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나상규,천신혜,최예진,이해정,노용균,최민규 대한비만학회 2016 The Korean journal of obesity Vol.25 No.2
배경: 비만은 각종 성인병의 위험요인이다. 최근 칼로리의 절대 양뿐만이 아니라 세 끼 식사의 비율에 따른 비만도를 알아보고자 하는 연구들이 많이 발표되고 있는 추세이다. 본 연구는 한국인 일반인구 집단에서 저녁식사 및 야식의 비율에 따른 복부비만의 차이를 봄으로써 저녁식사 및 야식의 비율과 비만과의 관계를 알아보고자 한다. 방법: 분석 대상 인원은 총 15,757명(평균나이 44.6세)이었다. 허리둘레에 의한 복부비만의 기준은 남자 90 cm 이상, 여자 85 cm 이상으로 정의하였다. 저녁식사 및 야식은 오후 6시부터 새벽 2시까지 식사를 한 경우로 정의하였다. 저녁식사 및 야식의 칼로리를 하루 중 섭취한 총 칼로리로 나누어 5분위수로 구분하였다. 비만에 영향을 줄 수 있는 각종 사회인구학적 변수와 건강 생활습관 변수를 보정하여 로지스틱 회귀분석모델로 저녁식사 및 야식과 복부비만과의 관련성을 확인하였다. 결과: 전체 인원에서 하루 섭취한 전체 칼로리 중에서 저녁식사 및 야식의 칼로리 비율에 따른 1분위수와 2, 3, 5분위수를 비교했을 때 통계적으로 의미 있는 복부비만도 차이가 있었다(Odds ratio: 1.19, 1.25, 1.21). 평소 아침식사를 하지 않는 군과 하는 군 각각에서 비교를 했을 때 아침식사를 하지 않는 군에서는 통계적으로 의미 있는 차이를 얻을 수 없었다. 아침식사를 하는 군에서는 모두 통계적으로 의미 있는 복부비만도 차이를 얻을 수 있었다(Odds ratio: 1.28, 1.30, 1.22, 1.21). 결론: 전체 하루 섭취 칼로리 중 저녁식사 및 야식의 칼로리 비율을 권장 칼로리의 1/2 수준으로 낮추면 복부비만의 위험이 감소한다.
당뇨병 환자에서 건강 문해력, 당뇨병 지식과 혈당조절의 상관관계
천신혜 ( Shin Hye Cheon ),나상규 ( Sang Kyu Na ),김하윤 ( Ha Yoon Kim ),임희경 ( Hee Kyung Lim ),최민규 ( Min Kyu Choi ),노용균 ( Yong Kyun Roh ) 대한의료커뮤니케이션학회 2015 의료커뮤니케이션 Vol.10 No.2
Purpose: Patients with limited health literacy usually have less disease-related knowledge, and consequently have poor health status. On the other hand, diabetes care requires complex course of strict medication and lifestyle changes to maintain appropriate glycemic levels and to prevent diabetic complications. We evaluated the association between health literacy, diabetes knowledge and glycemic control among diabetic patients. Methods: A cross-sectional study of 84 enrollees who were older than 30 years and had type 2 diabetes was conducted in a university hospital. Health literacy was measured using the short form of Newest Vital Sign (NVS), and diabetes knowledge measured using one of the two parallel diabetes knowledge tests. Participants were interviewed to determine participants’ characteristics, and HbA1c levels were identified from the clinical database of Hallym University Kang Nam Sacred Heart Hospital to assess glycemic control. Results: The mean score of health literacy was 1.8 (±1.9) and mean score of diabetes knowledge was 12.0 (±4.1). Only 23.8% of participants had adequate literacy. After adjusting sociodemographic characteristics, duration of diabetes, and treatment regimen, diabetes knowledge and health literacy were not independently associated with HbA1c levels. Only significant factor of glycemic control was duration of diabetes (r=0.489, p<0.001). Conclusion: Among patients with type 2 diabetes, health literacy and diabetes knowldege were not independently associated with glycemic control. Better strategies are needed to improve glycemic control.
식도 운동이상 진단에 있어서 Marshmallow 식도조영술의 임상적 가치
이상인,박효진,박인서,나상규,김기황,송종원 대한소화기학회 2000 대한소화기학회지 Vol.35 No.4
Background/Aims: We reported previously that marshmallow esophagography was more sensitive than conventional esophagography in evaluation of esophageal symptoms. To verify our previous study, we have investigated the clinical value of marshmallow esophagography in detecting esophageal dysmotility. Methods: Seventy-eight symptomatic patients who showed no organic disorders on esophagoscopy or conventional esophagography underwent esophageal manometry and marshmallow esophagography within one week. Forty-one of the patients also underwent esophageal transit scintigraphy. Marshmallow transit was considered normal when it passed the esophagus within 30 seconds on the supine position. Abnormal marshmallow transit was graded as mild, moderate, and severe. Results: The results of esophageal manometry were normal in 30 of 52 (57.7%) subjects with normal marshmallow transit, whereas the results were abnormal in 19 of 26 (73.1%) patients with abnormal marshmallow transit (χ2=5.405, p=0.02). The grade of marshmallow trnsit was correlated to the degree of esophageal dysmotility manometrically (χ2M-H=7.588, p$lt;0.01). The percentage of abnormal marshmallow transit was significantly higher in patients with achalasia, diffuse esophageal spasm, or non-specific esophageal motility disorder than in normal subjects. The grade of marshmallow transit was correlated with the scintigraphic residual fractions. Conclusions: These findings support that marshmallow esophagography would be useful as one of good functional methods for detecting esophageal dysmotility.
이상인,강진경,박영년,이세준,정준표,이관식,나상규,송종원,채보원,김희정 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4
Endometriosis is the abnormal growth of endometrial tissue outside the uterine cavity. Involvement of the gastrointestinal tract is seen in 3∼34% of patients affected by this condition. Although the commonest sites involved are the sigmoid colon and rectum, only 4 cases have been reported in Korea. The most frequent symptoms are lower abdominal and pelvic pain typically worsening at the time of menstruation. Bleeding per rectum is uncommon since the mucosa is rarely involved. Endoscopy has not been thought to be helpful in the evaluation of patients with suspected colonic endometriosis. However, endoscopy is often used as the first test in patients with rectal bleeding, excluding malignancy or other sources of bleeding. There are few reports of endoscopic documentation of colorectal endometriosis. A 26 year-old woman having a history of endometriosis with cyclic hematochezia and lower abdominal pain is herein reported. A flexible sigmoidoscopy revealed a protrusion of hyperemic mucosa with a surrounding foldformation on the rectum 8 cm above the anal verge. The subsequent biopsy of the lesion gave rise to a diagnosis of endometriosis.