정상 한국인에서 연령증가에 따른 혈장 Dehydroepiandrosteronesulfate ( DHEA-S ) 농도 및 DHEA - S / cortisol 비의 변화

박성우,유형준,임성희,최문기,유재명,박민숙,이권엽,박철수,김철홍,김현규,김두만,박규용 대한내분비학회 1997 Endocrinology and metabolism Vol.12 No.2

Backgroud: DHEA-S is the most abundant steroid hormone in circulation, and primarily secreted from the adrenal cortex, but its physiological role is little known. One of the characteristic features of DHEA-S is progressive decrement of plasma DHEA-S level with advancing age, in contrast, plasma levels of other adrenal hormones are not chaging or littie decreasing. To grasp the trends of plasma DHEA-S level and DHEA-S/cortisol ratio by age in healthy Korean, we measured the plasma DHEA-S levels and DHEA-S/cortisol ratios in healthy Korean. Methods: Healthy Korean(men: 99, women: 102, age range: 15-97 year old)were studied. Subjects were not taking drugs(such as glucocorticoid or androgenic medication) or cigarettes known to modify the plasma level of DHEA-S and cortisol, and had no evidence of hepatic, renal disease or hyperlipidemia as determined by serum lipid, bilirubin, SGOT, SGPT, BUN, creatinine. Data were analyzed by 10-year age group for men and women: i.e, 10-19, 20-29, 30-39, 40- 49, 50-59, 60-69, 70-79, 80-89 and 90 year or more. Plasma DHEA-S levels were measured by using a commercially available RIA kit with 125I labeled-DHEA-SO4(Coat-A Count DHEA-SO4), and for the measurement of plasma cortisol levels, commercial Gamma Coat TM[125I] Cortisol Radioimmunassay Kit was used. Results:. 1) In both men and women, plasma DHEA-S level showed high interindividual variation within the same age group. 2) There were individual sex differences in plasma levels of DHEA-S, in all age groups, plasma DHEA-S levels were significantly higher values for men than for women. 3) Maximum plasma DHEA-S levels(men; 237+-3.35 ug/dL, women; 108+-17.5 ug/dL) were at third decade in both men and women. 4) Both men and women showed the continuous decline in plasma DHEA-S level with age. These age-related decline was more prominent in men than in women(men; y= -3.152 * +292.6, r2= 0.8459, P$lt;0.05, women; y= -1.417 * +143.3, r2 = 0.7278, P$lt; 0.05). 5) As an index of aging, there was no stastical difference between DHEA-S and DHEA- S/cortisol ratio. Conclusion: In healthy Korean, there were high interindividual variation of plasrna DHEA-S levels. In both men and women plasma DHEA-S level was peak at third decade, and from when it declined progressively with age. These results suggest that although the reliability of single plasma DHEA-S measurement are limited, the decline of DHEA-S with advancing age might be a specific marker of endocrinologic hormonal milieu(aging index). Also, concerning to individual adrenal secreting capacity, we measured DHEA-S/cortisol ratio. But we did not found that plasma DHEA-S/cortisol ratio is superior to the plasma DHEA-S level as an aging index. (J Kor Soc Endocrinol 12:245-254, 1997)

제2형 당뇨병 환자의 치료에서 복약순응도가 혈당 조절에 미치는 영향

김경선,김민정,박소현,박영주,허정순,이은경,김선영,이수형,김상수,강양호,손석만,김인주,김용기 한국병원약사회 2009 병원약사회지 Vol.26 No.2

