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      • Cardiovascular Fitness and Associated Comorbidities in An Executive Health Program

        Otto A Sanchez(Otto A Sanchez ),Anton S. Hesse(Anton S. Hesse ),Morgan R. Betker(Morgan R. Betker ),Christopher J. Lundstrom(Christopher J. Lundstrom ),William E. Conroy(William E. Conroy ),Zan Gao(Za 사피엔시아 2022 Exercise Medicine Vol.6 No.-

        Objectives: Low cardiorespiratory fitness, defined as a VO2 max below the 25th percentile for age and sex, is associated with greater body mass index (BMI), blood pressure, and plasma cholesterol values and is an independent risk factor for cardiovascular and metabolic diseases. Given that sedentarism has substantially increased in the U.S. population in the last 20 years and that office workers have the lowest cardiorespiratory fitness of the workforce, we aimed to assess the prevalence of low cardiorespiratory fitness in an corporate wellness program and determine its relationship with associated comorbidities. Methods: For this retrospective observational analysis demographics, height, weight, blood pressure at rest, plasma glucose, lipids, comorbidities, and VO2 max data was extracted from the medical records of 199 participants attending the Executive Health Program at M Health Fairview of the University of Minnesota. Participants were predominantly white, middle-aged men with near-optimal blood pressure values. Results: Participants with low cardiorespiratory fitness had a VO2 max [mean (range) of 28 (19.4 - 36.1) mL/kg/min], and was observed in 33% of all participants. Participants with low cardiorespiratory fitness were more likely to have higher BMI, dyslipidemia and hypertension than those in the excellent to superior category of cardiorespiratory fitness, VO2 max [mean (range) 45.6 (31.8 - 61.2) mL/kg/min]. Prevalence of obesity (17%) was lower than in the general U.S. population, and those who were obese were more likely to be of low cardiorespiratory fitness. Those with low cardiorespiratory fitness had a four fold relative risk of belonging to the group at high risk of cardiovascular and metabolic diseases when compared to those with a fair to superior cardiorespiratory fitness. Conclusions: Low cardiorespiratory fitness identified in a third of all participants, is a modifiable risk factor associated with risk for cardiovascular and metabolic disease, should be evaluated in executive health programs.

      • KCI등재

        Classical Greek Political Science in Action: Social Critique in Thucydides’ Mytilenean Debate and Melian Dialogue

        Otto Linderborg 한국서양고전학회 2021 西洋古典學硏究 Vol.60 No.1

        This article brings together two central episodes in Thucydides’ History of the Peloponnesian War. The interpreted episodes are the Mytilenean Debate in Book III and the Melian Dialogue in Book V of the History. In the present study, these episodes are approached as original inquiries into moral and political matters, assuming the shape of subversive social criticism: immanent critique. A particular focus lies on the socio-political ordering principles scrutinized in the Thucydidean episodes. In the Mytilenean Debate, it is the principle of expediency (τὸ ξύμφορον) that is given the upper hand, whereas in the Melian dialogue the dominating social ordering principle is that of safety and survival (σωτηρία). In each episode, a contending point of view aims at undermining the pre-eminence of the stronger principle. However, the critique only succeeds if the subversion is managed from within, and if it pays outward allegiance to the frames determined by the supreme communal will.

      • KCI우수등재
      • SCOPUSKCI등재
      • KCI등재
      • KCI등재후보

        Die Fremdheit zwischen den Deutschen - Uber den inneren Vereinigungsprozeß in Deutschland -

        Otto, Wolf Dieter 서울대학교 외국어교육연구소 1998 외국어교육연구 Vol.1 No.1

        The purpose of this paper is to explore the problem of internal integration in wùfied German. In this paper, the analysis of the texts in which West Germany evaluates East Germany indicates no intemal integration of them. The paper also tries to find out the source of differential behavior between them.

      • SCOPUSKCI등재

        REVIEW : Impact of Sigmoidoscopy and Colonoscopy on Colorectal Cancer Incidence and Mortality: An Evidence-Based Review of Published Prospective and Retrospective Studies

        ( Otto S. Lin ),( Richard A. Kozarek ),( Jae Myung Cha ) 대한장연구학회 2014 Intestinal Research Vol.12 No.4

        Screening for colorectal cancer (CRC) using sigmoidoscopy or colonoscopy is now common in many developed countries. This concise, evidence-based review looks at the impact of sigmoidoscopy or colonoscopy screening on CRC incidence, CRC mortality and overall mortality. Data from controlled retrospective and prospective (observational or randomized) studies have generally shown that sigmoidoscopy and colonoscopy, whether for diagnostic, screening or surveillance purposes, are associated with a significant reduction in CRC incidence and CRC mortality. The data on their impact on overall mortality is much more limited, with most studies unable to report a reduction in overall mortality. The results of three meta-analyses have confirmed these conclusions. As expected, sigmoidoscopy has a predominant effect on left-sided CRC, although some studies have shown modest effects on right-sided colon cancer as well. Most studies on colonoscopy have demonstrated that the protective effect applies to both right and left-sided cancer, although the protection seemed better on the left side. Despite the introduction of other screening and diagnostic modalities for the colon, such as computed tomography colonography and colonic capsule endoscopy, lower endoscopy will continue to be an important mode of screening for CRC and evaluating the colon. (Intest Res 2014;12:268-274)

      • KCI등재후보

        Grundgesetz und Wiedervereinigung : Gesellschaftliche Integration durch Verfassungsänderungen? 헌법개정을 통한 사회통합?

