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고도비만 환자의 수술적 치료방법에 따른 영양교육 기준 설정에 관한 연구
김혜진 ( Hye Jin Kim ),남궁신아 ( Sin A Nam Gung ),홍정임 ( Jeong Im Hong ),목희정 ( Hee Jung Mok ) 대한영양사협회 2010 대한영양사협회 학술지 Vol.16 No.2
This study examined the effects of postoperative medical nutrition therapy on patients who had undergone bariatric surgery. Eighty seven patients who underwent bariatic-surgery at Yeouido St. Mary`s Hospital from January 2007 to April 2009 were evaluated. The bariatric surgery patients included 42 Laparoscopic Roux-en Y gastric bypass (LRYGB) and 45 Laparoscopic adjustable gastric banding (LAGB) patients. Weight loss was more significant after LRYGB than after LAGB after 9 months (p<0.05). The LRYGB group was more satisfied with the weight loss (LRYGB 4.4/5.0, LAGB 3.0/5.0 p<0.001). The mean albumin, hemoglobin and hematocrit levels were significantly lower in the LRYGB group than in the LAGB group at the time of discharge (p<0.05∼0.001). The GOT/GPT was significantly higher in the LRYGB group at the time of the operation than the LAGB group (p<0.01). The LRYGB group showed significantly lower intakes of total energy, carbohydrates, protein and fat from 1 week after surgery than the LAGB group. Multiple regression showed that the weight change after LRYGB was significantly more associated with the intakes of total energy at 1 week after surgery (p<0.01), SWS (sweets and high-calorie beverages) at 1 and 6 months after surgery (p<0.001), and fat at 3 months after surgery (p<0.01). In addition, LAGB was significantly more associated with the intakes of protein and NLS (non-liquid sweets) at 1 week after surgery (p<0.001, p< 0.01), carbohydrate at 1 months after surgery (p<0.01), total energy at 3 months after surgery (p<0.001), HCL (high-calorie liquids) at 6 months after surgery (p<0.05), and fat at 9 months after surgery (p<0.01). These results suggest that continuous-follow-up medical nutrition therapy is needed according to the types of bariatric surgery, particularly during the weight loss phase (the first 1 week to 12 months).
열다한소탕(熱多寒少湯) 전탕액(煎湯液)이 XO/HX에 의해 손상(損傷)된 배양척수감각신경세포(培養脊髓感覺神經細胞) 미치는 효과(效果)
홍정아,김경요,유도곤,박혜선,김형순,Hong, Jeong-a,Kim, Kyung-yo,Yu, Do-gon,Park, Hye-sun,Kim, Hyung-soon 사상체질의학회 2001 사상체질의학회지 Vol.13 No.1
To evaluate the effect of Yuldahansotang(YHT) water extract on cultuted mouse spinal sensory neuron which was inhibited by xanthine oxidase(XO) and hypoxanthine(HX)-induced oxigen radicals, MIT assay, NR assay, Neurofilament enzymeimmuno assay and LDH activity assay were carried our after the cultured mouse spinal sensory neuron were preincubated with various concentrations of YHT water extract for 3 hours prior to exposure of XO/HX. The results obtained were as follows: 1. XO/HX, a oxigen radical, decreased the survival rate of the cultured mouse spinal sensory neuron cells on NR assay and MTT assay. 2. MTT50 value and NR50 value pf XO/HX were 20 mU/ml XO/0.2 mM HX and 40 mU/ml XO/0.2 mM HX. 3. YHT water extract have efficacy of increasing neurofilament. 4. YHT water extract have efficacy of increasing LDH activity. From above the results, It is concluded that YHT has marked efficacy as a treatment for the damages caused in the XO/HX-mediated oxidative process.
