• 제목/요약/키워드: women in 60s

검색결과 1,675건 처리시간 0.033초

당뇨병환자에게 부적절하게 사용된 Metformin의 처방빈도 분석 (Frequency of Inappropriate Metformin Use in Patients with Diabetes Mellitus)

  • 신혜연;정기화
    • 약학회지
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    • 제54권6호
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    • pp.455-460
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    • 2010
  • We evaluated the inappropriateness of metformin use in patients with type 2 diabetes and chronic medical conditions to identify the frequency of the prescription metformin in violation of the food and drug administration (FDA) black box warning. We reviewed medical records of 307 outpatients who received metformin at endocrinology department in a hospital setting between January 1, 2005 and August 30, 2009. Of the 307 outpatients, 25 discontinued treatment of metformin due to elevated serum creatinine level (Scr${\geq}$1.5 mg/dl in male, Scr${\geq}$1.4 mg/dl in female), cancers, and/or liver disease. 5 were lost to follow-up. 89 (29.0%) of the patients had cardiovascular disease, 54.1% for hypertension, 9.8% for liver disease, and 60 (20.8%) for chronic kidney disease. 12 patients (3.9%) with chronic kidney disease and/or elevated serum creatinine level, and 1 patient (0.3%) with lactic acidosis were contraindicated to metformin use. Metformin should be avoided in 7 outpatients (2.3%) with active hepatitis and 1 patient (2.6%) with liver cirrhosis. Of the 307 outpatients, 13 (4.2%) patients who received metformin at the first visit and 16 (8.7%) patients who received metformin at the last visit violated to black box warning. 8 (2.6%) of the patients were in precautionary conditions to metformin use. Adjusted mean difference of serum creatinine was -0.16 mg/dl [95% CI: -0.22 to -0.11 (p<0.05)] and adjusted mean difference of alanine aminotransferase was 4.46 IU/l [95% CI: 2.47 to 6.44 (p<0.05)] between the first visit and the last visit. Critical number of elderly patients who are at the high risks of drug-disease and drug-laboratory interaction is exposed to the inappropriate metformin use in violation of black box warning. The periodic evaluation of metformin use and monitoring prescription through drug utility review (DUR) system is needed to improve patients' safety and to reduce adverse drug events.

야콘의 항산화성 및 야콘 초절임제품의 저장 중 품질특성 (Antioxidative Activity of Yacon and Changes in the Quality Characteristics of Yacon Pickles during Storage)

  • 문미정;유경미;강희진;황인경;문보경
    • 한국식품조리과학회지
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    • 제26권3호
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    • pp.263-271
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    • 2010
  • The purpose of this study was to measure the antioxidant activity of yacon root and to manufacture yacon pickles for commercialization as a functional food. The total phenol content in yacon roots were the highest, 29.96 mg GAE/ 100 g, in the ethyl acetate fraction and the DPPH radical scavenging activity and ABTS radical scavenging activity was 37.07%, and 91.60%, respectively, in the ethyl acetate fraction. The optimum recipe for the pickling solution was determined to be vinegar, water and high fructose corn syrup, at 34%, 22% and 44%, respectively. The quality characteristics of yacon pickles using this solution were monitored during storage at $25^{\circ}C$ for 43 days. The pH value decreased to 2.98 (42 days) during storage and $^{\circ}Brix$ gradually increased during storage. The L-value decreased significantly during storage but there were no significant changes detected in the a and b values. No significant changes were detected in the hardness of the yacon pickles. According to the sensory evaluation, no significant changes in taste, texture and overall acceptance of yacon pickle were observed during storage. These results indicated that yacon was an excellent functional food in terms of its antioxidant activity and that pickling might be a promising methods to maintain the taste and quality of yacon during storage.

