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      • KCI등재

        양격산화탕(凉膈散火湯)의 항염증(抗炎症) 효과에 대한 연구

        탁미진,탁명림,강경화,고우신,윤화정,Tak, Mi-Jin,Tark, Myoung-Rim,Kang, Kyoung-Hwa,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.1

        Objective: Yang Geouk San Hwa - Tang (YGSHT) has been widely used in Sasang Constitutional Medicine of Korea for treatment of acute inflammatory symptom, such as palatine tonsillitis, polydipsia, headache, papule, pimple however, the mechanism of its anti-inflammatory activity has not been clarified. In this study, therefore, we investigated the mechanism of the inhibitory effect of YGSHT on LPS-induced inflammation. Materials and methods: The effect of YGSHT was analyzed by ELISA, RT-PCR and Western blotting in LPS-stimulated RAW264.7 cells. Results: We found that YGSHT suppressed not only the production of pre-inflammatory cytokines (IL-$1{\beta}$ and TNF-$\alpha$), the generation of nitric oxide (NO) and prostaglandin E (PGE)2, but also the mRNA expression of pre-inflammatory cytokines, inducible nitric oxide synthase (iNOS), and cyclooxygenase (COX)-2. Furthermore, YGSHT was shown to inhibit the phosphorylation of ERK1/2 and JNK1/2 and the activation and translocation of NF-kB from cytosol to nuclear in LPS-stimulated RAW264.7 cells. Conclusions: These results suggest that YGSHT exerts an anti-inflammatory effect through the regulation of the ERK1/2 and JNK1/2 pathway and NF-kB pathway, thereby decreasing production of pre-inflammatory cytokines, NO, and PGE2.

      • 노인의 기능저하예방을 위한 표준운동프로그램 개발 및 효과검증 연구

        원영신(Won young Shin),도기현(Do ki hyun),홍미화(Hong Mi Hwa),조은영(Cho Eun Young),정문미(Jung Moon Mi) 글로벌시니어건강증진개발원 2012 글로벌시니어건강증진개발원 논문집 Vol.2 No.1

        본 연구의 목적은 일상생활 속에서도 누구나 쉽고 편하게 따라 할 수 있는 노인의 신체기능 저하예방 및 개선에 적합한 표준운동프로그램을 개발한 후, 그 효과를 검증하는 것이다. 연구대상은 서울시 마포구 화신경로당에 등록되어 있고, 본 프로그램에 참여한 총 36명(남성노인 10명, 여성노인 26명)의 노인으로 선정하였으며, 평균연령은 77세이다. 프로그램은 2011년 8월 19일부터 10월 18일까지 총 3개월 동안 주 2회씩 12주간, 총 18회를 실시하였으며, 안무가 1명과 보조연구원 1명이 프로그램을 진행하였다. 조사도구는 설문지로 SFT(Senior Fitness Test)를 사용하였으며, 노인 체력 테스트로 본 프로그램의 효과분석을 실시하였고 세부적으로는 상·하체 유연성, 상·하체 근력, 평형성, 민첩성 에 관한 테스트를 실시하였다. 사후검사는 프로그램 18회를 모두 진행하고 10월 18일 프로그램이 종료된 후, 사전검사와 동일한 방법으로 실시하였다. 자료처리는 SPSS Windows 15.0 version 을 이용하여 빈도분석, 대응표본 t-test를 실시하였으며, 그 결과는 다음과 같다. 첫째, 참여노인의 체력 요인에 대한 차이분석 결과, 평형성을 제외한 하체유연성, 상체유연성, 하체근력, 상체근력, 평형성, 민첩성 모든 요인에서 통계적으로 유의하게 증가하였다. 둘째, 참여노인의 신체구성비에 대한 차이 분석 결과, 체지방율과 BMI는 통계적으로 유의하게 감소하였고, 기초대사량과 근육량은 유의하게 증가하였다. 또한 체지방량은 감소하여 프로그램에 따른 긍정적인 효과가 검증되었다. The purpose of this study was to verify the effect of poor physical function of the elderly in everyday life that anyone can easily and comfortably suitable for the prevention and improvement to develop a standard exercise program after. Distribution of Hwa-Sin-dong, Mapo-gu, Seoul incarnation is registered in the senior center, was selected and a total of 36 patients (10 patients, elderly men and elderly women, n = 26) participated in this program for the elderly, the age range from 61 years to 91-year-old and the average age 77-year-old. Program for three months from August 19, 2011 10 18 in 12 weeks, a total of 18 times, twice a week was conducted by research assistant choreographer with 1 program. Research tool, a detailed questionnaire to the elderly as a fitness test this program was carried out to analyze the effects of SFT (Senior Fitness Test), the upper and lower body flexibility (right, left), upper and lower body strength, balance (right, left), agility test was conducted. Post-inspection program 18 times in the same way as the pre-test and after the program ends Oct. 18, and all proceeds were conducted. Data processing were analyzed using SPSS Windows 15.0 version to the corresponding sample t-test was conducted, and the results are as follows. First, the analysis for differences in participation in physical factors of the elderly, lower body flexibility, balance, except for lower body strength, upper body flexibility, upper body strength, balance, and agility in all factors statistically significantly increased. Second, the difference analysis results for the participation of the elderly in the Composition of the body, was a statistically significant reduction in the percentage of body fat and BMI, basal metabolic rate, muscle mass increased significantly increased. Also reduced body fat, according to the program has a positive effect was verified.