분석적 계층화과정을 통한 장애아전문어린이집 보육시설평가인증지표 중요도 연구: 경남지역중심으로
염동문 ( Dong Moon Yeum ),이한우 ( Han Woo Lee ),홍정아 ( Jeong A Hong ) 한국정서·행동장애아교육학회(구 한국정서학습장애아교육학회) 2015 정서ㆍ행동장애연구 Vol.31 No.3
본 연구는 장애아전문어린이집 보육시설평가인증지표의 중요도를 분석적 계층 화과정(AHP분석)을 통해 밝히고자 한 것이다. 분석적 계층화과정은 의사결정의 전과정을 여러 단계로 나눈 후 이를 단계별로 분석·해석함으로써 합리적인 의사결정에 이르도록 하는 과학적인 연구방법이다. 이를 통해 밝혀진 결과는 첫째, 장애 아전문어린이집 보육시설평가인증지표 상위영역에서 안전을 가장 중요시 여겼다. 둘째, 장애아전문어린이집 보육시설평가인증지표 하위영역에서는 보육환경, 어린이 집운영관리, 보육과정을 중요시 하였다. 이러한 결과에 따라 제4차 장애아전문어린 이집 보육시설평가인증지표에서는 상위영역에서는 안전, 하위영역에서는 보육환경, 어린이집운영관리, 보육과정 등에 대한 평가지표 내용에 대한 보완 및 수정이 필요하며, 타 영역보다 점수를 차등화 시키는 개선된 정책을 마련해야 될 것이다. This study investigated disabled child care center teachers’ cognition on secondary accreditation standards’ importance and priority to give materials for improvement of the accreditation standards. The subject was 60 child care center teachers and special education teachers at 20 disabled child care centers at Gyeongnam. The author inspected again AHP questionnaires with 0.2 or more consistency ratio of answer to investigate 47 teachers’ materials. The findings were: First, importance and priority of upper level areas of the accreditation indexes were: director of child care center thought much of mutual reaction and teaching method, while teachers did safety. Second, importance and priority of lower level areas of the accreditation indexes were: Director and special education teachers thought much of child care support environment, while special education teachers did child care center environment. Third, all of disabled child care center teachers and workers thought much of not only safety and protection of disabled children but also teachers’ mutual reaction of accreditation indexes. The study gave empirical discussions and limitation for practical use of accreditation indexes at disabled child care centers.
제2형 당뇨비만환자의 수술요법 시 임상영양치료 프로토콜 설정
김혜진 ( Hye Jin Kim ),남궁신아 ( Sin A Namgung ),홍정임 ( Jeong Im Hong ),목희정 ( Hee Jung Mok ) 대한영양사협회 2011 대한영양사협회 학술지 Vol.17 No.2
Currently, metabolic surgery (Laparoscopic Roux-en-Y gastric bypass, LRYGB) has an important role and should be recommended as an intervention in the management of obese patients with type 2 diabetes mellitus (T2DM). A successful outcome of surgery requires medical nutrition therapy. Therefore, we performed a retrospective study on 25 patients with T2DM who underwent LRYGB at Yeouido St. Mary`s Hospital from October 2008 to May 2010. The patients were followed up for an average of 6 months after surgery (range: 2∼19 months). Diabetes was resolved in 80% of the patients. Percentage of excess weight loss was (%EWL) was 56.2%. After surgery, fasting blood sugar (FBS) and HbA1c were significantly reduced (123 mg/dl, A1c 6.7%, P<0.001) and triglyceride was also significantly reduced to 107.6 mg/dl (P<0.05). As diets of the patients progressed from liquid to soft to regular diet, energy, carbohydrates, and fat intakes increased significantly (P<0.001). But protein intake did not change significantly. Nutrient intake of the patients after the surgery was significantly lower than the recommended diet for the non-surgery group. Patients experienced side-effects related to the diets after surgery, including hair-loss (76%), smelly gas (52%), vomiting (48%), etc. A significantly positive correlation was observed between vomiting and FBS (P<0.001). There was a significant relationship between side effects and the amount of nutrient intakes. Therefore, guide patients to a diet progression with treatment to minimize side effects, especially vomiting. And monitor their dietary life to be healthy and not to regain weight until remission of T2DM.
