A Study on the obesity of middle-aged women

Cho, Hyun,Jin, Eun-Hee 仁濟大學校 2005 仁濟論叢 Vol.20 No.1

The goal of this study is to help promote the health of middle-aged women whose health is often not taken care of , by controlling weight to prevent obesity and various adult-related diseases. This research covered basic data related to obesity as well as exercise and food ingestion patterns of middle-aged women in the Gimhae and Jinju area. Research was conducted through a survey of 400 parents with children in elementary school on basic information as well as exercise and dietary habits. The survey composed of 11 exercise-related questions with a reliability factor of chronbach's a=.880, and 19 dietary habit related questions with a reliability factor of chronbach's a= .825. The data was analyzed using SAS 8.1, through frequency analysis, X^(2), and ANOVA. Math results of this study were as follows ; 1. Among general characteristics, subjects exhibited high instances of the followings: 70% of them are age 30-49, 75% have two chidren, 59.4% have 12years of education, 36.9% have a monthly income of 2,000-2,990thousand won, 57.3% are unemployed, and 51.9% are Buddhists. 2. On characteristics related to obesity, 64.6% are BMI 18.5 - 23, within normal range, 48.1% are trying to control weight, and 81.5% are exercising to control weight. 62.0% sited childbirth as the cause of weight increase. Average height of test subjects was 160.06cm, average weight 56.26kg, and BMI 21.96. The average pre-marital weight was 49.61kg and BMI 19.34. 3. On dietary habit related questions (max 5 points), the mean score was 4.00 among underweight subjects and 3.58 among overweight subjects, suggesting better dietary habits for the underweight group. Dietary habits and BMI have a significant statistical difference. 4. On exercise related questions (maximum 5 points), the mean score was 3.38 among overweight subjects and 2.66 for underweight subjects, suggesting that the overweight subjects exercised more. Exercise and BMI have a significant statistical difference.

조혈모세포이식 환자에서 침습성 진균 감염에 대한 Micafungin의 예방 효과 및 안전성

김시현,이동건,최수미,권재철,박선희,최정현,유진홍,이성은,조병식,김유진,이석,김희제,민창기,조석구,김동욱,이종욱,민우성,박종원 대한감염학회 2010 감염과 화학요법 Vol.42 No.3

Background: Micafungin, a potent inhibitor of 1,3-β-D-glucan synthase, is a novel antifungal agent of the echinocandin class. In vitro study showed that micafungin was effective against Aspergillus species as well as Candida species, but clinical data on the prophylactic efficacy against invasive fungal infections (IFIs) other than candidiasis are still lacking. Materials and Methods: We identified 60 consecutive adult hematopoietic stem cell transplantation (HSCT) recipients who received at least 3 doses of micafungin during neutropenic period. Micafungin was started as an alternative in patients who were intolerant or had adverse events (AEs) to primary prophylactic antifungal agents. We retrospectively reviewed the medical records and analyzed the efficacy and safety of micafungin for prophylaxis against IFIs. Results: The patients either had autologous (n=9) or allogeneic (n=51: 1 syngeneic, 24 sibling, 26 unrelated donor) HSCT. Itraconazole oral solution (n=58) was the most frequently used first line antifungal agent for prophylaxis and was administered for median 11 days. The most frequent cause of switch to micafungin was vomiting (n=42). The duration of neutropenia and micafungin administration was median 13 and 12 days, respectively. A successful outcome was achieved in 45 (75%) patients. Empirical antifungal therapy was initiated in 13 (22%) patients. There were 2 cases (3.3%) of breakthrough fungal infections which comprised a probable invasive pulmonary aspergillosis and a possible invasive fungal sinusitis. There was no case of invasive candidiasis. A total of 53 (88%) patients experienced at least one AE regardless of causality during micafungin administration. The most frequent AEs were hypokalemia, vomiting, diarrhea, and elevated serum aspartate aminotransferase or alanine aminotransferase. Among the aforementioned AEs, only 1 case of diarrhea could be classified as a probable relation with micafungin when causality was assessed. There was no AEs that caused discontinuation of micafungin. Conclusions: Micafungin seems to be a safe and effective agent for prophylaxis of IFIs including aspergillosis as well as candidiasis in HSCT recipients. However, further large, prospective, and randomized comparative studies are warranted for aspergillosis.