        Otto Depenheuer(오토 데펜호이어),정혜영 번역자 한국공법학회 2006 公法硏究 Vol.34 No.4-2

        헌법제정은 근본적인 정치적 변혁에 대한 법적 응답이다. 즉 헌법제정은 국가를 법적으로 새롭게 조직하여야 한다는 불가피한 필요성에 대한 응답이고, 혁명의 반영이다. 그러나 모든 시대가 헌법을 제정할 소명’을 받는 것은 아니다. 헌법제정이 이루어지기 위해서는 정치적 합의가 충분히 성숙된 ‘결정적 시점’과 ‘헌법제정권력의 결단’을 필요로 한다. 그렇다면 1989년 독일의 통일은 그 자체로서 헌법제정을 위한 충분한 계기가 되었는가. 실제적으로 독일 통일 후 서독에서 전개된 헌법제정에 대한 논의는 독일통일의 객관적 요구 때문에 촉발된 것이 아니었다. 그것은 본질적으로 당시 야당이었던 사민당이 통일과 동독의 서독으로의 편입을 계기로 하여 헌법정책적 목표를 기본법에 이식시키고자 추구했던 헌법논쟁이었을 뿐이다. 따라서 독일통일 자체는 헌법논쟁을 재개할 만한 충분한 이유를 제시하지 못했다. 다음으로, 헌법개정의 조건에 대한 헌법이론적 문제가 제기되었다. 헌법의 통합기능은 헌법개정을 가능한 한 피하도록 하고, 모든 경우에 헌법개정을 객관적으로 필요불가결한 사항에 제한하려는 방향으로 작용한다. 헌법은 계속성을 보증해야 하고, 안정성을 확보해야 하며, 국가의 나아갈 방향을 제시해야 한다. 따라서 헌법개정에 대하여 언급하기 위해서는 먼저 그 필요성을 입증해야 하고, 어떠한 이유에서, 어떠한 목적으로 헌법을 개정하고자 하는지를 명백히 하여야 한다. 전체 독일국민의 근본결단은 기본법에 찬성하였다. 그로 인하여 기본법의 전면개정이 좌초되었고, 이때부터 헌법논쟁은 탈정치화된 분위기 속에서 오직 지엽적인 사항에 대해서만 이루어지게 되었다. 결론적으로 독일 통일의 문제는 당시의 정치적 도전에 대한 응답(정치적 행위의 필요성)으로서도 실제적 규율의 필요성에 있어서도 기본법 개혁의 이유로서 충분하지 못하였다. 즉 통일 후 독일에서의 헌법논쟁은 이러한 본질적인 이유에 의해 비롯된 것이 아니라, 상징을 정립할 필요성, 즉 정치의 대체물로서의 헌법논쟁이었을 뿐이다. 중요한 것은 헌법개정이 아니라 독일, 유럽 그리고 세계에서 일어나고 있는 새롭고 폭력적인 도전에 대처하는 정치(政治)이다.

      • KCI등재

        Sedation for routine gastrointestinal endoscopic procedures: a review on efficacy, safety, efficiency, cost and satisfaction

        ( Otto S. Lin ) 대한장연구학회 2017 Intestinal Research Vol.15 No.4

        Most gastrointestinal endoscopic procedures are now performed with sedation. Moderate sedation using benzodiazepines and opioids continue to be widely used, but propofol sedation is becoming more popular because its unique pharmacokinetic properties make endoscopy almost painless, with a very predictable and rapid recovery process. There is controversy as to whether propofol should be administered only by anesthesia professionals (monitored anesthesia care) or whether properly trained non-anesthesia personnel can use propofol safely via the modalities of nurse-administered propofol sedation, computer-assisted propofol sedation or nurse-administered continuous propofol sedation. The deployment of non-anesthesia administered propofol sedation for low-risk procedures allows for optimal allocation of scarce anesthesia resources, which can be more appropriately used for more complex cases. This can address some of the current shortages in anesthesia provider supply, and can potentially reduce overall health care costs without sacrificing sedation quality. This review will discuss efficacy, safety, efficiency, cost and satisfaction issues with various modes of sedation for non-advanced, non-emergent endoscopic procedures, mainly esophagogastroduodenoscopy and colonoscopy. (Intest Res 2017;15:456-466)

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