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노인 환자의 영양결핍 대상자 선별을 위한 MNA 간소화 및 적합성 검증
박화경 ( Hwa Kyung Park ),임보경 ( Bo Kyoung Lim ),최성희 ( Sung Hee Choi ),이혜련 ( Hye Ryeon Lee ),이도상 ( Do Sang Lee ) 한국정맥경장영양학회 2009 한국정맥경장영양학회지 Vol.2 No.1
Purpose: The Mini Nutritional Assessment (MNA) is a shortened version of the longer tool, and this was developed to assess the nutritional state of the elderly. This tool uses measurements of the mid-arm circumference and calf circumference, which are among the MNA`s list of items relating to anthropometric measurements. But due to the difficulty and complication of placing measuring tools everywhere, we attempted to use a shortened version of the tests by transforming the tests into three different types to get easier and quicker results. Methods: The three types of transformation were as follows:1) deleting the problems related to anthropometric measurement, which are Q (Mid-arm circumference in cm)and R (Calf circumference in cm) 2) deleting two items, and 2 points were reduced from the standard test (Q, R:1 point reduced from each) and 3) the original, screening part and assessment part were transformed and the assessment was carried out to the end and evaluated regardless of the screening score. Results: The subjects of the study consisted 121 women and men who were admitted as patients; they were all aged 65 or over and capable of communication. The results of the assessment of the MNA, the anthropometric Measurements and the laboratory data were compared to determine if there were any correlations among them. The average age of the study subjects were 73.79±6.01. The nutritional assessment results were as follows: those in well nourished state (A) were 19%, those at risk of a malnourished state (B) were 52.1%, and those with a malnourished state (C)were 28.9%. According to the MNA results, each group` saverage age, BMI, PIBW and laboratory data showed a significant difference between the three groups. Conclusion: As the group`s nutritional state tended towards a well nourished status, the score of the shortened version of the MNA also increased. Therefore, we conclude that we can predict the malnutrition tendency of elderly patients by using the results of the shortened version of the MNA. (KJPEN 2009;2(1):13-18)
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전종욱(Jong-Wook Jeon),하승록(Seung-Rok Ha),이정화(Jeong-Hwa Lee),임보경(Bo-Kyung Lim),최선미(Sun-Mi Choi) 한국의사학회 2011 한국의사학회지 Vol.24 No.2
This study focuses on the origin and the literature of eyelid-acupuncture, nunchim therapy in Korea and its present clinical usage in modern Korea. The therapy is called nunchim at local area of Korea and has been transmitted as folk remedy because its real practice has been fallen into oblivion in the regular medical institution in modern Korea. On the contrast, some old women called nunchim-halmae, still know its practice and give medical therapy in a certain irregular way, While many kinds of eye clinics are prevalent in Korea, some patients with chronic eye diseases still go to get the nunchim therapy from nunchim-halmae. Moreover some oriental medical doctors have learned the therapy from nunchim-halmae and performed that medical service in their clinics in spite of absence of medical insurance coverage. Nunchim has unique historic origin and transmission linage in Korea, which was shed light on by this research. We present concise structure of the essence of nunchim therapy and 80 year old woman case of dramatic eye curing with the therapy.
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