Methylation Status and Expression of E-cadherin in Oral Squamous Cell Carcinomas Compared to Benign Oral Epithelial Lesions

Son, Hyun-Jin,Chu, Jung-Youb,Cho, Eui-Sic,Lee, Dong-Geun,Min, Myung-Gee,Lee, Suk-Keun,Cho, Nam-Pyo The Korean Academy of Oral Biology 2006 International Journal of Oral Biology Vol.31 No.2

Expression of invasion/metastasis suppressor, E-cadherin, is reduced in many types of human carcinomas. Although somatic and germline utations in the CDH1, which encodes the human E-cadherin, have frequently been reported in cases with diffuse gastric and lobular breast ancers, irreversible genetic inactivations are rare in other human carcinomas. Recently, it has been well documented that some genes in human cancers may be inactivated by altered CpG methylation. Herein, we determined the expression and methylation status of E-cadherin in oral squamous cell carcinoma (SCC) by immunohistochemistry and methylation-specific PCR. The expression of E-cadherin was significantly higher in the well-differentiated oral SCCs than the moderately or poorly differentiated ones. None of eight tested benign pithelial hyperplasias showed aberrant methylation, whereas five of 12 oral squamous cell carcinomas showed aberrant methylation. When we compared E-cadherin expression with methylation status, oral SCCs with normal methylation showed a higher expression of E-cadherin than those with methylation. These findings suggest that aberrant CpG methylation of CDH1 promoter region is closely associated with transcriptional inactivation and might be involved in tumor progression of the oral mucosa.

위암환자의 복강내에 투여한 Mitomycin C-Carbon Particle의 Mitomycin 용출에 관한 연구

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

Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherpy seems a logical choice for cancer chemotherapy. The Mitomycin C(MMC) adsorbed by the activated charcoal particles(CH) is relatively released when the drug concentration surrounding the carbon particles becomes low in the peritoneum of the peritoneal cavity. For the intraperitoneal chemotherapy on the advanced gastric adenocarcnoma, mitomycin C adsorbed on activated carbon particles was administered in the peritoneal cavity just before abdominal wall closure. The closed drainage tubes were inserted in the peritoneal cavity and clamped for tuo hours after completion of operation. MMC concentrations were serially measured in peritoneal fluid, plasma and urine at 2hour, 48 hour, 72 hour and 168 hour following its administration in order to study the efficacy of the MMC-CH as a drug delivery system. There were minimal toxicities in born marrow, liver, and gastrointestinal system after intraperitoneal MMC-CH administration. The data of this study suggested that MMC-CH may have a somewhat more beneficial effect than surgery alone when administered in optimal dose and schedules, but the MMC concentration of the peritoneal fluid was not sufficient to eradicate remnant cancer cells, and effective duration of maintenance was only below 24 hours in the peritoneal fluid and plasma.

Escherichia coli 패혈증 환자에 합병된 대칭적 하지 말단 괴사증 1예

남해성,유진홍,권순석,민준기,조현선,박민경,심병주,남유정,이지인,김진수,길욱현,조근종,신완식 대한감염학회 2005 감염과 화학요법 Vol.37 No.6

We have encountered a rare case of symmetrical peripheral gangrene complicating Escherichia coli sepsis in a 47-years-old male. He was successfully treated with antibiotics, anticoagulants, and vasodilator. To our knowledge, this is the first report on symmetrical peripheral gangrene complicating E. coli sepsis in Korea.

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

상악동에 발생한 국균증 2례

조용석,김경원,박현진,강지연,이건국,신향미 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.1

국균증은 토양, 유기체 그리고 모든 형태의 유기물 잔사에 광범위하게 존재하는 국균 (Aspergillus) 속에 의하여 발병한다.이 균의 포자는 공기 중에서 전염될 수 있으므로 가장 흔한 감염 진균 중 하나이다.부비동에 발생한 국균증은 초기 임상 증상이 만성 부비동염과 유사하며, 방사선 사진 등을 이용한 검사상도 일반 세균성 감염과 구별하기가 매우 어렵다.대개는 병리조직학적 검사로 국균을 확인해서 확진을 내리게된다.국균증의 치료는 외과적으로 상악동내의 병소를 완전히 제거하고 비강에로 충분한 공기를 통기시키는 것이 가장 중요하며 보조적으로 전신적인 항진균제를 사용해야한다. 증례는 40세와 24세인 여자 환자들로서 전신적으로는 건강했으며 임상적 방사선적으로 만성 상악동 증세를 보였다.상악동 근치술을 시행하면서 국균종으로 여겨지는 암갈색 덩어리들이 관찰되었고 술 후 병리조직검사상 국균증으로 진단되었다.국균증으로 진단 후 보조적으로 전신적 항진균제를 투약하였으며 재발없이 치유되었다. Aspergillus is a fungus of the Acetomyces class that is most commonly encountered in the human environment.Aspergillosis of the maxillary sinus is not common and it requires special consideration to diagnose and eradicate. The disease is characterized by a wide range of initial symptoms, and should be considered as a possible diagnosis in sinusitis refractory to antibiotics and antral lavage. Generally the diagnosis of sinus aspergillosis can be confirmed by histologic examination, however, characteristic radiographic appearance such as coherene of radiodense sinus concretions can be found by careful examination of the radiograms. The choice of treatment of maxillary sinus aspergillosis is radical surgery with adjunctive systemic antifungal therapy. We experienced two cases of maxillary sinus aspergillosis, which initially diagnosed as chronic maxillary sinusitis and showed a necrotic mass intraoperatively and histologically diagnosed as aspergillosis.We reports theses cases with review of literature.

