울산시 보건소 당뇨교실에 참가한 당뇨환자의 교육 효과에 관한 연구

홍순명,황혜진,최순호,정은미 울산대학교 2000 생활과학논문집 Vol.2 No.1

최근 유병률이 증가하고 있는 당뇨병 환자에 대한 영양교육의 효과를 알아보기 위하여 울산시 보건소에서 환자 36명을 대상으로 교육을 실시하였다. 설문지를 통하여 교육 전과후의 신체계측, 혈당, 당뇨병의 합병증과 임상 증상을 조사하였고, 식습관의 변화와 교육의 효과 등을 분석한 결과를 요약하면 다음과 같다. 당뇨교육 후 체중이 감소한 경향으로 나타났고, BMI(kg/m')는 교육 전후가 거의 변화가 없는 것으로 나타났다. 당뇨교실 전후의 혈당치를 조사한 결과 공복시 혈당이 교육전보다 교육 후 줄어들었다(p<0.1). 식후 혈당치는 170.0 ± 70.71mg/dl에서 158.50 ± 40.31mg/dl로 줄어드는 경향으로 나타났다. 교육전후의 건강증상의 상관관계를 보면 눈흐림 증상이 유의적으로 감소된 것으로 나타났고, 갈증을 느끼는 경우도 감소한 경향이 나타났다. 교육 후에 교육 전보다 식사 조절을 많이 하는 것으로 나타났고, 식품교환표를 이용하여 식사조절을 하는 것으로 나타났다. 당뇨교실교육은 91.7%가 도움이 되었다고 당뇨교실이 효과적인 것으로 나타났다. The purpose of this study was to evaluate the effect of nutrition education for diabetic patients commuting to a local health center in Ulsan city. We examined the effect of nutrition education on physical characteristics and blood glucose by comparing before and after education with questionnaire. All diabetic subjects were interviewed for general characteristics, diabetic complications, food habits and education effect. BMI was no difference before and after education. Fasting glucose level were significantly lower after education and postprandial glucose level were decreased after education (158.50 ± 40.31mg/dl) compared before education(170.0 ± 70.71mg/dl). but there was no significance in postprandial glucose. When we compared before and after diabetic symptoms, sights disturbance were decreased aftar education and the symptoms of polydipsia were decreased after education. The diabetic subjects were executed diet therapy after education. This study showed that nutrition education for diabetic patient was effective in significant changes.

국내에서 분리된 Extended-Spectrum β-Lactamase 생성 Escherichia coli와 Klebsiella pneumoniae의 빈도 및 유형

홍성근,김선주,정성훈,장철훈,조성란,안지영,신종희,이혜수,송원근,어영,염종화,용동은,이경원,정윤섭 대한임상미샐물학회 2003 Annals of clinical microbiology Vol.6 No.2

울산시 보건소 당뇨교실에 참가한 당뇨환자의 식습관 실태에 관한 연구

홍순명,황혜진,최순호,정은미 울산대학교 2000 생활과학논문집 Vol.2 No.1

본 연구의 목적은 당뇨환자의 특성, 식사조절, 운동여부와 그 외의 식습관을 조사함으로써, 이를 영양교육과 영양상담을 하는 데에 있어 기초자료로 이용하고자 한다. 울산시 동구 보건소를 내원한 당뇨환자 112명을 대상으로 조사한 결과를 요약하면 다음과 같다. 대상자의 당뇨보유기간은 7.58 ± 7.30년이었고, 공복시 혈당과 식후 2시간 후 혈당은 각각 180.92 ± 71.42mg/dl 247.64 ± 105.26mg/dl으며, 합병증 증세로는 저혈당 증세가 가장 많았으며, 심혈관질환, 망막장애, 백내장, 당뇨족, 신장장애, 말초신경장애 등 여러 합병증도 존재함을 알 수 있었다. 당뇨병으로 인한 증상으로는 눈흐림 50.5%, 피로 46.7%로 대부분의 조사대상자가 느끼는 증상이었고, 그 외 잦은 소변, 갈증, 짜증, 기타 증상(손발 절임, 어지러움, 몸이 무겁다, 변비, 가래)이 나타났다. 조사대상자들의 38%는 식사조절을 하였으나 대부분이 식품 교환표를 이용하지 않는 것으로 나타났고, 음주와 흡연을 한다는 경우는 각각 15.7%로 나타났다. 보건소를 이용하는 환자들은 대부분 고령인 점을 고려하여 이들이 쉽게 이해할 수 있으며 식생활에 적응할 수 있는 영양교육프로그램의 개발이 필요하다고 본다. The purpose of this study is to investigate the diabetes subject of health center for nutrition education. 112 subjects were evaluated with Questionnaire., Diabetic duration were 7.58 years and the fasting and 2-hour postprandial glucose level were 180.92 ±71.42mg/dl, 247.64 ± 105.26mg/dl. The complications were hypoglycemia > weakness in legs > renal, failure > peripheral neural disorder, and diabetic symptoms were sight disturbance > fatigue> polyuria. 62% of subjects were not executed diet therapy and 15.7% of subject had drinking and smoking habit. The most influential referents were medical professionals including doctors, nurses, dieticians, so their role in diet therapy should be emphasized. Since diabetic patients commuting to a local health center were mainly illiterate and received little formal education, it is very important to develop and assess appropriate nutrition education for them.

