• 대한한방내과학회지
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• 제30권4호
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• pp.732-745
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• 2009

Objectives : This study analyzed the contents of research papers of complementary and alternative medicine (CAM) concerning chronic obstructive pulmonary disease (COPD) published in PubMed during the last 5 years. This study was conducted to help clinical studies for treating COPD with Oriental medicine. Materials and Methods : We inspected 31 theses and scrutinized their objectives, periods, participants, materials and methods, methods of assessment, results and Jadad score. Results : The treatments in the studies were supplements, physical training, acupuncture, acu-TENS, Bojungikgi-tang (Buzhongyiqi-tang), counseling, breathing training, osteopathic manipulative treatment, reflexology, and distractive auditory stimuli. The aims of treatment were improvement of exercise capacity, lung function, quality of life, oxidative status, nutrient status, systemic inflammation, and cessation of smoking. The median for treatment period of study was 8 weeks, the median number of participants was 35 and the differences between mean $FEV_1$ from groups were less than 10% in 22 studies. The methods of assessment were lung function test, exercise capacity test, muscle strength test, questionnaire of QoL, laboratory studies, and measurement of nutrient state. The mean of Jadad score was $2.4\;{\pm}\;1.03$, and 24 treatment were assessed as effective. Conclusion : Recent CAM studies of COPD have focused on various topics in alternative and complementary medicine, and it is necessary to provide objective studies for treatment of this disease with Oriental medicines.

• 대한정형도수물리치료학회지
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• 제14권2호
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• pp.16-24
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• 2008

Anatomy: Advanced knowledges of cellular and molecular biology led to the development of therapies of rheumatoid arthritis(RA). Rheumatoid arthritis (RA) is a chronic, recurrent, systemic inflammatory disease and results in major deformity or dysfunction of joints. Etiology: Rheumatoid arthritis is now concevied as autoimmune disease. There have been many trials to define the immunological changes in rheumatoid arthritis. But now pathogenesis and significance of immunoglobulin complement and rheumatoid factor are not full accepted. Syndrome: Joints are characteristically involved with early inflammatory changes in the synovial membrane, peripheral portions of the articular cartilage, and lation tissue(pannus) forms, covers, and erodes the articular cartilage, bone and ligaments within the jiont capsule. Inflammatory changes also occur in tendon sheaths(tenosynovitis), and if subjected to a lot of friction, the tendons may fray or rupture. Extra-articular pathological changes sometimes occur, these include rheumatoid nodules, atrophy and fibrosis of muscles, and mild cardiac changes. Treatment: Tumor necrosis factor(TNF) inhibitor for the treatment of rheumatoid arthritis(RA) induces not only significant improvement of symptoms and signs of RA but also substantial inhibition of progressive joint damage.

• 대한한방성인병학회지
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• 제10권1호
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• pp.53-61
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• 2005

Guillain-Barre syndrome (GBS) is a group of autoimmune syndromes consisting of demyelinating and acute axonal degenerating forms of the disease. Typically, Gullain-Barre syndrome can be diagnosed from the patient's symptoms and physical examination such as the rapid onset of weakness, paralysis and loss of reflexes. In most patients, resolution is complete or near complete. Treatment consists of supportive care, ventilatory management (in about one third of patients), and specific therapy with intravenous immunoglobulin or plasmapheresis. This clinical report is about suspected acute severe Guillain-Barre syndrome patient, 61-year-old man had quadriplegia, facial palsy, dysphasia, respiratory failure. After 5 weeks of East-West integrative medicine therapy - Conventional Conservative therapy(plasmaphresis and intravenous immunoglobulin) and Korean traditional medicine(Sasang medicine and acupuncture treatment) - most symptoms improved.

• 한국식품영양학회지
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• 제34권4호
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• pp.372-380
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• 2021

In this study, data from the 7th (2016~2018) and 8th (2019) Korea National Health and Nutrition Examination Surveys were used, which included 5,325 subjects. Health behavior, dietary and nutrient intake status, physical measurement and biochemical characteristics, and risk factors for elderly related chronic diseases were classified and analyzed according to the changing composition of single households and other households in the current society. As a result, the ratio of current smokers and drinkers in young adult single households, walking less than 30 minutes per day, subjective health status was poor, breakfast rate less than three times per week, eating out frequency more than once a day, lipid intake ratio to total calories, saturation fatty acid intake were significantly higher. In addition, waist circumference, and diastolic blood pressure were significantly higher. However, dietary fiber intake level was significantly lower. The results for hypertension, which is the representative chronic disease that causes old age-related chronic diseases, were significantly higher in single households (ORs=1.400 (95% CI: 1.095, 1.791), p=0.007). Although young adults may not have showed particularly serious health problems yet, education is believed as important to recognize and prevent age-related disease risk factors.