맞춤형 영양교육이 철결핍성 빈혈환자의 임상 지표 및 영양섭취 상태에 미치는 효과
김혜진 ( Hye Jin Kim ),목희정 ( Hee Jung Mok ),홍정임 ( Jeong Im Hong ),남궁신아 ( Sin A Namgung ) 대한영양사협회 2012 대한영양사협회 학술지 Vol.18 No.1
This study examined the effects of custom nutrition education on dietary intakes and clinical parameters in patients diagnosed with iron deficiency anemia. A total of 34 patients visited the anemia clinic of Yeouido St. Mary``s Hospital. Among these, only 16 patients were available for follow-ups. A follow-up was conducted by a clinical dietitian 2 months from the first nutrition education session. Patients were all women. For custom nutrition education, we investigated anthropometric data, dietary assessment (24 hr-recall, FFQ), and self-recognized anemic symptoms. Weight did not show a significant difference but hemoglobin, hematocrit (P <0.01), serum iron, and serum ferritin (P<0.05) were significantly increased after the nutrition education. Serum total iron binding capacity was significantly decreased (P<0.01). Self-recognized symptoms such as dizziness, fatigue (P<0.001), shortness of breath, headache (P<0.01), brittle nails, and sore tongue (P<0.05) were significantly improved. Daily intakes of protein (P<0.05), total iron (P<0.01), and animal iron (P <0.001) were significantly increased. A significantly negative correlation was observed between current serum iron and the intake of carbohydrates, fat, or phosphorus (P<0.05). But current serum ferritin showed a significantly positive correlation with the frequency of intake of meat, poultry, and fish. It could be concluded that the custom nutrition education might be effective on quality of diet as well as iron status and it might also improve the clinical parameters in patients diagnosed with the iron deficiency anemia.
합곡의 구진약침이 흰쥐의 염증성 대장염에 미치는 치료 효과
송재수 ( Jae Soo Song ),양범식 ( Beum Sik Yang ),김선영 ( Sun Young Kim ),홍정아 ( Jeong A Hong ),송정방 ( Jeong Bang Song ),김경식 ( Kyung Sik Kim ),김재효 ( Jae Hyo Kim ),권오상 ( Oh Sang Kwon ),손인철 ( In Chul Sohn ) 대한경락경혈학회 2007 Korean Journal of Acupuncture Vol.24 No.2
Objectives: Ulcerative colitis or Crohn`s disease has been recognized as Ha-ri (下痢) or Jang-Byok (腸벽) in Korean oriental medicine. A purpose of the present study is to investigate the anti-inflammatory effect of moxi-tar herbal acupuncture at LI4 (HapGok) on 2,4,6-trinitrobenzene sulphonic acid (TNBS) induced colitis in rats and further elucidate the possibility of herbal acupuncture on ulcerative colitis which is chronic inflammatory disease of the gastrointestinal tract. Methods: Sprague-Dawley rats, weighing 170~190 g, were subjected to intrarectal injection of either saline (300 ㎕, 500 ㎕) for a control or 2,4,6-trinitrobenzene sulphonic acid (TNBS) (300 ㎕, 500 ㎕) for a colitis. Moxi-tar herbal acupuncture at bilateral LI4 was used as the treatment. A volume 0.4 ㎖of moxi-tar (20 ㎎/㎖) were subcutaneously injected to the LI4 just after the secondary injection time of TNBS in rats. To study the effects of Moxi-tar acupuncture in LI4, body weight, RBC count, WBC count, total protein, Paw edema rate, rate of protein leakage into CMC-pouch fluid, IgG levels and IgM levels were observed. Results: Moxi-tar acupuncture in LI4 on TNBS-induced colitis inhibited the body weight lose rate but not effect RBC, WBC count. In addition, it inhibited the reduction of total protein concentration, paw edema, rate of protein leakage into CMC-pouch fluid, IgG levels and IgM levels. Conclusions: It is suggested that moxi-tar herbal acupuncture at LI4 helps to recover TNBS-induced colitis and plays an important role for an treatment of the irritable bowel syndrome (IBS).