Abstract: As known in clinical trial like DCCT, UKPDS, tight glycemic control is essential to prevent complications from diabetes mellitus(DM). In type 2 diabetes taking multiple medication, nonadherence to medications is common problem. The aim of our study is to investigate adher-ence rate of patients with type 2 DM and to evaluate association between many factors including adherence rate and HbA_(1C). 441 patients with type 2 DM who visited Busan National University Hospital endocrine internal department from Aug 13 to Sep 2, 2008(3weeks) were enrolled. We conducted a man-to-man questionnaire survey about general knowledge about diabetes mellitus, medicine and adherence, and measured HbA_(1C). Among them, 305 patients taking oral hypo-glycemic agent(OHA) were analyzed to investigate correlation between adherence rate and glycemic control. We studied 305 patients(male 126, female 179, average age 61.2±9.8 years, DM duration 8.6±6.4 years, average adherence 88.8±16.2%, average HbA_(1C) 7.03± 1.18%). HbA_(1C) showed significant relation with DM duration(r=0.137, p=0.017), number of aHA in regimen (r=0.135, p=0.018), dosage frequency(r=0.132, p=0.026), Medication Refill Adherence(MRA)(r=-0.124, p=0.030) and adherence(r=-0.168, p=0.003). Adherence had significant relation with MRA(r=0.148, p=0.010) but didn't have statical corelationship with DM duration, number of aHA and dosage frequency. Patients that their adherence rate exceed 90% took fewer OHA(p=0.011) and went on a better dietary treatment(p=0.007). In patients controlling diabetes mellitus with aHA, when adherence rate and MRA was higher, HbA_(1C) was lower. As a result, to improve adher-ence rate, it is necessary to enhance patient education, do careful consideration about prescrip-tion medicine number and dosage frequency

태권도 앞굽이 몸통반대지르기를 통한 고령자의 건각도의 유효성 분석

김기만(Ki Man Kim),배영상(Young Sang Bae) 한국발육발달학회 2009 한국발육발달학회지 Vol.17 No.4

The purpose of this study was to identify effectiveness of Taekwondo Apkubi Momtong Bandae Jireugi (AMBJ) as diagnostic method of health related to muscle level of older men. To accomplish the purpose, relationship between a 3 stride of AMBJ distance and a cross section area of psoas major muscle were analyze. By using random sampling, 10 older men were sampled as subject who participate Gate-ball club in S-Gu, D-metropolitan city. Analysis of relation between the 3 stride of AMBJ and psoas major muscle scale recorded by MRI of older men were executed. Results of the analysis could be summarized as the following. 1) In the case of older men, the male who has much muscle weight and large thigh girth has big cross section area of psoas major muscle. 2) Relation among 3 stride of AMBJ, muscle weight(r=.822, p<.01), and thigh girth(r=.720, p<.05) especially, cross section area of psoas major muscle presented very high correlation(r=.91, p<.001). 3) Based on the analysis, measurement result of the 3 stride of Taekwondo Apkubi Momtong Bandae Jireugi was very effective diagnostic method to assume for health related to muscle strength level and all the muscular strength level of older men.

장공 김재준의 신학 여정

김홍만 ( Hong Man Kim ) 한국개혁신학회 2013 한국개혁신학 Vol.38 No.-

한국 신학계에서의 김재준의 평가는 긍정적인 것과 부정적인 것이 충돌한다. 긍정적인 평가로는 그가 근본주의와 싸웠으며, 민주주의를 위하여 독재와 싸우는 것 등으로 한국교회의 개혁자라고 부른다. 그러나 부정적인 평가도 적지 않은데, 주로 그를 자유주의 신학자, 신신학자라고 부른다. 물론 김재준의 신학에 대해서는 그를 반대하는 진영에서나 지지하는 진영에서 모두 신정통주의라고 말한다. 그의 생애를 통해서 볼 때, 그는 자유주의와 근본주의를 경험하였지만 그것에 회의를 가지고 있었으며, 바로 이때 그는 신정통주의를 만났고, 신정통주의를 생애 마지막까지 가지고 갔다. 그는 신정통주의가 세계 신학의 주류라는 확신을 가지고 있었으며, 이것과 함께 에큐메니칼 운동이 세계교회의 방향이라고 판단하였다. 이러한 그의 신학적 확신은 격동하는 한국교회에 그대로 반영되었다. 그래서 정통주의에 대해서 비판하였으며, 세계의 신학 동향을 따라가라고 하였다. 이러한 강조는 시대마다 다른 것으로 보이지만 사실은 일관성을 가진 것이었다. 그러나 그는 세계 신학의 동향에 대해서 주의를 기울이고 주류가 무엇인지 확인하고 그것을 따라가라고 강조한 것처럼 하지 못했다. 그의 시각은 신정통주의와 WCC에 국한함으로 인하여 또 다른 세계 교회 운동인 복음주의를 보지 못하였다. 더욱이 상대적 역사주의로 인하여 그는 개혁신학을 역사 속에서 사회적 현상으로 묶어두었다. There are both positive and negative evaluations of Jae Joon Kim`s influence in the Korean theological society. He is considered a reformer because he fought against fundamentalism and autocracy in Korea. On the other hand, conservative theologians view him as a liberal theologian. For identifying his theological position, his theological pilgrimage should be studied. During the 1920s, Kim cameacross both liberalism and fundamentalism. He criticized both of them. Then, he encountered neo-orthodoxy. He firmly followed neoorthodoxy throughout the rest of his life. In the 1950s, Kim introduced the ecumenical movement and the World Council of Churches to Korean churches. He believed that these ecumenical movements would become the main theological stream in the world. In the 1970s and 1980s, Kim followed WCC`s theological trends. He used the terms humanization and liberation. His emphasis of ecumenism is based on his belief of neo-orthodoxy. Moreover, his view of church history was historical relativism which might come from Barth and Bultmann. Thus, it can be concluded that Kim was neo-orthodox theologian.

