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유산소운동의 실천과 만성질환이 동반된 관절염의 유병률 및 위험도에 대한 관계 연구
윤인상,이혜림,이종석,정득,Yoon, In-Sang,Lee, Hye-Lim,Lee, Jongseok,Jung, Deuk 한국디지털정책학회 2021 디지털융복합연구 Vol.19 No.8
본 연구는 유산소운동의 실천과 만성질환이 동반된 관절염의 유병률 및 위험도에 대한 관계를 실증적으로 분석하기 위해 수행되었다. 이 연구를 위해 국민건강영양조사 2017-2019년 자료를 활용하였으며, 연구대상으로 17,356명을 선정하였다. 인구사회학적 특성과 만성질환에 따라 유산소운동의 실천과 관절염의 유병률 및 위험도 관계를 카이제곱 독립성 검정과 Breslow-Day 검정으로 분석하였다. 인구사회학적 특성이 여성, 고연령, 저소득층, 저학력층, 지방거주인 경우 유산소운동 실천률이 낮은 반면 관절염의 유병률과 위험도인 오즈비가 상대적으로 높았다. 그리고 만성질환 양성집단에서 유산소운동 실천을 하는 집단이 실천하지 않는 집단보다 관절염의 유병률과 발병할 위험도가 낮았다. 특히 유산소 운동 실천은 고혈압, 당뇨, 이상지질혈증이 있는 사람들에게 관절염의 유병률과 위험도를 낮추는데 효능이 있는 보완재가 된다. 따라서 인구학적 특성에서 관절염의 유병률이 높은 집단과 만성질환이 동반된 관절염이 있는 사람들이 걷기와 천천히 달리기, 에어로빅 댄스와 같은 일상의 유산소운동을 반드시 실천할 수 있도록 예방의학과 보건의료 차원에서 권장되어야 함을 시사한다. This study was conducted to analyze the relationship between the practice of aerobic exercise and the prevalence and risk of arthritis with comorbid chronic diseases. For this study, the National Health and Nutrition Examination Survey 2017-2019 data were used and 17,356 people were selected as subjects. The relationship between the practice of aerobic exercise and the prevalence and risk of arthritis according to demographic characteristics and chronic diseases was analyzed by the chi-square independence test and Breslow-Day test. While the rate of aerobic exercise was low among women, the elderly, the low-income group, the low-education group, and people living in rural areas, the prevalence and risk of arthritis were relatively high. And in the chronic disease-positive group, those who practiced aerobic exercise had a relatively lower prevalence and risk of arthritis than those who did not. In particular, the practice of aerobic exercise was an effective complement in reducing the prevalence and risk of arthritis in people with high blood pressure, diabetes, and dyslipidemia. Therefore, the practice of aerobic exercise such as walking, slow running, and aerobic dance should be recommended in terms of the preventive medicine and health care to people who are in the group with a high prevalence of arthritis in demographic characteristics and people who have comorbid chronic diseases.
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피부보존 유방절제술 및 즉각적 유방복원수술 환자들의 임상병리학적 특성 및 재발
윤인상(In Sang Yoon),박민호(Min Ho Park),윤정한(Jung Han Yoon),제갈영종(Young Jong Jegal) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.3
Purpose: For those women with breast cancer who require mastectomy for surgical treatment, consideration should be given to optimize the cosmetic outcome. Skin-sparing mastectomy (SSM) is being used more frequently to treat many of these patients. Skin-sparing mastectomy can maximize breast skin preservation and facilitate immediate reconstruction, and so result in an excellent cosmetic appearance. The aim of this study was to access the local recurrence rate of breast cancer after SSM. Methods: A retrospective review was conducted of 53 patients who underwent skin-sparing mastectomy with immediate reconstruction between January 1996 and February 2006. Immediate reconstruction was achieved via the TRAM flap or latissimus dorsi flap or artificial bag. The mean follow-up time was 34.6 months (range: 7∼142 months). Results: Local recurrence occurred in 1 (2.1%) of 53 patients. The time to local recurrence was 44 months. The patient with local recurrence was well controlled by wide excision and postoperative chemotherapy and radiotherapy. The patient with local recurrence is still free of disease. Distant metastasis occurred in 7 (14.9%) of 53 patients. Of the 7 patients with distant metastasis, 1 patient was died from brain involvement. Conclusion: The risk of local recurrence after skin-sparing mastrectomy was not different from that of conventional mastectomy. Local recurrence was effectively managed with surgical excision of the involved tissues and then administering chemotherapy or radiotherapy.
