전,후기 노인의 건강행위, 건강상태와 건강관련 삶의 질

정영해 ( Young Hae Chung ),조유향 ( Yoo Hyang Cho ) 대한보건협회 2014 대한보건연구 Vol.40 No.1

연구목적 : 본 연구는 노년 전기와 후기 노인의 건강행위, 건강상태와 건강관련 삶의 질 수준을 파악하고, 관련요인을 파악 하고자 한 것이다. 연구방법 : 2010년 국민건강영양조사 제5기 1차년도 원자료를 사용하여 65세 이상 노인 1,339명을 대상으로 교육, 경제수준, 운동, 흡연, 음주, 만성질병, 성별, 거주지역, 동거인, 주관적건강상태, BMI 및 EQ-5D를 건강설문-검진조사가중치를 사례 수에 맞추어 활용하였으며 SPSS 20.0을 이용하여 분석하였다. 노년전기군(<75세)과 노년후기군(≥75세)을 카이제곱검정과 t-검정으로 비교하였으며, 후진제거방식 회귀분석으로 두 군의 건강관련 삶의 질 관련요인을 비교하였다. 연구결과 : 여성노인이 58.4%로 많았으며, 교육수준은 초졸 이하가 3/4으로, 노년후기군은 여성노인과 초졸 이하가 더 많았고, 노년전기군에는 중졸, 고졸, 대졸이상 노인과 배우자와 함께하는 비율이 많았다. 흡연율 13.3%, 음주율 46.9%, 운동실천율 47.8%, 만성질환율 80.3%이었는데, 노년전기군의 경우 음주와 운동실천율 및 비만이 높았고, 노년후기군은 저체중, 우울증상, 자살을 생각해본 적과 주관적인 건강상태가 유의하게 높았다. 노년전기군의 삶의 질은 노년후기군에 비해 유의하게 높았으며, 삶의 질을 구성한 각 항목은 모두 노년전기군에서 유의하게 낮아 노년후기군보다 삶의 질이 더 좋았다. 노년전기군의 삶의 질 관련요인은 성별, 주관적 건강상태, BMI로 나타났고, 노년후기군에서는 경제수준, 만성질환 유무와 주관적 건강상태가 삶의 질과 관련되었다. 결론 : 노인의 삶의 질을 높이기 위하여, 노년 전기에는 체중관리에 초점을 맞추고 성별에 따라 차별화된 서비스를 제공하며 노년 후기에는 경제상태와 교육수준에 따른 서비스를 제공하고, 전·후기 노인 모두 만성질관관리, 건강관리, 및 일상생활능력 향상을 위한 서비스를 제공되어야 함을 제안한다. Objectives: The purpose of this study was to investigate the difference in quality of life and related factors among the elderly by the young and the old-old. Methods: Elderly data of 1,339 case from National Health and Nutrition Examination Survey (Korea Center for Disease Control, 2010) were analyzed with SPSS 20.0, using complex survey data analysis methods. Most of the instruments were used according to the original survey while some were re-categorized. Gender, education, living area, income status, factors considered to be related to quality of life such as exercise, smoking and drinking habits, existence of chronic diseases, perceived health, and BMI were explored for their relationship with quality of life. Significance level was set to .05. Results: In this study, 58.4% of the subject were female, and approximately 3/4 had education below elementary school. However, there were more female, more elementary school education, and fewer living with significant others among the old-old. Underweight, depression, and suicidal thoughts were more prevalent among the old-old. The old-old perceived their health worse. Quality of life scores were lower for the old-old. In terms of health behaviors, there were more drinking, exercising, and overweight among the young-old. Factors related to quality of life turned out to be gender, perceived health and BMI among the young-old and education, economic status, and perceived health among the old-old. Conclusion: We recommend differentiated health policy and health programs for the young- and the old-old.