한국인의 연, 망간, 알루미늄 및 실리콘의 혈중 농도

김정만,안정모,김원술,김정일,신해림,정갑열,김준연 동아대학교 산업의학연구소 2000 산업의학연구소 논총 Vol.- No.5

Blood Lead, Manganese, Aluminium and Silicon Concentrations in Korean Adults Jung Man Kim, Jung Mo Ahn, Won Sul Kim1), Jung Il Kim2), Hai Rim Shin, Kap Yeol Jung2), Joon Youn Kim Department of Preventive Medicine, College of Medicine and Industrial Medicine Research Institute. Dong-A University Department of Health Care, Handong University Sunlin Presbyterian Hotpital1) Department of Occupational Medicine, College of Medicine, Dong-A University2) 0bjectives : This study was performed to determine the reference values of blood lead, manganese, aluminium, and silicon in healthy adults. Methods : The subjects were 132 (67 male and 65 female), and classified to three age groups (≤39,40∼49, and 50≤). Hood lead, manganese and aluminium were analyzed by atomic absorption spectrophotometer, and blood silicon was analyzed by direct current plasma optical omission spectrometer. Results : Blood lead levels(geometric mean, S.D) were (3.49, 1.70) ㎍/dL in male auld (3.04, 1.65) ㎍/dL in female, but the difference is not significant, and there was no significant difference between age groups. Mean blood manganese level was 0.99±0.41㎍/dL, and there was no significant difference between sex or age groups. Mean blood aluminium level was 0.59±0.35㎍/dL and there was no significant difference between sex or age groups. Mean blood silicon level was 54.41±27.64㎍/dL in male and 43.34±23.51㎍/dL in female, and the level in male was significantly higher than that in female (p〈0.05). There was significant difference between age groups, and the oldest showed the highest level in male (p〈0.05), but no significant difference between age groups in female. Conclusions : Authors hope that this study would provide basic data for determininig reference values and evaluating health effects.