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윤인상(Yoon In-Sang) 조선대학교 지식경영연구원 2005 지역개발연구 Vol.10 No.1
Basically a franchiser who prepares to get into an overseas market for itself shall be recommended to set up its business strategies concerning the factors as follows : 1. It should define and understand the conditions and environments about the targeted market as well as the country. 2. It should set up goals and directions for the overseas business by reflecting upon its specified conditions of its own brand or firm as well as the background and necessity. 3. It should investigate and study its business feasibility to the targeted market throughly before it makes decision to go into overseas market. 4. It should be cautious and prudent in choosing its native partner before starting business in overseas market. 5. It should train and educate many of good staffs and employees, because a successful franchising business depends upon well-trained human resources. 6. It should complete manuals for all of the aspects of management. 7. It should do its best to raise and standardize the service quality.
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장기간의 갑상선 호르몬 술 후 대체요법 시 골밀도의 변화
김병천,노혜원,정연승,윤인상,정순주,박민호,윤정한,제갈영종,Byung Chun Kim,Hye Won Ro,Yeun Sung Jung,In Sang Yoon,Soon Ju Jeong,Min Ho Park,Jung Han Yoon and Young Jong Jegal 대한갑상선-내분비외과학회 2006 The Koreran journal of Endocrine Surgery Vol.6 No.1
Purpose: Bone turnover is increased in patients suffering with hyperthyroidism, and this results in osteoporosis. Especially after total thyroidectomy for the treatment of thyroid papillary cancer, it is necessary to pay attention to osteoporosis because we must treat these patients with suppressive thyroxine therapy. Methods: Among the patients who underwent endocrine surgery of Chonnam National University, 110 cases had taken thyroxine for more than one year. We analyzed them on the basis of their medical record. The study consisted of women between 45 and 74 years of age who were treated with thyroxine for more than one year, who had total thyroidectomy performed for thyroid papillary carcinoma and who taken thyroxine for 12∼142 months (mean: 53 months). We measured the bone mineral density at the lumbar spine and the femoral neck with using dual energy X-ray absorptiometry. Results: The bone mineral density of the lumbar spine and femur neck was significantly reduced with the increasing the duration of thyroxine medication. Yet this was not significant after adjusting by age. There was correlation between the TSH levels and bone mineral densities. Conclusion: After total thyroidectomy, it may be necessary to evaluate the bone mineral density of the patients who were treated with suppressive thyroxine and also to warn them about osteoporosis. (Korean J Endocrine Surg 2006; 6:1-5)
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조성태,고진석,윤인상,김진철,전로원,노정우,남은숙 대한내과학회 2002 대한내과학회지 Vol.63 No.6
The lithium is widely employed as a psychotropic agent, specially in manic illness. Lithium nephrotoxicity can be divided into three main categories: nephrogenic diabetes insipidus, acute intoxication, chronic nephropathy including interstitial nephropathy and glomerulopathy manifested as nephrotic syndrome. But, nephrotic syndrome induced by lithium is very rare. We reported a nephrotic syndrome induced by lithium in a 27-year-old woman who was taking lithium carbonate for 11 years due to bipolar disorder. Renal biopsy showed membranous nephropathy. After withdrawal of lithium, clinical symptoms and proteinuria significantly improved.
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