삼일열 말라리아에 합병된 비장 파열 1예

홍경욱,이정아,김원진,박철민,권혜리,박혜원,엄중식 대한감염학회 2007 감염과 화학요법 Vol.39 No.5

국내의 토착형 말라리아는 삼일열 말라리아로, 1993년부터 재유행이 시작되었다. 말라리아의 중요한 합병증으로 드물지만 비장 파열이 있는데, 이는 주로 삼일열 말라리아에 의해서 발생되며, 국내에서는 1999년 말라리아에 의한 비장 파열로 비장 절제술을 시행한 예가 보고된 바 있다. 현재까지는 비장 파열이 있을 때 비장 절제술이 일차적인 치료로 되어 있으나, 비장 절제술 후의 감염 위험성이 크므로, 활력 징후가 불안정하거나, 출혈이 지속되는 소견이 보이지 않으면 가급적 보존적 치료를 하는 것이 추천된다. 저자들은 비장 파열이 동반된 말라리아 환자에서 비장 절제술을 시행하지 않고 보존적 치료로 호전된 예를 경험하여 보고하는 바이다. Plasmodium vivax has been the predominant Plasmodium species in the Republic of Korea and reemerged in 1993. Spontaneous rupture of malarial spleen is a rare but important complication associated with P. vivax infection. Only one case of spontaneous rupture of malarial spleen was reported in Korea in 1999. Splenectomy is still accepted as the treatment of choice in cases of spontaneous rupture of the spleen. But, considering increased risk of postsplenectomy infecion, splenectomy should be reserved for those patients with severe rupture or those with continued or recurrent bleeding. And conservative treatment should be considered in selected, closely monitored patients. We report a patient with P. vivax malaria who developed a spontaneous splenic rupture and was improved by conservative treatment.

폐경전 여성에서 에스트로겐 수용체 유전자 다형성과 골초음파 지표의 상관관계에 대한 연구

김정순,정동진,강혜숙,강세훈,김경민,홍세인,조동혁,강호철,정민영 全南大醫大 2004 전남의대학술지 Vol.40 No.1

국내의 치매관련 간호연구논문 분석

김혜영,홍춘실,오경옥,이선영,정현숙,이지혜,남미라 충남대학교 간호과학연구소 2002 충남대 간호학술지 Vol.5 No.1

The purpose of this study was to analyze the trends of korean nursing research on dementia and to suggest the direction of future research. A total of 52 nursing research articles published from 1992 to 2001 were selected for this study. These articles were analyzed in a systematic way including time and source of publication, design of research, type of subjects, variable and tool of measurement, intervention outcome of experimental research, and theme of qualitative research. The results were as follows : 1. The nursing research about dementia has appeared since 1992 and increased rapidly since 1998. 2. Eighteen of 52 studies were composed of dissertation of graduate school, and the research designs were mostly quantitative. There were 36 nonexperimental research, 11 experimental research, and 5 qualitative research designs. 3. The subjects of studies were mostly the caregivers of dementia patients as 33 of 52 studies. 4. Most measurement instruments used for research were developed by researcher him/herself, or redesigned and translated into korean as the original foreign version was used. 5. In correlational research, the trend was to study physical conditions in relation to activities of daily living and functional status in dementia patients and psychological conditions in relation to burden, quality of life, depression, and stress in their families. 6. 2 methodological research were development of assessment tool of dementia patients in community, and assessment of burden of caregiver. 7. In experimental research, subjects were all dementia patients, and interventions were music therapy(5), light therapy(2), education program, cognitive stimulation training, validation therapy, hand massage, reminiscence, horticultural therapy, and art therapy. 8. Theme of qualitative research was all caring experience of family. There were 3 phenomenologic methodology, l ethnography and l case study. Based on these findings, the following recommendations were made: 1. It' s necessary to develop a reliable and valid instrument to measure the characteristics of dementia patients and family caregivers of dementia patients. 2. Experimental study should be repeated to prove the effect of intervention for dementia patients and their family.