전통 매듭의 조형미와 현대적 활용실태 (A Study on the Formative Aesthetics and Modern Application of Traditional Korean Knots)

  • 김보영;금기숙
    • 복식
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    • 제60권10호
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    • pp.1-15
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    • 2010
  • A Korean knot is one of the ornamental elements that our ancestors used intimately in their daily lives, and the diverse forms and structural features of the Korean knot have sufficient creative and aesthetic value for it to be recognized as one of beautiful products that was relished by individuals of the times. Starting from two strands, Korean knots make unique forms as they are overlapped or plaited, crossing each other in many ways. The forms of Korean knots were given names such as "nabi maedeup"(butterfly knots) and "gukwa maedeup" (chrysanthemum knots), in reference to things in the surrounding environment that were perceived as being similar in their appearance. It is considered that with their unique structure, such Korean knots may provide a good motif for creative design. As well, it is believed that combining the traditional beauty of Korean knots with a contemporary sensibility will lead to the creation of truly forward-looking design. Against this backdrop, this study aims to inquire into and analyze the formative characteristics and aesthetics of Korean knots, with an eye to their use in future design. In addition, it aims to help to put such historical knotting practices into practical and functional use in the future, through a study of previous uses of historical knotting practices with a modern sensibility. It is thus expected that this work will contribute to the inheriting and development of traditional culture, and ultimately to enhancing the status of Korean design in the world.

Pueraria mirifica 추출물 함유 화장품의 피부 탄력 임상 효능 평가 (Clinical Study of Cream Containing Pueraria mirifia for Skin Elasticity)

  • 김보라;정성원;이주동;유희창
    • 대한화장품학회지
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    • 제30권3호
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    • pp.385-388
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    • 2004
  • 최근에 천연성분의 화장품 응용에 대한 관심이 높아지고 식물에 함유하고 있는 피토에스트로겐(Phytoestrogen)의 항노화 물질 연구가 중요해지고 있다. 태국 식물 Pueraria mirifica 추출물을 $4\%$ 함유한 크림제제(PM 크림)를 추출물 성분이 제외된 플라시보 크림과 비교하여 총 30명 여성을 대상으로 16주간 임상시험을 수행하였다. 피부 모사판을 제작하여 주름 측정을 하였고, 피부 탄력과 보습을 기기 평가하였다. 특히 피부 탄력도는 placebo 크림 사용군 대비 추출물 함유 크림 사용군이 통계적으로 유의하게 탄력도가 증가하였다. 주름이나 보습평가는 특이할 만한 결과를 나타내지는 못했다. Pueraria mirifiaca는 피부 탄력 개선을 주는 항노화 화장품 개발에 응용될 수 있을 것이라 기대된다.

Aqueous Extracts of Walnut (Juglans regia L.) and Nelumbo nucifera Seeds Reduce Plasma Corticosterone Levels, Gastric Lesions, and c-fos Immunoreactivity in Chronic Restraint-stressed Mice

  • Kim, Dae-Won;Hwang, In-Koo;Yoo, Ki-Yeon;Li, Hua;Kang, Il-Jun;Moon, Won-Kuk;Won, Moo-Ho;Kim, Seok-Joong;Han, Dae-Seok;Kim, Dong-Woo
    • Food Science and Biotechnology
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    • 제17권4호
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    • pp.713-717
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    • 2008
  • In the present study, chronic effects of the hot water extracts of walnut seed (Juglans regia L.) (WSE) and Nelumbo nucifera seed (NSE) were investigated in mice exposed to 2 hr of restraint stress each day for 4 weeks. Corticosterone levels in serum were significantly increased in the vehicle-treated stressed group ($25\;{\mu}g/dL$) compared to that in the control group ($13\;{\mu}g/dL$). This stress induced gastric redness and lesions. However, treatment with WSE and/or NSE significantly protected the stomach from this lesion by 50-60% compared to that in the vehicletreated group. In the amygdala, the administration of WSE and/or NSE also reduced the immediate early gene (c-fos) expression by 70-90% vs. the vehicle-treated group. These suggest that WSE and/or NSE may reduce the appearance of symptoms induced by stress and these materials are useful as anti-stress foods, as natural products tend to be relatively safe compared to chemical products.

