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박윤형 한국보건행정학회 2015 보건행정학회지 Vol.25 No.3
United Nations (UN) adopted 17 global sustainable development agenda to the year 2030 in the 68th general assembly on september, 2015. The global agendas and goals are important for 3 reasons: (1) to adopt the international standard for determining the health status; (2) to identify areas in need of attention; and (3) to advance international cooperation regarding health issues. In the area of infectious diseases, our goals include the eradication of human immunodeficiency virus infection and acquired immune deficiency syndrome, tuberculosis, and malaria as well as a substantial reduction of hepatitis by the year 2030. In the area of non-communicable diseases, our goal is to reduce premature mortality (≤70 years) at least 30% by the year 2030. Preventive activities such as smoking cessation, alcohol abstinence, nutritional measures, and physical activities, should also be promoted intensively nationwide. It is also necessary to establish stringent policies for control hypertension, diabetes, obesity, and hypercholesterolemia. Additionally, environmental health, injury by traffic accident, mental health, and drug and alcohol abuse are important health policies. Furthermore, in the area of international health and cooperation, maternal and child health remain important areas of support for underdeveloped countries. Education and training towards the empowerment of health professionals in underdeveloped countries is also an important issue. The global agenda prioritize resources(manpower and budget) allocation of international organizations such as UN, World Health Organization, United Nations Development Programme, and World Bank. The global agenda also sets the contribution levels of Official Developmental Assistance donor countries. Health professionals such as professors and researchers will have to turn their attention to areas of vital international importance, and play an important role in implementation strategies and futhermore guiding global agenda.
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마유(Horse Fat)의 산화안정성에 대한 α-, γ-, δ-토코페롤의 첨가 효과
박윤형,조만재,김현정,Park, Youn Hyung,Cho, Man Jae,Kim, Hyun Jung 한국식품과학회 2018 한국식품과학회지 Vol.50 No.3
본 연구는 $70^{\circ}C$로 저온 감압 추출한 마유에 ${\alpha}$-, ${\gamma}$-, ${\delta}$-토코페롤을 0, 30, 60, 150 mg/kg 농도로 첨가한 뒤 토코페롤 함량 변화와 지방산 조성 변화, 과산화물값, TBA값을 측정하여 저장 중산화안정성을 조사하였다. 마유를 구성하고 있는 주요 지방산은 oleic acid>palmitic acid>linoleic acid>palmitoleic acid>stearicacid>linolenic acid 순이었으며 $65^{\circ}C$, 14일 저장 동안에는 대부분의 지방산 사이에는 유의적인 변화가 나타나지 않았다. 하지만 불포화지방산 함량은 토코페롤을 첨가한 마유가 토코페롤을 첨가하지 않은 마유에 비해 감량 변화가 적어 토코페롤이 마유 유지의 산화안정성에 도움을 준 것으로 나타났다. 과산화물값의 경우, 토코페롤을 첨가하지 않은 마유는 $65^{\circ}C$에서 저장 14일 후 3.45에서 43.75 meq/kg으로 증가하였고 ${\gamma}$-와 ${\delta}$-토코페롤을 첨가한 마유의 과산화물값은 ${\alpha}$-토코페롤을 첨가한 마유의 과산화물값보다 낮아 ${\gamma}$-와 ${\delta}$-토코페롤이 ${\alpha}$-토코페롤에 비해 마유의 산화안정성을 증가시킨 것으로 나타났다. 마유의 TBA값도 저장 14일 후1.03에서 7.87 mg MA/kg으로 증가하였지만 ${\alpha}$-토코페롤을 150 mg/kg 첨가한 마유와 ${\delta}$-토코페롤을 30 mg/kg을 첨가한 경우를 제외하고 과산화물값과 같은 경향의 결과를 나타내었다. ${\alpha}$-, ${\gamma}$-, ${\delta}$-토코페롤 종류에 따른 토코페롤의 분해율은 ${\alpha}$-토코페롤>${\gamma}$-토코페롤>${\delta}$-토코페롤 순으로 결과가 나타나 ${\gamma}$-와 ${\delta}$-토코페롤을 마유에 첨가하였을 경우 마유의 산화안정성에 도움을 주었다. 마유를 재료로 생산되는 화장품 제품에는 주로 ${\alpha}$-토코페롤을 첨가하여 저장성을 향상시키는데 본 연구에서 측정한 토코페롤 종류별 산화 안정성과 불포화지방산의 저장 중 변화 및 토코페롤의 분해율을 고려하였을 때 ${\alpha}$-토코페롤에 비해 ${\gamma}$-와 ${\delta}$-토코페롤이 마유의 저장성 향상에 도움을 줄 수 있을 것으로 판단되었다. Horse fat was extracted from fatty horse meat at $70^{\circ}C$ under vacuum conditions. The oxidative stability of horse fat was investigated by the addition of 0, 30, 60, and 150 mg/kg of ${\alpha}$-, ${\gamma}$-, or ${\delta}$-tocopherol during storage of 14 days at $65^{\circ}C$ in the dark. Changes of tocopherol concentration and fatty acid composition, peroxide value, and 2-thiobarbituric acid (TBA) value were analyzed during storage. The levels of the added tocopherols were found to decrease during storage. Unsaturated fatty acids contents of horse fat without tocopherol decreased from 60.87% to 57.22% after 14 days. The peroxide value and TBA value increased as storage time increased. The peroxide values of horse fat after addition of 0, 30, 60, and 150 mg/kg of ${\gamma}$-tocopherol were 43.75, 25.17, 20.87, and 15.41 meq/kg, respectively, and the TBA values were 7.87, 5.64, 4.43, and 4.23 mg malonaldehyde (MA)/kg, respectively, after 14 days. At the concentration of 150 mg/kg, both ${\gamma}$- and ${\delta}$-tocopherol impeded the oxidation of horse fat during storage.
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박윤형 대한의사협회 2014 대한의사협회지 Vol.57 No.10
The prevalence of non-communicable disease (NCD) has been continuously increasing due to population ageing andchanges in consumption and lifestyle patterns. This global trend is also apparent in the Republic of Korea, reflected inincreasing mortality and personal costs for the treatment and management of NCD. Cancers, cerebrovascular diseases,and hypertensive diseases have been the major causes of death in South Korea since 1983. Numerous studies havesuggested the need for a sustained comprehensive treatment tailored for individual patients and have recommendthe development of a systematic program to manage NCD patients to provide such care. The Korean governmenthas been implementing national NCD management programs since 2000. In 2005, the management of major NCDincluding hypertension, diabetes, heart disease, and stroke was included as a major target in the New Health Plan2010. In 2006, the government established the National Cerebro-Vascular Disease Prevention and Control Policy, anda registry program for the group at high-risk for cardio-vascular disease (hypertension and diabetes) was implementedin 19 cities and counties from 2007, with gradual expansion over time. Recently, in line with the discussions on thereorientation of the health care delivery system movement, the government is to introduce a “clinic-centered NCDmanagement policy” in 2012, which will strengthen the role of primary care clinics as sources of outpatient carefor NCD, and will encourage patients to designate a primary care clinic of their choice for their continued care. TheWHO global action plan guiding national-level NCD policies requires an NCD prevention and control model at thecommunity level, presenting strategic goals and detailed options for the introduction and application of the approachto communities. It necessary to develop an NCD prevention and control model, consisting of a strategy of communityintervention, education for NCD patients, and the enactment of an NCD law that adequately meets the needs ofcommunity members.
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