자가공명영상을 이용한 정신분열병 환자의 뇌량 면적 측정

박홍석,이정섭,황성혜,김창현 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.5

연구목적 : 본 연구에서는 정신분열병의 병태생리에 뇌량이 관여하는지 확인하기 위해 초발 및 만성 정신분열병 환자, 대조군의 뇌량의 영역을 측정하였다. 방 법 : 국립의료원에 입원한 23명의 정신분열병 환자(남자 15명, 여자 8명)와 단순 두통 또는 어지럼증을 호소하여 내원한 23명의 외래환자를 대조군으로 하여 뇌자기공명영상을 얻었으며, 남자는 26명, 여자는 20명 이었다. 환자군중 초발군은 13명, 만성군은 10명이었다. 정중시상평면에서 뇌량을 7개 영역으로 구분하여 NIH Image 1.60프로그램으로 분석하였으며, 정중시상평면의 대뇌면적도 구하였다. 이렇게 구한 각 뇌량척도들은 t-test를 이용하여 대조군과 비교하였으며, 성별에 따른 차이는 ANOVA를 이용하였으며, 이후 대뇌면적을 공변량으로 하여 ANCOVA를 시행하였다. 또한 초발군과 만성환자군, 대조군의 비교는 나이와 대뇌면적을 공변량으로하여 MANCOVA를 시행하였다. 결 과 : 환자군과 대조군 사이의 총뇌량의 평균면적과 각 7부분의 평균면적을 비교한 결과 환자군이 제 3, 제 6 뇌량영역을 제외하곤 대조군에 비해 평균면적이 작은 것으로 나왔지만 통계적 유의성은 없었다. 성별에 따라 비교한 결과 통계적 유의성은 관찰되지 않았지만 남자환자는 대조군에 비해 작고, 여자환자의 경우에는 큰 것으로 확인됐다. 초발과 만성환자군으로 나누어 대조군과 비교해 본 결과, 통계적 유의성은 없었으나 초발환자군이 만성환자군에 비해 모든 뇌량척도가 작았고, 만성환자군은 대조군보다 총뇌량의 평균면적이 컸으나 초발군은 대조군 보다 작았다. 결 론 : 본 연구의 결과 정신분열병 환자에서 유의한 뇌량의 형태적 이상을 확인하지는 못했지만 이전 연구들에서도 다양한 결과들을 보고하고 있으며, 이는 정신분열병이 생물학적 및 임상적으로 각기 다른 표현형을 가지고 있다는 가설로 설명할 수 있다. Objectives : This study was performed to determine whether the corpus callosum is involved in pathophysiology of schizophrenia and measured corpus callosal areas of first episode, chronic schizophrenic patients and controls. Methods : We obtained the brain magnetic resonance imaging of 23 schizophrenic inpatients(15 males, 8 females) and 23 controls(11 males, 12 females) with simple headache or dizziness. Among the schizophrenic group, first episode patients were 13, chronic patients were 10. In mid-sagittal plane, the corpus callosum was divided into 7 areas and the cerebral area was measured. This data was analyzed with NIH image 1.60 software. We compared the corpus callosal areas of schizophrenics with controls by t-test and by ANOVA according to sex. Thereafter, ANCOVA was performed with mid-sagittal cerebral area as covariant. Comparison of first episode, chronic schizophrenics and controls was carried out by MANCOVA that was adjusted with age and mid-sagittal cerebra area. Results : The schizophrenics, compared with controls, had smaller corpus callosal areas except for the 3rd, 6th callosal area, but statistical significance was absent. According to sex, male schizophrenics had insignificantly smaller total callosal areas than male controls and female schizophrenics had larger ones. In comparison of first episode, chronic schizophrenic patients and controls, first episode patients had smaller every corpus callosal areas than chronic ones, chronic ones had larger total callosal area than controls and first episode ones had smaller total area than controls, but statistical significances were absent also. Conclusion : Our study did not reveal the structural abnormality of corpus callosum in schizophrenic patients, but many controversial results have been reported in other studies. This inter-study inconsistency could be explained by the hypotheses of not only clinical but also biological different phenotypes within the schizophrenia.