• 한국학교ㆍ지역보건교육학회지
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• 제25권1호
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• pp.29-41
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• 2024

목적: 본 논문에서는 대한민국 성인의 라이프스타일 위험요인과 복합만성질환간의 연관성 규칙을 탐색하여 보건교육프로그램에 필요한 방향성과 기초정보를 제공하는데 목적을 둔다. 방법: 제8기 국민건강영양조사 중 2019년부터 2020년까지 만 19세 이상 성인 7,609명을 대상으로 하였으며, 6개의 라이프스타일 위험요인과 11가지 이환질환에 대하여 R과 R 스튜디오를 이용하여 연관규칙마이닝을 수행하였다. 결과: 본 연구 결과를 통하여 연관규칙마이닝과 같은 데이터마이닝 기법을 통해 생활 습관 위험 요인의 중요성과 여러 만성 질환의 역할을 보여줬다는 점에서 의미가 있다. 결론: 상기 결과를 통하여 신체 활동 부족을 해결하기 위한 운동 프로그램, 부적절한 체중을 해결하기 위한 식이 중재, 부적절한 수면을 해결하기 위한 정신건강 교육프로그램과 같은 선택적이고 집중적인 건강교육 프로그램에 대한 개발의 필요성이 요구된다.

• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.455-465
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• 2020

본 연구는 국민건강영양조사 제7기를 활용하여 성인의 신체활동과 건강관련 삶의 질과의 관련성을 알아보고자 하였다. 연구의 대상자는 2016~2018년 국민건강영양조사에서 20~59세의 성인 24,269명 중 결측치가 없는 11,211명을 대상으로 하였으며 건강관련 삶의 질은 EuroQol group의 EQ-5D로, 신체활동은 GPAQ를 이용하여 정의하였다. 자료분석은 SAS 9.4 프로그램을 사용하여 대상자의 일반적 특성과 신체활동 정도, 건강관련 삶의 질(KEQ-5D index)은 교차분석(Chi-square), 신체활동과 삶의 질의 관련성은 로지스틱 회귀분석(Logistic Regression Analysis)을 실시하였다. 연구결과 대상자의 일반적 특성은 결혼상태, 교육상태, 직업, 흡연, 음주, 경제상태, 스트레스, 만성질환 유무, 만성질환 치료 유무, 여가로 인한 신체활동 정도와 직업으로 인한 신체활동 정도는 남녀에 따라 차이가 있는 것으로 나타났다(p<0.05). 신체활동과 건강관련 삶의 질은 직업의 신체활동의 최소한 신체활동군에서 삶의 질이 37% 낮게 나타났다(p<0.05). 반면, 여가로 인한 신체활동과 삶의 질은 통계적으로 유의하지 않았다. 본 연구를 통해 성인의 신체활동과 건강관련 삶의 질과의 관련성을 확인하였다. 연구결과는 신체활동 관련 보건정책 수립 및 신체활동 프로그램의 기초자료로 제공될 것으로 기대된다.

• 한국동물위생학회지
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• 제44권1호
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• pp.45-49
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• 2021

A 23-month-old Holstein cattle showed excess salivation and reluctance of walking and suddenly died after forced sudden movements. Grossly, numerous fibrous adhesions were present within cranial abdominal cavity including the reticulum and diaphragm and thoracic cavity involving lungs, pericardial sac, and heart. A perforation made by a 10 cm-long sharp-ended wire was detected in the reticulum. Histopathologically, fibrous suppurative epicarditis and myocardial necrosis were observed. Fibrosis with neovascularization were found in lungs, spleen, and liver. And granulomatous reticulitis was observed. For differential diagnosis, no pathogenic bacteria were detected through microbiological tests and PCR results were also negative for bovine susceptible pathogenic antigens. Based on the gross and histopathological examination, we diagnosed this case as chronic traumatic pericarditis. Cattle are inquisitive and prone to swallow various kinds of metallic foreign bodies since they do not use their lips. Therefore, avoiding ingestion of metallic objects in animal feed and animal areas by careful environmental management of farms is required and farmers should give the adequate minerals and vitamins into the feeds not to lick or shallow foreign bodies in case of mineral deficiency. For veterinary practitioners, physical examination, blood tests, and diagnostic imaging (X-ray and Ultrasonography) are required for an exact diagnosis. Furthermore, placing the magnets in rumen would be effective for prophylactic administrations.