" The Korean Journal of Chemical Engineering " 게재 논문 요약 : Processabilities & Mechanical Properties of the Biodegradable LDPE / Modified Starch Blends

Young Jin Kim,Yong Man Lee,Hyang Mok Lee,O Ok Park 한국화학공학회 1994 NICE Vol.12 No.5

N/A An investigation of the biodegradable polymers based on starch has been accomplished. Starch needs to be modified before blending with low density polyethylene(LDPE) because of its hydrophilicity. Three kinds of modification methods were applied to obtain the compatibility to starch-LDPE blends. The first one was the esterification of the hydroxyl group of starch with acetic anhydride. The second was the copolymerization of actylonitrile and styrene onto starch. The last was the esterification reaction of the hydroxyl group of starch with three kinds of ionomers. The tensile strength, % elongation, Young`s modulus, and shear viscosities of blends of the modified starch and LDPE were examined. Ionomer-treated starch showed better compatibility with LDPE to give better performances than other blends.

Effects of I- and W-Phases Under Identical Conditions on Microstructure and Mechanical Properties of As-Cast Mg–Zn–Y Alloys at Room and Elevated Temperatures

Young‑Gil Jung,Wonseok Yang,Jae Ik Hyun,Shae K. Kim,Hyunkyu Lim,Do Hyang Kim 대한금속·재료학회 2021 METALS AND MATERIALS International Vol.27 No.12

Three alloys (Mg–6Zn–1.2Y, Alloy I; Mg–3.65Zn–1.65Y, Alloy II; and Mg–4.3Zn–1.4Y, Alloy III) with same volume fractionand grain size were designed to evaluate the effects of the I-phase (Mg3Zn6Y) and W-phase (Mg3Zn3Y2), which are themajor phases in Mg–Zn–Y alloys, on the mechanical properties. The tensile strength of Alloy I with the I-phase at roomtemperature was the highest among the tested alloys because the coherent interface between the I-phase and the α-Mg phasewas more resistant to cracking than the incoherent interface between the W-phase and the α-Mg phase. A cross-sectionalmicrostructure analysis of a sample that was tensile-tested at 423 K revealed that the morphology of the I-phase remainedrelatively stable. In contrast, the W-phase was broken and fragmented during the tensile test at 423 K because it had higherbrittleness under the test conditions. Therefore, the tensile and creep properties of Alloy I at 423 K were better than thoseof Alloys II and III containing the W-phase. According to the results, the I-phase in the Mg-Zn-Y alloy was more beneficialto the mechanical properties at room temperature and 423 K than the W-phase.

PROCESSABILITIES & MECHANICAL PROPERTIES OF THE BIODEGRADABLE LDPE/MODIFIED STARCH BLENDS

Kim, Young Jin,Lee, Yong Man,Lee, Hyang Mok,Park, O Ok 한국화학공학회 1994 Korean Journal of Chemical Engineering Vol.11 No.3

An investigation of the biodegradable polymers based on starch has been accomplished. Starch needs to be modified before blending with low density polyethylene (LDPE) because of its hydrophilicity. Three kinds of modification methods were applied to obtain the compatibility to starch-LDPE blends. The first one was the esterification of the hydroxyl group of starch with acetic anhydride. The second was the copolymerization of acrylonitrile and styrene onto starch. The last was the esterification reaction of the hydroxyl group of starch with three kinds of ionomers. The tensile strength, % elongation, Young's modulus, and shear viscosities of blends of the modified starch and LDPE were examined. Ionomer-treated starch showed better compatibility with LDPE to give better performances than other blends.

항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

Rat의 복강내에 투여한 5-fluorouracil-polyglycolic acid 제형이 장기에 미치는 영향에 관한 연구

강대영,송규상,최정목,노승무,정경수,오정연,김진향,양준묵,최선웅,이진호,조준식,민병무,김용백,김창식,박근성,김승영,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