박탈과 증오의 바람 : 이만희 감독의 <휴일>(1968)을 중심으로

김만석(Kim, Man-Seok),김필남(Kim, Feel-Nam) 한국문학회 2021 韓國文學論叢 Vol.88 No.-

본고는 이만희 감독의 영화 <휴일>을 당대 사회의 반영이나 재현이 아니라, 정동(affect)의 차원에서 분석함으로써 영화가 이데올로기나 선전도구가 아니라 자율적인 영역을 구축했다는 점을 주장한다. 달리 말해 <휴일>은 서사 중심의 영화가 아니라, 인물들의 관계에서 발생하는 힘에 주목하며, 어디로 나아갈지 모르는 카메라의 힘이 운동하는 방향에 주목하고 있는 독특한 구조로 흘러가는 영화임을 분석하고 있다. 먼저 영화는 ‘휴일’이라는 시간을 출발점으로 삼고 있지만 쉼이나 휴식이 아니라 자본주의 체제의 지속을 위한 재생산(reproduction)의 시간임을 인물들 간의 관계를 통해 보여준다. 주인공 ‘허욱’과 ‘지연’은 가난한 연인으로 커피 한 잔 사먹을 돈이 없어 공원에서 데이트를 하고, 아이를 키울 형편이 안 돼 낙태 비용을 마련하기 위해 모욕적인 상황을 마다하지 않는다. 허욱이 낙태 비용을 마련하기 위해 친구들을 만날수록 걷잡을 수 없는 한계 상황으로 내몰리는 것을 확인할 수 있다. 허욱의 친구들 또한 심심해서 처음 만난 여자와 섹스를 하거나, 술에 취해 있거나, 목욕을 여섯 번이나 하는 등 무기력하게 시간을 보내는 인물들로 그려진다. 그런 점에서 이 영화는 ‘휴일’이라는 시간이 진정한 휴식이 아니라 재생산을 위한 시간이며, 생산활동을 하지 않는 인물들은 극한의 상황에 내몰리고 있음을 확인할 수 있다. 허욱은 휴일이 끝나갈수록 더 무기력해지고, 결국 혐오의 시선으로 자신을 바라보던 친구 ‘규제’로 인해 자기 파괴적인 증오의 감정을 표출하기에 이른다. 즉 영화는 허욱을 통해 휴일이라는 시간이 생산활동과 재생산의 세계를 파악하게 만든다. 마지막으로 본고는 사회적 불안정성이 증대되고 변동이 극심화 되어가는 1960년대 후반 기존에 자신이 누리던 지위나 위치를 상실할 경우 사회적으로 취약한 계급이나 계층은 무기력이나 증오의 감정에 더욱 취약할 수밖에 없음을 영화 속 관계들을 통해 분석하고 있다. In this paper, the movie, <A Day Off> directed by Lee Man-hee, was analyzed not as the reflection or reproduction of the society of those times, but at the level of stillness and movements, and it was argued that the film had established an autonomous area rather than had been used as the means of ideology or propaganda. In other words, it was analyzed that <A Day Off> was not a narrative- centered movie, but one focusing on the power generated in the relationships among the characters, and had a unique structure of paying attention to the direction of the camera s dynamic without knowing where it would head. First, the film begins with the time of ‘a day off’, yet it s revealed through the relationships among the characters that it is not rest or break, but the time of regeneration for the continuance of the capitalistic system. The main characters in the movie, ‘Heo Wuk’ and ‘Jiyeon’ are poor lovers, who have a date in the park because they don t have money for a cup of coffee and don t say no to insulting situations when they have to raise money for abortion because they can t afford to raise a child. We can see that the more Heo Wuk meets his friends to prepare to pay for abortion, the more he becomes forced into an uncontrollable critical situation. Heo Wuk s friends are also described as the figures spending time spiritlessly, having intercourse with a woman whom one meets for the first time because he is bored, being drunken, or taking a bath six times a day. In that sense, it can be proven that in this movie, ‘a day off’, doesn t mean true rest, but is just time for reproduction, and those not engaged in production activities are being driven into extreme situations. As the day off is drawing to its close, he becomes lethargic more and more, and ends up expressing the emotion of self-destructive hatred because of his friend, ‘Gyu-je’, who sees him with the eyes of disgust. That is to say, the film makes one figure out the time of a day off showing the world of production activities and reproduction through Heo Wuk. Lastly, in this paper, it was analyzed through the relationships in the movie that in the latter half of 1960s when social instability was increasing and changes were becoming severe, when one lost the position or status that one used to enjoy, the one belonging to the weaker class or rank in the society couldn t help but become more vulnerable to the emotions of lethargy or hatred and disgust.

