하여 성별과 연령 간에 동일한 집단으로 분석되었고, 대상자의 엉덩이둘레는 연령에 따라 40대가 50대보다 높은 결과로 나타났다(p<0.05). 경동맥 초음파 검사결과에서는 30대와 50대에서 차이를 보였다(p<0.05). CIMT와 BMI, CIMT와 엉덩이둘레에서 양의 상관관계를 보였다(p<0.05). 또한 혈압에서 CIMT와 수축기혈압은 양의 상관관계를 보였다(p<0.05). 결론적으로 이번 연구에서는 경동맥 내중막 두께로 대사증후군 인자와의 상관성을 입증하였으며, 향후 질병의 진단을 위해서는 초음파를 활용한 대사증후군 인자들의 융합적 연구가 보다 질적인 질병진단을 위해서는 지속적으로 연구되어야 할 것으로 사료된다.

• 대한간호학회지
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• 제30권2호
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• pp.380-390
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• 2000

This study was performed to evaluate the effectiveness of music therapy as one of the psychiatric nursing intervention tools, with addtional information in relieving anxiety during the procedure. Data were collected through nonequivalent pre-and post tests from July 1, 1998 to September 30 1998 in 90 patients (test group A: 28 patients, test group B: 27 patients, control group: 33 patients) who were hospitalized in DongSan Medical Center in order to have cardiac catheterization. The Subjects were informed by educational videos, which were modified according to the sensory information of the 10 study patients. They were based on the informative booklet by Kim keum-soon (1989). The procedural information was also modified according to the hospital`s customs. Provided the music for patients suitable to their tastes, and measured their blood pressure, heart rate, the degree of anxiety using the Spielberger`s measurement device of anxiety, and behavioral response of Finesilver`s. The statistical significance was analyzed using chi-square test and ANOVA. The results of this study were as follows : Hypothesis 1 : There are significant differences in the degree of anxiety among test group A, Test group A was provided only information, Test group B was provided information and the control group was provided neither. Hypothesis 2 : There are significant differences in systolic blood pressure among test group A, test group B, and control group.: non-significant. Hypothesis 3 : There are significant differences in diastolic blood pressure among test group A, test group B, and control group.: significant(F=1.31, p=.27, interaction; F=3.80, p=.00). Hypothesis 4 : There are significant differences in heart rate among test group A, test group B, and control group.: non-significant. Hypothesis 5 : There are significant differences in behavioral responses among test group A, test group B, and control group.: significant(F=10.05, p=.00). Further validation study is required with other subjects and other settings.

• 기본간호학회지
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• 제21권3호
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• pp.226-234
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• 2014

Purpose: This study was done to present guidelines for deciding appropriate times for measuring blood pressure (BP) in patients with neurological disorders who had surgery due to brain damage. Method: It was a repeated measures-experimental research on time variants in BP after nursing care. SBP (Systolic BP) and DBP (Diastolic) were measured every 2 minutes up to 5 times using an EKG patient monitor. Measured data were analyzed using repeated measures ANOVA and paired t-test. Results: For suctioning, there were significantly higher differences for SBP averages after 2 min. (138mmHg, p<0.01) and 4 min. (133mmHg, p<0.01) compared to before suctioning (120mmHg). For position change, there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01) and 4 min. (130mmHg, p=0.01) compared to before changing position (121mmHg). For position change followed by suctioning there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01), 4 min. (136mmHg, p<0.01) and 6 min. (125mmHg, p=0.003) compared to before the interventions (121mmHg). Conclusions: Results indicate that there are significant differences in SBP and DBP over time during nursing interventions, suggesting clinical measurement of BP after 6 min. or 8 min. be done for patients with neurological disorders in neurosurgery clinics.