초록데이터를 활용한 국내외 FTA 연구동향: 2000-2020 (Trends in FTA Research of Domestic and International Journal using Paper Abstract Data)

  • 윤희영;곽일엽
    • 무역학회지
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    • 제45권5호
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    • pp.37-53
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    • 2020
  • This study aims to provide the implications of research development by comparing domestic and international studies conducted on the subject of FTA. To this end, among the papers written during the period from 2000 to July 23, 2020, papers whose title is searched by FTA (Free Trade Agreement) were selected as research data. In the case of domestic research, 1,944 searches from the Korean Citation Index (KCI) and 970 from the Web of Science and SCOPUS were selected for international research, and the research trend was analyzed through keywords and abstracts. Frequency analysis and word embedding (Word2vec) were used to analyze the data and visualized using t-SNE and Scattertext. The results of the analysis are as follows. First, in the top 30 keywords of domestic and international research, 16 out of 30 were found to be the same. In domestic research, many studies have been conducted to analyze the outcomes or expected effects of countries that have concluded or discussed FTAs with Korea, on the other hand there are diverse range of study subjects in international research. Second, in the word embedding analysis, t-SNE was used to visually represent the research connection of the top 60 keywords. Finally, Scattertext was used to visually indicate which keywords were frequently used in studies from 2000 to 2010, and from 2011 to 2020. This study is the first to draw implications for academic development through abstract and keyword analysis by applying various text mining approaches to the FTA related research papers. Further in-depth research is needed, including collecting a variety of FTA related text data, comparing and analyzing FTA studies in different countries.

남성 요실금 팬티에 관한 연구 (A Study on Male Panties for Urinary Incontinence)

  • 이정순
    • 한국의상디자인학회지
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    • 제17권1호
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    • pp.39-52
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    • 2015
  • This study aims to analyze the characteristics of the male products for urinary incontinence by examining the types and characteristics of those registered in KIPO (Korean Industrial Property Office). Additionally, the types and characteristics, especially for the cloth products and the pads, of male panties for urinary incontinence on the market are analyzed. Men in their 60s with minor symptoms were selected as the subjects to evaluate the wearability. The results are as follows. 11 male products for urinary incontinence, registered in KIPO, are structurally different from those for women by having a separate pocket mainly for absorption. There are one disposable type and 7 cloth types, and the cloth panties can be classified as either united or separable type depending on the detachability of pads from the panties. The types of the panties vary according to the position, shape, and size of the attached pads on normal male panties (boxer, briefs, drawers). The fabrics for the urinary incontinence are usually piled in 3 to 5 layers by having the most absorptive layer on the top, the next with deodorizing characteristics, and the bottom with the waterproof fabric as basics with some additional layers of antibiotic or breathable fabrics. From the wearability test, it has been determined that the panties are not distinguishable in external appearance and the fitness is also not a problem since the size varies as the normal panties. It has been evaluated that the fitness of the panties is an important factor since the pad should be worn in any form; the pad sewed in the middle of the panties was evaluated to be more wearable than having a long pad. In case of separable panties, when the pattern and fabric is similar to the functional panties and the options such as the thickness of the pads or detachability are given to the users, it tends to be more satisfactory.

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유전성 대사질환의 신생아 스크리닝 (Newborn screening of inherited metabolic disease in Korea)

  • 이동환
    • Clinical and Experimental Pediatrics
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    • 제49권11호
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    • pp.1125-1139
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    • 2006
  • In 1991, the Ministry of Health & Social affairs adopted a nationwide service program for neonatal screening of phenylketonuria, galactosemia, maple syrup urine disease, homocystinuria, histidinemia & congenital hypothyroidism for newborns delivered from low class pregnant women registered in health centers. Government decreased the test items from six to two, PKU & congenital hypothyroidism to increase test numbers with same budget from 1995. Government decided to test PKU & hypothyroidism for all newborns from 1997. 78 laboratories wanted to participate for neonatal screening test in 1999. Government didn't decide laboratory center for a certain district and placed responsibility on free competition. Government are planning to test 573,000 newborns from 1998, Government decided to screen 6 items PKU, congenital hypothyroidism, maple syrup urine disese, homocystinuria, galactosemia and congenital adrenal hyperplasia from 2006. 17 laboratores are participating now. The cost of screening test is supported by both the federal government and local government on a 40-60 basis. In case a patient with an inherited metabolic disease is diagnosed by screening of government program, special milk is provided at government's expense. Interlaboratory quality control was started 6 times a year from 1994. According to the government project, 3,707,773 newborns were screened. 86 PKU, 718 congenital hypothyroidism were detected. So incidence of PKU is 1/43,114 and congenital hypothyroidism is 1/4,612. Maeil dairy company produced new special formula for PKU, MMA and PA, MSUD, urea cycle disorder, homocystinuria, isovaleric acidemia from Oct. 1999. The cost benefit of performing screening procedures coupled with treatment has been estimated to be as high as 1.77 times in PKU, 11.11 times in congenital hypothyroidism than cost without screening. We are trying to increase the budget to test all newborns for Tandem mass sereening & Wilson disease from 2008. Now it is a very important problem to decrease laboratory numbers of neonatal screening in Korea. So we are considering 4-5 central laboratories which cover all newborns and are equipped with tandem mass spectrometer & enzyme immunoassay for TSH, 17OHP & enzyme colorimetric assay for galactose.