• 디지털융복합연구
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• 제18권7호
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• pp.317-330
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• 2020

본 연구의 목적은 상부위장관질환을 가진 만성조현병환자와 상부위장관질환이 없는 만성조현병환자를 대상으로 생활습관, 식습관, 건강태도와 자기효능감을 비교 확인함으로써 정신요양시설에서의 만성조현병환자의 생활습관, 식습관과 건강태도를 향상시키고, 자기효능감을 증진시키기 위한 대안을 모색하는데 기초자료를 제공하기 위해 시도되었다. 본 연구의 자료수집 기간은 2019년 2월 20일에서 4월 30일까지이다. 자료는 SPSS/WIN 22.0을 활용하여 카이제곱, 독립 t-검정과 ANCOVA로 분석하였다. 상부위장관질환 여부에 따라 유의한 차이를 보인 영향요인은 인구사회학적 요인으로 연령과 교육정도, 생활습관 요인으로는 탄산음료와 신체활동강도, 식습관 요인으로는 과식, 간식, 야식, 지방음식, 다른 요인으로는 자기효능감이 있었다. 본 연구는 만성조현병환자가 일상생활에서 흔히 접하게 되는 상부위장관질환의 특징적인 특성을 확인한 연구라는데 의의가 있다. 또한 본 연구결과는 만성조현병환자의 생활습관과 식습관을 개선하고 자기효능감을 높이기 위한 다양한 중재 방법을 개발할 필요가 있음을 보여준다.

• 보건교육건강증진학회지
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• 제35권5호
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• pp.17-24
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• 2018

Objectives: After many national physical activity guidelines have established, recent changes are deep and rapid. So the major features and implication to reverse worsening Korean physical activity indicator is desprate but related knowledge and informations are few. So review of recent features and implications of new physical activity guidelines have made. Methods: National physical activity guidelines of advanced countries were searched through snowballing methods. Major features were described according to the nation. Implication were drew through discussion for Korean realitiy. Results: New Australian physical activity and sedentary behaviour guideline explicitly included sedentary behaviour. The age in the guideline expanded to early years. Canada also presented 24-hour movement guidelines to early years. The second generation of the physical activity guidelines reflects the extensive amount of new knowledge. New aspects include discussions of additional health benefits related to brain health, additional cancer sites, and fall-related injuries; immediate and longer term benefits for how people feel, function, and sleep; further benefits among older adults and people with additional chronic conditions; risks of sedentary behavior and their relationship with physical activity; elimination of the requirement for physical activity benefits to occur in bouts of at least 10 minutes; and tested strategies that can be used to get the population more active. Conclusions: The most important message from the new guidelines is that the greatest health benefits accrue by moving from no, to even small amounts of, physical activity. Multiple studies demonstrate that the steepest reduction in disease risk occurs at the lowest levels of physical activity. People need to understand that even small amounts of physical activity are beneficial and that reductions in the risk of disease and disability occur by simply getting moving. So various evidence based proven strstegies are needed in Korea including workforce training.

• 보건행정학회지
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• 제31권1호
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• pp.56-64
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• 2021

Background: Despite the high life expectancy, the subjective health status of the elderly people in Korea is reported to be the lowest as compared to other age groups. The purpose of the conducted study was to identify the factors related to the subjective health status of elderly people aged over 65 in Korea. Methods: This study used data from the 7th Korea National Health and Nutrition Examination Survey (2016-2017) of the Korea Disease Control and Prevention Agency. The subjects of the study were selected to be 2,904 elderly people aged over 65. The factors that were selected related to subjective health status were socio-demographics, perceived diseases, health behaviors, and mental health. Results: As a result of the examination of the subjective health status according to the characteristics of the subjects of study, the subjective health status was high in males (β=0.144, p=0.011), urban dwellers (β=0.107, p=0.015), employed persons (β=0.139, p=0.001), college graduates (β=0.322, p<0.001), persons with high household income (β=0.226, p<0.001), persons without chronic disease, nonsmokers (β=0.146, p=0.009), drinkers (β=0.111, p=0.003), persons who practiced aerobic physical activity (β=0.150, p<0.001), persons without depression (β=0.286, p<0.001), and persons who rarely had stress (β=0.837, p<0.001). Conclusion: More attention should be paid to those with low subjective health to improve health for elderly people. Expanding policy supports are required for elderly people with low socioeconomic status, chronic disease or depression, or unhealthy behaviors (smoking or lack of physical activity).