급성충수돌기염으로 발현된 방선균증 2예

조진원,송진영,김창억,민영훈,최창순,우흥정,현인규,김종현,유기철,채승완,손진희 대한화학요법학회 2001 대한화학요법학회지 Vol.19 No.1

The Actinomyces species are normal flora of oral cavity and upper intestine characterized as gram-positive, non-spore-forming anaerobic or mjcroaerophilic rods. Actinomycosis is a chronic suppurative and granulomatous disease characterized by abscess, sinus, abundant granulation and mass. The appendix is the commonly involved site among abdominal actinomycosis. Abdominal actinomycosis is often difficult to diagnose before operation because of no reliable clinical features and infrequency of the disease. We report two cases of abdominal actinomycosis which were manifested as acute appendicitis. Those were detected Incidentally tv the pathologist after routine appendectomy. Both patients were successfully treated with appendectomy followed by proper antibiotics use.

잔디 생육에 대한 미량원소의 효과

조현종,진선재,정종배 대구대학교 생명과학연구소 2002 생명과학연구 Vol.1 No.2

미량원소 복합비료의 처리에 따른 한국 들잔디의 생육에 미치는 효과를 조사하였다. 미량원소 복합비료는 0,6.7 및 11.2 kg/10a의 3수준으로 처리하였으며, 시비 후 2주 및 4주 째에 각각 생육, 토양과 잔디 잎중의 유효태 미량원소의 함량 및 잎중의 엽록소 함량을 조사하였다. 미량원소 복합비료의 처리로 토양과 잔디 잎중에서 유효태 미량요소 함량중에서 Fe와 Zn 함량이 표준구와 배비구에서 증가하였으며, 토양중 Cn 함량은 배비구에서만 증가하였다. 잔디 잎중에서 Cu와 Mn의 함량은 4주째에 배비구에서 유의성 있는 증가를 보였다. 잔디 잎중의 엽록소 함량은 2주 및 4주째에 무비구에 비하여 표준구와 배비구 모두에서 증가하였으나, 표준구와 배비구의 엽록소 함량 차이는 유의성이 없었다. 잔디 생육은 무비구에 비하여 미량원소의 처리로 통계적으로 유의성 있는 증가를 보였으며, 표준구와 비교하여 배비구에서 생육이 증가하였으나 유의정은 없었다. 미량원소 복합비료의 처리로 토양중의 유효태 함량이 증가함에 따라 식물 체내 이들 미량원소 함량이 증가하고 이는 식물의 과합성을 비롯한 체내 대사과정을 촉진함으로써 잔디의 생육뿐만 아니라 색상을 향상시키는데 효과를 거둘 수 있을 것으로 판단되었다. This study was conducted to evaluate the effect of micronutrients on the growth and chlorophyll content of turfgrass. The STEP HiMag, micronutrient fertilizer, was applied on turfgrass field in Daegu University at three different rates, 0, 6.7 and 11.2 ㎏/10a. Available micronutrient (Fe, Mn, Cu, and Zn) content in soil and turfgrass blade and chlorophyll content and growth of turfgrass were measured 2 and 4 weeks after the fertilizer application. Content of the available micronutrients in soil was significantly increased by the application of micronutrient fertilizer and also the nutrient content in turfgrass blades was increased. Chlorophyll content was significantly higher in the turfgrass blades treated with the fertilizer in comparison to the control treatment (P>0.05). The average growth of turfgrass was higher in the plots of micronutrient fertilizer, and the growth was significantly different (P>0.05). The results of this study demonstrate that fertilization of essential micronutrients is necessary in sandy soils of turfgrass land and can improve the turfgrass growth.

一方向凝固시킨 Al-Cu-Mg共晶合金의 機械的 性質에 미치는 時效의 影響

趙顯驥,康晃鎭,趙美子 慶北大學校 1982 論文集 Vol.33 No.-

The microstructure and mechanical properties of unidirectionally solidified Al-Cu-Mg eutectic alloys have been studied in as-grown and aged condition. After unidirectionally solidification, specimens of solution treated and quenched eutectic were at 180°, 230°, 260℃ in a salt bath for various time. The results obtained are as follows; 1) Precipitation on hardening of the ductile phase is a feasible mechanism for strengthening of composites. 2) Mechanical Testing of the tenary eutectic has shown that composite is strengthened about 30 to 50% by ageing. 3) Tensile and compression strength of this composites are 25 and 70kg/㎟ by ageing treatment in growth 0.1mm/min. 4) The unidirectionally solidified structure are changed by ageing. It seems that the low Cu and Mg solute atoms are likely due to epitaxial precipitation onto CuAl_2 lamellar respectively.