‘미녀와 야수’의 현대적 변용 양상

김만수 ( Kim Man-su ) 인하대학교 한국학연구소 2014 한국학연구 Vol.0 No.35

‘미녀와 야수(Beauty and Beast)’는 ‘뱀 신랑’ 혹은 ‘잃어버린 신랑 찾기’의 모티브를 가지고 있으면서 그리스 신화의 <프쉬케와 큐피드>, 그림 형제의 <개구리 왕자> 등의 다양한 형태로 출현하고 있다. 또한 <미녀와 야수>, <킹콩> 등의 애니메이션과 영화로 자주 각색되면서 이야기로서의 지속적인 생명력을 보이고 있다. ‘미녀와 야수’는 인간과 동물, 여성과 남성의 범주를 대립쌍으로 지니고 있으면서도 아름다움과 추함, 선과 악 등의 미적 윤리적 가치와 결합되기 때문에 매우 다양한 해석의 가능성을 제시하는 셈이다. 대체적으로 보아 ‘미녀’를 중심축으로 전개되는 이야기는 동물적 속성을 가진 남성을 받아들이면서 여성으로서의 성숙을 보여주는 반면, ‘야수’를 중심축으로 전개되는 이야기는 아름다움과 선함을 갖춘 여성과의 만남을 통해 자신의 야수성을 극복해가는 성장담의 형태를 보여준다. 또한 여러 형태의 현대적 변용들은 남성과 여성, 문명과 야만, 미와 추 등의 전통적인 이분법을 벗어난 새로운 해석을 시도하고 있다. 본고에서는 ‘미녀’에 해당하는 여주인공의 성장을 주로 다룬 텍스트를 대상으로 삼아 남성과의 만남을 통한 개인적 성장, 사회현실과의 만남을 통한 사회적 성장으로 나누어 분석하였다. 남성과의 만남을 통한 여주인공의 성장과 성숙은 미국 에니메이션의 단골 주제인데, <백설공주>에서 <슈렉>에 이르기까지의 에니메이션들은 인내, 순응 등의 보수적 가치 속에서 남성의 야수성을 받아들이면서 성인 여성으로 성장해가는 모습을 담고 있는 반면, <겨울왕국>에 이르러서는 여성의 주체적인 결단에 의해 자신의 미숙함을 극복해가는 모습을 담고 있다. 한편 여주인공이 사회현실과의 만남을 통해 성장해가는 모습은 최근 한국영화의 중요한 주제로 부상되고 있는데, 본고에서는 <늑대소년>, <파이란>, <내 깡패 같은 애인>을 중심으로 이들의 사회적 성장의 과정을 다루었다. 이들 작품에서도 ‘미녀와 야수’라는 도식은 어김없이 적용되고 있지만, 미녀의 자질을 가진 여주인공이 사회현실이라는 야수성과 맞서는 장면, 혹은 여주인공과의 만남을 통해 남주인공이 스스로의 야수성을 극복해가는 모습을 그리고 있다는 점에서 좀더 사회성이 강한 형태로 변용되고 있음을 볼 수 있다. ‘Beauty and the Beast’ has the same motif which can be found at the folk tales of ‘snake-bridegroom’ or ‘in searching for the lost bridegroom’. It has been changed into the various stories, for example, ‘Psyche and Cupid’ in Greek mythology, ‘The Prince Frog’ rewritten by Grimm brothers. It has been continued insistently in the modern popular film adaptations of ‘Beauty and Beast’ and ‘King Kong’. It is constituted by the binary oppositions: human/animal and male/female. It is combined with another aesthetic and ethical values: beauty/ugly and good/evil. In the consequences of these complexities, it can be interpreted into the various adaptation. The story focused on ‘beauty’ deals with the girl’s growth and maturity, which contains the process of accepting men’s brutality. The story focused on ‘beast’ deals with the men’s growth and maturity, which contains the process of overcoming the brutality of himself through the act of meeting girls. Most various modern adaptation of ‘Beauty and the Beast’ deals with new interpretation by denying the traditional binary opposition. In this paper, we classified these texts into two categories: the maturity through meeting the other men and the maturity through confronting with the social circumstance. The story focused on the girl’s growth and maturity against man’s brutality is the mainstream of American animations. It deals with conservative theme which is related to the heroin’s endurance and accommodation, as we can find it in the < Snow White > and < Shrek >. Sometimes it deals with more progressive attitude, as we can find it in the < Frozen >. The story focused on the girl’s growth and maturity in the process of confronting various social circumstances is the mainstream of contemporary Korean films. It deals with social realism which is related to the heroin’s awakening and acknowledgement, as we can find it in the < A Werewolf Boy >, < Failan > and < My Dear Desperado >. In these Korean movies, the heroin must confront the brutality of Korean society or meet the brutal men only to awaken herself and to grow an adults. So these movies in Korea had a focus on the reflections of the ‘beast’ of Korean society.

