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제2형 당뇨병 환자 식생활습관 및 보건소 영양교육 후 혈당개선효과
김태연,엄순희 대한영양사협회 2004 대한영양사협회 학술지 Vol.10 No.2
This study was carried out to provide information on the effect of nutrition education program for diabetic patients at the Guri City's Public Health Center. Subjects of this study were 31 persons(ma1e 7, female 24) who attended all courses of '2002 Diabetes Education Class'. They were indicated as the 'education group' (EG). Eating and living habits of EG were investigated before the education. EG's weight and blood glucose (post prandial 2 hours, PP2) were examined as well. EG's PP2 reduction was compared with a 'control group'(CG) who didn't join any course in that class. All of the subjects were non-insulin-dependent diabetes mellitus(N1DDM) patients. EG's average age was 62.4±8.8. Before taking the course, EG's PP2 was 251.5±29.6mg/dl, and body mass index(BM1) was 26.3±2.3 on average. Most of them were stressed out from their daily lives and usually had no exercise. Most people of EG ate meals rapidly and liked sweet and fatty foods. After the course of training, EG's weight and BMI before the training were not decreased significantly. However, all of the EG's PP2s, which were measured 4 times(before the meal at the special lunch session, after 2 hours at this meal, after 2 weeks and 4 weeks dietary assembly), were decreased in comparison with the PP2 which was checked prior to joining the training. EG's average PP2 was more reduced than CG's one. In addition, all groups' PP2s were decreased for 8 weeks. After all, this nutritional education at the public health center was effective in glycemic control for diabetes mellitus patients. Especially, when the dietary assembly as practical training was included in the educational process, the patient's dietary intake and PP2 was improved more effectively. Therefore, this study suggests that nutrition work at public health centers is necessary for the Health Promotion Policy.
이현순,양문호,안창일,조병수,엄순희,차주홍 대한신장학회 1987 Kidney Research and Clinical Practice Vol.6 No.1
We reviewed the clinicopathologic findings of 20 cases of IgA nephropathy under the age of 15 year during 6 years period from June 1980 to June 1986 at Kyungh Hee University Hospital, with the national incidence of pediatric IgA nephropathy in Korea. And the following results were obtained. 1) Overall incidence was 16.9%. (Total reported incidence of pediatric IgA nephropathy in Korea was 11.5 %). 2) The patients average age was 10.3+2.78 year and the ratio of male (13) to female (7) was 1.86: l. 3) C.C. on admission; gross hematuria cases were 13 (65%), microscopic hematuria, edema, proteinuria, in frequency. 4) Associated proteinuria was observed in 13 (65%) and elevated serum IgA level was observed in 4 cases (20%). 5) Follow up studies were available in 11 cases with average of 16.79.9 months and renal functions were normalized completely in 5 cases. Further longterm studies are needed to confirm the prognostic factors, but hypertension and heavy proteinuria are not a poor prognostic factors in pediatric IgA nephropathy, moreover heavy proteinuria can be a marker for responsiveness to corticosteroid.