• 대한지역사회영양학회지
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• 제5권2호
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• pp.161-171
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• 2000

The purpose of this study was to investigate the effects of smoking and/or alcohol drinking on the nutrient intake, nutritional status, and eating habits of adult males. The subjects were 157 male adults aged 20-49 living in Daejon. Interviews with questionaire on smoking and alcohol drinking habits and eating habits, anthropometric measurement, biochemical blood test, and dietary assessment by one-day 24 hour recall and two-day diet record were carried out. The subjects were divided into four groups : control (non-smoking and non-drinking), drinking only, smoking only, and the both(drinking and smoking). The average numbers of smoked cigarettes were 17.8/d and 19.1/d in the smoking only group and the both group, respectively. The frequency of alcohol drinking was 8.3 times/month and 11.6 times/month in the drinking only group and the both group, respectively. Height was significantly higher(P 0.05) in the drinking only group than in the none and smoking only groups, while the other anthropometric indices were not different among the four groups. There were positive correlations between smoking and drinking or coffee intake. Alcohol drinking increased eating-out frequency and the intakes of energy, protein, dietary fiber, vitamin A, B$_1$,$ B_6,$ Fe and P, while smoking decreased snack frequency and intakes of energy, protein and vitamin $ B_6,$. Blood pressure was not changed in the smoking only and drinking only groups compared to the none group, while systolic blood pressure was elevated in both group(P 0.05). Alcohol drinking significantly elevated(P 0.05) serum total cholesterol and LDL-cholestrol level, while smoking did not change the serum lipid and cholesterol levels. Hemoglobin nd MCHC levels were significantly elevated(P 0.05) by smoking. From these data, it is suggested that both smoking and drinking have influence on some eating habits and nutrient intakes, and especially alcohol drinking can induce hypercholesterolemia.

• 한국식품영양학회지
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• 제6권4호
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• pp.255-267
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• 1993

This study was performed to investigate the correlations among physical anthropometric measurement, diet intakes, physical fitness test, and serum lipids in eight sedentary women(control group), and twenty seven exercising women(aerobic groups), aged 35~45 years. The results of the study are as follows : 1) systolic blood pressure(SBP) and diastolic blood pressure(DBP) of aerobic groups were lower than serf entary. Pulse rate was decreased according to the length of aerobic periods. Muscular endurance and jump power of all subjects were stronger than standard range, and those of aerobic exercising groups were stronger than control group. Muscular power of the upper half of the body In all subjects were lower than standard range. 2) Daily calorie intakes of all subjects were in the ring: of recommended dietary allowances (RDA) for Koreans. But daily protein Intakes were higher than RDA. daily cholestrol intakes of all subjects were slightly less than 200~300 mg: which is normal consumption of Koreans. 3) There was a significant positive correlation between serum 7G and daily protein intakes. It was considered that excessive protein intake converted to serum 7G. There was not a significant correlation between serum TC and dietary TC. Therefore, dietary TC seemed to have not much effect on serum TC. Physical fitness was negatively related to serum TG, TC, LDL-C, but positively related to HDL-C, HDL-C /TC. It was found that the serum lipids could be changed better according to improving the physical fitness. There were significant positive correlations between SBP and serum TC, LDL-C. (According to this results), the higher SBP, the higher serum TC, LDL-C tended to be. There was a significant positive correlations between sit up and weightloss nth exercise r=0.7(p<0.001), push ups and weightless with exercise r=0.5(p<0.001). It was considered that muscle strength could be improved according to the weightloss. 4) The purpose of exercise in aerobic groups was rather promoting health than reducing body fatness. Most of al1 subjects (83.2%) drank caffeine-contained beverage therefore, we should concern about that absorption of Fe could be Interrupted and blood pressure could be elevated by caffeine.

• 한국식품영양과학회지
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• 제31권5호
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• pp.862-870
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• 2002