지적장애인의 건강체력과 비만도의 관계

김동만 ( Dong Man Kim ) 한국특수체육학회 2014 한국특수체육학회지 Vol.22 No.3

본 연구목적은 지적장애인의 비만도(BMI, 체지방량, WHR)와 건강체력 요소를 비교 분석 후, 각각의 건강체력 요소와 비만도의 상관관계를 파악하는 데 있다. 연구 대상은 특수학교와 장애인보호시설의 지적장애인 906명으로 하였다. 이 연구는 측정된 지적장애인의 건강체력 요소(심폐지구력, 근력, 근지구력, 유연성)와 비만도(BMI, WHR, 체지방률)의 관계를 분석하기 위해 경로분석을 실시하였으며, 연구결과는 다음과 같다. BMI 비만도는 남성 지적장애인의 근력, 근지구력, 유연성 그리고 여성 지적장애인의 근력, 근지구력에 유의하게 영향을 미치는 것으로 나타났다. WHR 비만도는 남성 및 여성 지적장애인의 근지구력에 유의하게 영향을 미치는 것으로 나타났다. 체지방률 비만도는 남성 지적장애인의 근지구력, 심폐지구력 그리고 여성 지적장애인의 근력에 유의하게 영향을 미치는 것으로 나타났다. 지적장애인의 비만도 측정에 가장 적합한 방법은 체지방률로 나타났다. 남성지적장애인은 근력, 근지구력, 유연성, 심폐지구력이 비만도와 관계가 있으며, 여성지적장애인은 근력, 근지구력이 비만도와 관계가 있는 것으로 나타났다. 지적장애인의 규칙적인 운동 및 신체활동은 건강체력을 향상시켜 장기적으로 비만도 해결에 중요한 역할을 할 것이다. 따라서 지적장애인의 효율적인 비만 관리를 위해서는 기본적으로 근력, 심폐지구력, 유연성 등의 건강체력을 향상시킨 후 운동 및 신체활동량을 증가시켜야 한다. 본 연구는 지적장애인의 비만을 질병으로 규정하여 사전 예방과 사후 관리를 체계적으로 실시할 수 있도록 신뢰도 높은 후속 연구가 필요하므로 건강체력을 측정 및 적용한 개인별 누적 기초 자료를 연령별, 장애등급 등으로 세분화시켜야 할 것이다. The purpose of this study is to analyze the relationship between health-related physical fitness and obesity rate, after examining and comparing the factors of obesity rate (BMI, body fat, & WHR) and health-related physical fitness in people with intellectual disabilities. Subjects are 906 people with disabilities who are in special school and day care institution. To archive this, path analysis was applied to analyze the relationship between health-related physical fitness (cardiorespiratory, muscle strength, muscle endurance, & flexibility) and obesity rate (BMI, body fat, & WHR) and the results are as followed. BMI obesity rate has significant effects on the strength, muscular endurance of both men and women with intellectual disabilities. WHR obesity rate has also significant effects on the muscular endurance of men and women with intellectual disabilities. Body fat obesity rate has significant effects on the muscular endurance and cardiac endurance of men with intellectual disabilities and the strength of women with intellectual disabilities. It is shown that body fat rate is the most appropriate index to measure the obesity rate of people with intellectual disabilities. In men`s case, obesity rate is related to strength, muscular endurance, flexibility and cardiac endurance. In women, obesity rate is related to strength and muscular endurance. Obesity exercise program for intellectual disabilities should start from strength reinforcement and increasingly expand their physical activity to cardiac endurance and flexibility. The regular exercise and physical activity in people with intellectual disabilities improves health and will be an important role to solve obesity rate in the long term. Therefore, basically, after improving health-related physical fitness, such as muscle strength, cardiorespiratory, & flexibility, etc, exercise and physical activity will be improved to manage obesity rate effectively in people with intellectual disabilities. There is a need for follow-up study which has high reliability, based on systematic prevention and post management. Therefore the accumulated basic data with records of physical fitness condition for each individual should be subdivided according to age and the degree of disability.

도심에 거주하는 남성 노인에 있어서 유산소 운동능력이 혈관내 염증수치와 동맥경직도에 미치는 영향

안기만(Ki man Ahn),김윤신(Yoon shin Kim),박원하(Won Hah Park) 한양대학교 고령사회연구원 2012 한양고령사회논집 Vol.3 No.1