For more effective intraperitoneal chemotherapy, the authers made 5-fluorouracil-polyglycolic acid composite disks(FU-PGA disks) with 5-fluorouracil and polyglycolic acid, a biodegradable polymer. We inserted the FU-PGA disk into the peritoneal cavites of Sprague-Dawley male rats, the control and three experimental groups; one FU-PGA disk insert group(300mg/kg), two FU-PGA disk insert group(600mg/kg), and three FU-PGA disk insert group(900mg/kg). The control group received a similar number of PGA disk inserts. A pharmacokinetic study was performed to measure the 5-fluorouracil concentration in the peritoneal fluid, blood, and tissues(liver, kidney and heart) at 24 hours, 72hours and 168 hours after insertion of the FU-PGA disk. Light and electron microscopic studies were done. The results were as follows: 1) The number of white blood cells and platelets decreased after FU-PGA insertion. The degree was proportional to the duration and amounts inserted. The change in the number of red blood cells varied slightly. 2) Light microscopically, slight changes were noted at 168 hours in the 3 disk insert group (900mg/kg). Mild fatty change and hepatocyte degeneration around the central veins of the liver were noted, with vacuolar degeneration in the proximal convoluted tubules of the kidney. 3) Electron microscopically,the liver showed focal increases of lipid droplets in the hepatocytes, and irregular nuclear membrane with focal nucleolar segregation of the fibrillar and granular elements. Also the double membranous structure of the hepatocytes and Kupffer cells was widened with bleb formation. The kidney showed wide separation of the nuclear double membrane in the proximal convoluted tubular cells and mesangial cells, with vacuolation and myelin figure formation in the mitochondria of the proximal convoluted tubular cells, at 72 hours and 168 hours in the 2 to 3 FU-PGA insert groups. The heart showed focal loss of cristae,vacuolation and myelin figure formation in the mitochondria of the 2 to 3 FU-PGA insert groups. In conclusion, despite the large amont of FU-PGA inserted, the histopathological changes in the liver, kidney and heart were slight, and consonant with the very low amount of 5-fluorouracil concentrations detected in the liver, kidney and heart. The above results suggest that the FU-PGA composite can serve as a new device for releasing drugs in a controlled manner and easily targeted to intraperitoneal organs. This device can improve the efficacy of intraperitoneal chemotherapy for gastric cancer.

백서의 복강내에 투여한 Mitomycin-C-Polyglycolic acid 제형이 장기에 미치는 영향에 관한 연구

송규상,강대영,최정목,노승무,정경수,오정연,김진향,양준목,최선웅,이진호,조준식,민병무,김용백,김창식,박근성,김승영,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

To evaluate the in-vivo effects of mitomycin-C-polyglycolic acid composite(MMC-PGA) the disk: shaped composite were implanted into the peritoneal cavity of the Sprague-Dawley rats. The pathologic changes were examined at various time points up to 12 weeks. Initially the soft tissue around the inserted disks showed capillary congestion at 3 days. Inflammatory infiltrates with foreign body giant cells appeared from the 2nd week and reached peak response at 6-8 weeks. These reaction diminished prominently at 12 weeks. No specific pathologic change was found in the liver, the kidneys, and the heart. The above results suggest that the MMC-PGA composite can serve as a new device for intraperitoneal chemotherapy of various types of cancers.

노노(老老) 전문상담사 양성 프로그램 개발과 평가

한정원 ( Jeong Won Han ),우미향 ( Mee Hyang Woo ),김영순 ( Young Soon Kim ) 한국가족관계학회 2007 한국가족관계학회지 Vol.12 No.3

As the aged society, Korea has recently expanded various social service program for elderly people. Noticing the importance of use of elderly force, the purpose of this paper were to develop the counselling program for elderly people, to run the model program and to evaluate it. To find out the necessity of the program and the main area of interests of elderly people, survey was held before the model program being run. Many respondents, most of them are over 60s, answered that counselling program was necessary to maintain the quality of later life. Targeting young old, this program were developed to intensify the importance of elderly counselling that will be gradually put in the important post in Korea. The program were composed of 10 sessions which included various field of counselling, especially focusing elderly issues. 30 elderly people were participated at the model program. The target of the program were, originally, elderly people aged over 60, the actual participants were mainly in their 50s. From that fact, it can be noted that people in their 50s, as young-old, or people who are in front of aged generation are socially active and need continuous education in society. Considering the program result evaluation, participants wanted the successive program in the more specified form that can be used in the real counselling field. This program can be used in the relevant organizations, contributing to expand the importance of elderly force and need of various social services.

심혈관계 질환으로 관상질환 집중치료실에 입원한 환자들의 혜후 측정을 위한 APACHEⅢ점수 체계의 임상적 유용성

이공섭,이창선,최현주,홍종서,강지향,김도형,이민영,오인균,김병엽,김상억,김학찬,한승혜,이재용,지영우,안경주 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

가토의 뇌동맥류 모형에서 모동맥 및 동맥류 협자에 따른 동맥류 내압의 변화 :기초 연구

김은영,송준혁,김명현,박향권,김성학,신규만,박동빈 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.4