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박순우,김두희,Park, Soon-Woo,Kim, Doo-Hie 대한예방의학회 1991 예방의학회지 Vol.24 No.4
일상생활을 통한 연섭취로 인한 고혈압 발생 가능성 및 이때 연이 혈압에 영향을 미칠 수 있는 기전을 밝히기 위한 연구의 일환으로 환자 대조군 연구를 실시하였다. 대상자로서 울산 및 그 인근지역의 직업적 연폭로 과거력이 없는 남자 근로자 중 고혈압 환자 72명, 대조군 69명을 선택하였다. 혈중 연과 혈장레닌활성도(Plasma renin activity, PRA)를 측정하였으며 동시에 흡연유무, 음주유무, 고혈압 가족력 유무를 확인하고 body mass index(BMI), 혈청 소디움, 포타시움, 이온화 칼슘, 크레아티닌 및 총 콜레스테롤을 측정하였다. 고혈압군의 혈중 연농도는 $19.8{\pm}5.5{\mu}g/dl$로서 대조군의 $12.5{\pm}4.7{\mu}g/dl$에 비해 유의하게 높았고(p<0.01) 또한 혈중 연의 고혈압발생에 대한 교차비(odds ratio)가 1.38로서 역시 유의하였다(p<0.01). PRA나 In(PRA)가 고혈압군과 대조군 사이에 유의한 차이가 없었으나 고혈압군에서 혈중 연농도가 증가함에 따라 PRA도 어느정도 증가하는 양상을 보였고(p<0.1), In(PHA)를 종속변수로 하는 중회귀분석을 실시하였을 때 혈중 연농도(회귀계수 ; 0.037)가 10% 수준에서 유의하였다. 본 연구를 통해 볼 때, 지금까지 알려진 정상치 범위 이내의 혈중 연과 고혈압 발생간의 인과 관계에 대해 계속 연구해 볼 필요성을 느끼며 이때 PRA의 변화가 작용 기전의 일부에 관여할 가능성이 있을 것으로 추측된다. A case-control study was conducted to investigate the effect of low-level blood lead on the blood pressure. The plasma renin activity(PRA) was measured also to investigate one of the possible mechanisms by which lead nay play a role to influence on the blood pressure. Seventy-two hypertensive and sixty -nine control study subjects were selected from the workers who had no history of b-related lead exposure, in Ulsan city and it's vicinity, Korea. In addition to measuring blood lead levels and PRA, body mass index(BMI), hematocrit, serum sodium, potassium, creatinine, ionized calcium, and cholesterol were measured. Also, the habits of smoking, alcohol drinking and family history of hypertension were checked. The blood lead level of the hypertensive group was $19.8{\pm}5.5{\mu}g/dl$, which was significantly higher than that of the control group, $12.5{\pm}4.7{\mu}g/dl$(p<0.01). On multiple logistic regression analysis, the odds ratio of blood lead level on the occurence of high blood pressure was 1.38, also statistically significant (p<0.01). There was no significant differences between the hypertensive and the control group in the PRA or In (PRA), but there was a marginally significant linear relationship between blood lead and PRA in the hypertensive group(p<0.1). In conclusion, blood lead level which has been known to be within normal limits may be one of the possible risk factors of hypertension and PRA alteration by lead may act as one of the mechanisms.
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<특집 건강증진정책 포럼> 건강증진사업을 위한 보건교육정책에 대한 평가와 과제 - 보건의료인에 대한 보건교육 정책
박순우 한국보건교육건강증진학회 2007 보건교육건강증진학회지 Vol.24 No.5
Health Education for Health Professionals Soon-Woo Park*✝ *Department of Preventive Medicine, Catholic University of Daegu School of Medicine The hospital setting provides many opportunities for health promotion. There are many health professionals including physicians, nurses, medical technicians who have close contact with patients and their family. Health professionals are very influential to arouse the awareness about health and illness, and to motivate to change lifestyle among patients. Thus health professionals are most effective and important human resources for health education for patients to improve recovery rates and to promote health. In spite of the importance of health professionals' role in health promotion, the Korean government has provided little support for their health education for patients. Most of the health professionals have not learned about health education theories and skills, and have little attention to educate patients to change their lifestyle. Also the health professionals themselves have relatively poor lifestyle compared with advanced western countries. To improve health education for patients and their family, following strategies and policies should be considered: reinforcing curriculum for health education in college and training course, providing practical incentives for patient education, capacity building for health education and developing guideline for patient education, training health educators, networking and collaborating between community health center and hospitals, promoting the importance of health education among patients, researching and developing health education theory and practice including cost-benefit of health education.
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박순우 한국중세사학회 2015 한국중세사연구 Vol.0 No.43
Examined in this article are the lives of Balhae refugees who came to Goryeo in the early years, and how they pursued careers in the government or mingled with the Goryeo people through marriages. Also examined is the meaning of all that, and this study tried to present some angles that may not completely agree with previous studies. First, there is the issue of the Dae Jib-seong house, whose leader with the same name was more than successful than many fellow Balhae refugees-turned-Goryeo citizens. He had a career as a governmental official, and also had a marital relationship with a famous Goryeo household. We cannot overly generalize Dae Jib-seong’s case, and must not interpret it to be symbolizing many if not most of the Balhae-Goryeo citizens’ lives (and possible successes). But Dae Jib-seong’s case is a confirmed, verifiable working material that is definitely useful in trying to trace their entry process into Goryeo domain and the Goryeo people’s view of their addition to their society. Previous studies considered Dae Jib-seong’s success, as well as the marriage with a formidable Goryeo house, as a politically staged event arranged to lure them and make use of their talents, but this study considered the possibility that his success was a result of all the military service he provided during the early years of Goryeo history. If he was decorated for merely political reasons, as assumed in previous studies, the influence of his household would not have been able to last very long, but his family’s name survived long after Choi Chung-heon, his son Choi Wu, the entire Choi regime, and even Dae Jib-seong himself, all died and went away. Second, there is the issue of countless Balhae souls that previous studies tended not to include in statistical approaches, as the exact number of them was too difficult to determine. Attempted in this study is to determine how and where these nameless Balhae refugees would have been relocated. Previous studies believed that these Balhae people were not allowed to relocate in groups, but in this study, based upon a fact that Dae Gwang-hyeon and his faction were ordered (and permitted) to guard Baekju(白州, now Baecheon, in the Hwang’hae-do province) which was a strategically important region at the time, and the case of Hong Gyeon(洪見) who surrendered to Goryeo with a fleet of 20 ships, it is assumed that Goryeo was in need of their military assets, and in order to put them to good use, the Goryeo government might have allowed some of the Balhae people to live with their original colleagues, in groups. Third, a person named Injeom(仁占), who had a title Daesang(大相) according to 『Goryeo-sa(高麗史)』, was examined in this study, and based upon genealogical records of the Yeongsun Tae House(永順太氏族譜) and the Hyeobgye Tae House(陜溪太氏族譜)』, this study presumed that his last name may have been “Dae(大氏),” the typical last name of many if not all Balhae refugees. This matter should be pursued more in future studies. Based upon these three possibilities kept in mind, the general idea of this study is that the Balhae refugees and their descendants would have established a lasting presence inside the Goryeo society, both the central capital and local regions, and integrated themselves in many layers of the Goryeo society.
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