Experimental epidemiology and clinical studies have provided strong evidence that physical exercise has beneficial effects on multiple physiological variables affecting cardiovascular health. Cardiopulmonary function has been previously associated with atherosclerotic disease and coronary events. The aim of this study was to examine the higher levels of cardiopulmonary function are associated with lower levels of hs-CRP(high sensitive C reactive protein) and baPWV(barcahial ankle pulse wave velocity) in Korean elderly men. Study participants were 115 elderly men (mean age 62.5±2.2) participated in the research. Age, body mass index(BMI), resting heart rate, blood pressure, medical history, lipid profile, high sensitivity C-reactive protein(hs-CRP), Brachial-ankle pulse wave velocity (ba-PWV), cardiopulmonary function were measured. VO2peak higher elderly man had a significantly decreased hsCRP(0.22±0.26, p<0.05) and PWV (1439.1±159.9, p<0.05). In addition, HDL-C(55.2±14.2, p<0.05) levels was significantly increased and LDL-C(1193±21.7, p<0.05) level was decreased. This study show that VO2peak levels are positively correlated with hsCRP, HDL-C and PWV. Apparently healthy subjects with increased inflammatory markers have increased systemic arterial stiffness, which might reflect early atherosclerotic changes. Higher physical conditioning status, indexed by VO2peak, was associated with reduced arterial stiffness and hsCRP and increased HDL-C. The results of our study suggest that high cardiopulmonary function reduces hsCRP levels and improves PWV, HDL-C in Korea elderly men. 심혈관질환은 현재 선진 산업 국가들에서 성인 사망 제 1원인으로 알려져 있다. 심혈관질환에 의한 사망률은 나이가 증가하면서 더 높아지는 것으로 보고되고 있다. 이러한 심혈관질환을 일으키는 위험인자로는 나이, 신체활동의 부족, C반응성 단백(CRP), 혈관경직도(baPWV) 등이 심혈관질환을 높이는 것으로 보고되고 있다. 무엇보다 인구의 고령화로 인해 심혈관질환이 증가하고 있다는 것이다. 심혈관질환을 예방하기 위해서는 생활 습관 개선이 중요하며 그 중에서도 신체활동은 매우 중요하다. 하지만 고령의 건강한 남성을 대상으로 심폐기능과 관상동맥질환의 위험인자와의 관련성을 살펴본 연구는 부족하다. 따라서 본 연구는 60세 이상의 건강한 노인 남성(62.5±2.2)을 대상으로 심폐체력의 수준에 따른 혈중 C반응성 단백(CRP), 혈관경직도(baPWV)의 변화를 알아보고자 했다. 심장병 증상이 없는 노인 남성 115명을 대상으로 하였으며, 심폐기능 측정을 위해 운동부하검사를 실시했다. 혈액검사를 통해 혈중 CRP와 동맥경직도를 평가하기위해 baPWV 검사를 실시하였다. 그 결과 혈중 CRP는 심폐기능이 높은 그룹에서 0.22±0.26로 심폐기능이 낮은 그룹의 0.49±0.49 보다 유의하게 낮은 것으로 나타났다(p<0.05). baPWV역시 심폐기능이 높은 그룹에서 1439.1±159.9로 심폐기능이 낮은 그룹의 1523.7±236.1보다 낮게 나타났다(p<0.05). 따라서 건강한 노인 남성의 경우 심페기능이 좋은 그룹에서 심혈관질환 위험인자인 CRP와 baPWV가 유의하게 낮은 것으로 나타났다.

남자간호사의 성역할 갈등, 직무만족 및 이직의도와의 관계

황하만(Hwang, Ha-Man),김명자(Kim, Myung Ja) 한국간호행정학회 2017 간호행정학회지 Vol.23 No.1

Purpose: The purpose of this study was to identify the relationship between gender role conflict for men in nursing, job satisfaction, and turnover intention. Methods: The study data were collected between August 1 and September 1, 2015 from 225 men in nursing currently working in 36 Korean general hospitals, each with ≥100 beds. Frequency and percentages were analyzed, and Pearson correlation coefficient, t-test, ANOVA, and Duncan"s test were used. Results: There was no significant difference in gender role conflict based on the general characteristics of the men. In contrast, significant differences in gender role conflict were found in association with the following job-related characteristics: work experience at the present hospital, work department, work unit, and type of work. A significant negative correlation was detected between male gender role conflict and job satisfaction, a positive correlation was found between male gender role conflict and turnover intention. Conclusion: In order to increase job satisfaction and decrease the turnover intention of men in nursing, measures to reduce gender role conflict are needed.