The Effect of Lumbar Muscle Strengthening Exercise Types on Balance and Walking Ability of Elderly

  • Choi, Yoo-Rim;Kim, Jong-Woo;Hwang, Byeong-Jun
    • 국제물리치료학회지
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    • 제2권2호
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    • pp.329-338
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    • 2011
  • The purpose of this study is to examine the effect of stabilization, resistance exercise, and combined exercise for lumbar on balance and walking ability of elderly. This study selected 22 subjects of over 65 years old elderly women who satisfy the study condition from A, B and C Senior Citizen's Center, in Daegu. The subjects were divided into groups; 7 for resistance exercise group, 8 for stabilization exercise group, and 7 for combined exercise group(resistance and stabilization exercise). The exercises were conducted for 60min a day, three times a week for 12 weeks. Balance and walking ability were checked before the exercise, 6 weeks later, and 12 weeks later. First, all lumbar muscle strengthening exercises were effective for static balance which changed according to exercising period. In dynamic balance, the resistance exercise group showed significant improvement in sit to stand. Stabilization exercise group showed significant improvement in all factors. The combined exercise group showed significant improvement in sit to stand and timed up and go. There was no difference between the exercise types. Second, the resistance exercise group showed significant change in Cadence which changed according to exercising period. The combined exercise group showed significant improvement in all factors. Between the exercise types, combined exercise was a bit more effective than resistance exercise. According to the result of 12 weeks of lumbar muscle exercise, combined exercise is considered to be the most effective exercise to prevent fall as it helps balance and walking ability slightly more than other exercises. Therefore, this study can understand the risk factors for fall accidents that frequently occur among elderly and adopt the combined exercise to prevent fall which in turn will prevent secondary problems occur from fall accidents and improve quality of life of elderly.

『방약합편(方藥合編)』 하통(下統) 처방(處方)의 방제분석에 대한 고찰(考察) (Analysis of the low-chapter prescription in 『Bangyakhappyun』)

  • 김애화;조정훈;정창옥;한종현;임규상;윤용갑
    • 대한한의학방제학회지
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    • 제26권2호
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    • pp.147-170
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    • 2018
  • Objectivs : This report describes the studies as follows through the research of 163prescribtions in low-chapter from Bangyakhappyun. Methods : Analysis the 163prescribtions of basic prescribtions, therapeutic area, symptoms and pathology. Result : Many prescriptions are contained in the diseases areas such as defecate diseases, women diseases, internal diseases, exogenous febrile diseases. And prescriptions in the low-chapter are used in the areas such as eye, aggregation, mouth and tongue, teeth, hand, back, neck, emergency. Eighty-five basic prescriptions are analyzed from the low-chapter and the ratio of nineteen prescriptions containing Ijintang, Pyeongwisan, Oryungsan, Samultang, Sunggitang, Jichultang are over 60%. The efficacy classifications containing basic prescriptions frequently used are researched in the following order: heat-clearing and fire-purging formulae, digestant formulae, phlegm-dispelling formulae, qi-regulating formulae and blood-activating formulae. And tonifying and replenishing formulae are rarely used. Most of the prescriptions in the low-chapter are used for the excess syndrome and few of them are used for the deficiency syndrome. And six excesses, food damage, phlegm are the major causes of excess syndrome. Conclusions : As s result of study on analysis all prescriptions in low-chapter from Bangyakhappyun. We can understand more about basic prescriptions, symptoms of prescriptions and pathology.