우리나라에도 심혈관질환으로 인한 사망률이 점차 증가하고 있다. 이에 본 연구에서는 채식과 혈청지질 수준 및 혈당, 혈압과의 관계를 규명하기 위한 연구의 일환으로 채식을 하는 비구니스님을 대상으로 하여 연구한 결과를 요약하면 조사대상자의 평균나이는 채식인 44.2세, 비채식인 40.5세, BMI는 각각 22.4, 21.0이었고, WHR은 0.8, 0.8이었고, %BF는 28.7,26.5였으며, 채식인의 평균채식기간은 13.1년이었다. 조사대상자의 total-cholesterol, LDL-cholesterol, HDL-chole-sterol, AI, 수축기혈압 및 혈당은 비채식인이 유의적으로 낮았으며, 심혈관질환 예견지수인 HDL-cholsterol/total-chol-esterol 비는 채식인이 유의적으로 높았다. 두군 모두 중성지방, 혈청 총 콜레스테롤, LDL-cholesterol, AI,는 BMI, WHR, %BF와는 유의적으로 높은 정의상관을 보였다. HDL-cho-lesterol은 BMI, WHR과는 유의한 부의상관을 보였다. 나이는 채식인에서는 BMI, WHR과는 높은 정의상관을 보였다. 나이는 채식인에서는 중성지방과는 정의상관, 비채식인에서는 중성지방, 혈청 총 콜레스테롤, LDL-cholesterol, AI, 수축기 혈압과는 정의 상관을 보였다. 이상의 결과에서 볼 때 두군 모두 BMI, RBW, WHR, %BF가 높을수록 총콜레스테롤, LDL-cholesterol, AI, 수축기 혈압이 유의적으로 높아졌으며 BMI, WHR이 높을수록 HDL-cholesterol은 유의적으로 낮아졌다. 그러나 채식군은 비채식군에 비해 BMI, RBW, WHR, %BF가 유의적으로 높았음에도 불구하고 심혈관 질환 관련인자인 총콜레스테롤, LDL-cholesterol, AI, 수축기 혈압 및 혈당이 비채식군에 비해 유의적으로 낮게 나타났다. 한편 나이와의 상관에서도 비채식인은 나이와 중성지방, 총 콜레스테롤, LDL-cholesterol, AI등이 모두 정의 상관을 보였으나 채식군에서는 나이와 중성지방만이 정의 상관을 보였다. 따라서 채식을 하면 비만인 사람이라도 혈중 지질수준 및 혈당, 혈압이 낮아져서 심혈관 질환 및 고혈압, 당뇨병 등의 예방 치료에 효과적일 것으로 사료된다.

• 보건교육건강증진학회지
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• 제16권1호
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• pp.127-135
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• 1999

The purpose of this study was to verify the effects of the developed exercise prescription program by utilizing PRECEDE(Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation} model on adult's knowledge related to health, attitudes, behaviors and serum lipoprotein values. This study employed 20 males(40-47 yrs) without any apparent physical defects, who did not experience such physical activities. They were divided into experimental groups and control groups, each group consisted of 10 subjects who performed Jogging. The experimental design of the study utilized “two-way ANOVA Design” conducted by the repeated measurement two time(pre and post-test). As the results of the data, the conclusions were as follows: 1. There were statistically significant effects of the health module exposed to the experimental groups on the higher means of knowledge score in the experimental groups than those in the control groups. 2. There were statistically significant effects of the module exposed to the experimental groups on the positive changes of their attitudes. 3. There were significant changes on the behaviors of the health by doing the health program. Therefore the developed health program formed the improved knowledge about the health and the desirable attitudes and behaviors. 4. There were statistically significant effects of the exercise prescription program exposed to the experimental groups on the reduction of the resting heart rate and systolic blood pressure. 5. There were statistically significant effects of the exercise prescription program exposed to the experimental groups on the positive changes of their plasma TC / HDL-C ratio and triglycerides.

• 대한수의학회지
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• 제56권3호
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• pp.161-166
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• 2016

Hyperadrenocorticism (HAC) is a common endocrinopathy among dogs that causes multisystemic signs. This study was conducted to evaluate cardiocirculatory, biochemical, and hemostatic parameters in dogs with HAC at diagnosis, in addition to verifying whether abnormal parameters could be controlled by initial treatment with trilostane. Fifteen dogs with HAC were assessed by systolic blood pressure measurement, electrocardiography, Doppler echocardiography, serum concentration of troponin I, and biochemical and hemostatic profile at diagnosis and after trilostane therapy. Unlike biochemical parameters, hemostatic and cardiocirculatory parameters were not significantly influenced by the onset of treatment. The authors believe that clinical treatment with trilostane for 3 to 4 months might not be sufficient for the stabilization of cardiocirculatory abnormalities such as hypertension. Therefore, dogs with HAC must receive cardiocirculatory monitoring at diagnosis and during drug treatment.