데치는 시간에 따른 침투성 및 비침투성 농약 처리 엽채류의 비타민 및 무기질의 함량 변화

전혜경,안태현,홍정진 한국조리과학회 2005 한국식품조리과학회지 Vol.21 No.1

The present study was conducted to investigate effect of blanching time on changes in vitamin and mineral contents in leafy vegetables treated by different pesticides. Vitamin A content of fresh leafy vegetables was high whorled mallow > chard > spinach hi order and vitamin C content of those was high spinach > whorled mallow > chard in order. Vitamin A and C contents of leafy vegetables treated by non-systemic pesticide were higher than those of leafy vegetables treated by systemic pesticide. Changes in vitamin A and C contents of leafy vegetables treated by systemic pesticide and non-systemic pesticide showed a similar trend. Vitamin A content significantly increased, while vitamin C content significantly decreased by conventional blanching. Changes in mineral contents in leafy vegetables treated by systemic pesticide and non-systemic pesticide showed a similar tread. Upon conventional blanching, Mg in spinach, Mg and Ca in chard and whorled mallow slightly increased, while K in all leafy vegetables remarkably decreased, and Se in spinach slightly decreased and Se in other vegetables remarkably decreased. On the other hand, Na, P, Fe, Cu and Zn in all leafy vegetables slightly decreased or did not show any change.

地衣類의 脂質과 蛋白質 含量

徐信惠,李鴻善,崔璟姬,崔正渼 효성여자대학교 가정대학 학도호국단 1984 家政大論集 Vol.3 No.-

地衣類의 영양학적 가치를 조사하기 위하여 地衣類(지붕, 바위, 나무)와 석이의 總脂質 含量, 脂質 분포, 脂肪酸 조성, 蛋白質 含量을 측정하였다. 그 결과 총지질 함량은 100g당 석이는 3.47g, 바위에 地衣類는 3.40g, 지붕의 地衣類는 3.17g, 나무의 地衣類는 2.73g 이었고 TLC法에 의한 脂質의 분포는 석이와 地衣類 모두 cholesterol ester와 phospholipid 등이 있었고 나무 地衣類에는 TG 및 cholesterol의 흔적을 보였다. 지방산 조성은 대부분 C_12~C_18 fatty acid였고 그 중 C_18 : 1 C_18 : 2인 것이 50% 정도로 높게 나타났다. 나무의 地衣類에는 C_18 이상의 fatty acid도 상당량 분포되어 있었으며 C_20.4 fatty acid는 18.9%였다. 단백질 함량은 석이 6.60g, 地衣類는 8.22g이었다. To investigate the nutritional value of lichens, contents of total lipid, compositions of fatty acids, distributions of lipids and contents of total proteins in lichens (on the rock, roof and tree) and sogi were examined. The results were summarized as follow. The contents of total lipid in sogi, rock, roof, and tree lichens were 3.47±0.05%, 3.40±0.09%, 3.17±0.02%, 2.73±0.04% respectively. Lipids in all them were cholestrol ester and phospholidpid, and TG and cholesterol were existed only the lichen on the tree. Fatty acids were composed of that of carbon number 12-18; C_18:1 and C_18:2 were about 50%, Contents of total protein in sogi and lichen (roof) were 6.60% and 8.22% respectively.

Mo 화학기상증착에 있어서 불순물 농도에 미치는 증착조건의 영향

배상석,서성교,홍은식,김승모,조미정,한혜정,이두성,김세훈,민석홍 국립7개대학공동논문집간행위원회 2001 공업기술연구 Vol.1 No.-

The thermal decomposition process of Mo(CO)_6 on chemical vapor deposition was investigated by analyzing the effects of deposition temperature, pressure, and reaction gas on the phase change of deposited films. Mo_2C was deposited at or below 350℃ due to the incompleteness of thermal decomposition of Mo(CO)_6, but Mo films was successfully deposited at 400℃ or higher temperatures. The variation of deposition pressure did not change the dependence of decomposition process on deposition temperature. The activation energy of surface reaction was 5.8 ㎉/mole.