      • KCI등재

        입원 노인의 복약지도에 대한 교육요구 및 교육경험

        김명신,이미화 노인간호학회 2006 노인간호학회지 Vol.8 No.2

        Purpose: This study was a predicative survey to provide elderly hospital in-patients for analyzing their educational needs and educational experience about medication teaching. Method: The subjects consisted of 114 elderly hospital in-patients. Data were collected by researcher, who directly interviewed with them through questionnaires from April 26th to May 7th, from July 20th to Aug. 3th in 2006. The questionnaires for data collection were developed through reference review. The collected data was analyzed by using frequency, percentile, mean, variation, t-test, ANOVA on SPSS 12.0 package. Results: There were past medication related characters of elderly hospital in-patients: circulatory-related illness was the most common disease; 76.3% of them took medicine; 65.8% of them didn't know medicine name; 67.5% of them knew effect of medicine. There were present medication related characters of elderly hospital in-patients: present illness with hospitalized was neurogenic and cerebrovascular disease(59.6%); 95.6% of them took medicine; 90.4% of them didn't know medicine name; 59.6% of them knew effect of medicine. Educational needs of medication teaching were 75.6% and its mean were 94.54±15.54. They required discharging from hospital(4.51±0.68), whenever medicine was changed(4.36±0.79), the effect of medicine (4.35±0.82), the time take medicine(4.31±0.72); the most teaching method they required was “explain with words”(4.20±0.84). Educational experience were 30%. They experienced when hospitalized initially(45.6%), whenever medicine was changed(41.2%), the effect of medicine (64.0%); the most teaching method they experienced was “explain with words”(69.3%). Conclusion: The elderly hospital in-patients educational needs were high, but experience were low. Therefore systematic educational programs about elderly hospital in-patients should be made on the base of this study.

      • SCOPUSKCI등재
      • KCI등재

        프로야구 손상의 임상적 분석

        김철준,김명화,김미정,신명진,윤준오,김상규 대한스포츠의학회 1995 대한스포츠의학회지 Vol.13 No.1

        Baseball is rapidly getting popularity in Korea as it has been in U.S.A and Japan. During the last decade, threre were several studies about baseball injuries which oriented mainly to the overuse injuries of growing baseball players. But there was no study the professional baseball players systematically. This study was surposed to see the general characteristics of baseball injuries and to provide the prevention and rehabilitation programs if recommended. The number of 83 injuries of 60 baseball players was analysed according to the position, injury site, diagnosis, injury mechanism and duration of injury. The mean age and height of 60 subjects were 24.6 years old and 180.65㎝, respectively. The baseball position of 82 injured cases were composed of 27 pitchers, 30 infielder, 19 outfielder and 6 catchers. The characteristics of injury were as follows: 1.The number of chronic injury was 56 cases(68.3%) and the percentage of chronic injury of pitchers was up to 81.5% compared 73.3% of infielder and 47.4% of outfielder. 2. The injury rate of both lower and upper extremitis were equal and the rate of lower back problems was the second, which should be concerned. 3. The number of cases injured by direct collison is as low as 15(18.3%). The most common secondary cause of injury was aggressive throwing itself and 26 out of 49 cases injured not by direct collision. 4. More concern should be payed about the low back problems and about the catcher and the field players as much as pitchers from now one.

      • KCI등재
      • KCI등재후보

        환기정도에 따른 수술실용 신발 종류가 수술실 오염에 미치는 영향 : How to Choose Suitable Shoes?

        남경동,정혜선,박영신,원진희,주미자,성화신,이지혜,이병희,조경숙,배재춘 한국의료QA학회 2000 한국의료질향상학회지 Vol.7 No.1

        Background : Various types of protective footwear have been used to minimize bacterial contamination in operating rooms. In recent years, debate has arisen concerning the need for use of such protective footwear. This study was designed to provide useful data about choosing shoes most suitable for the surgical environment. Methods : Between November, 1999 and January, 2000, we performed this experimental study by comparing effect of three types of shoes (i.e., disposable shoescover, operating room-restricted shoes, and ordinary shoes) on bacterial contamination of operating rooms equipped with two different ventilation systems (i.e., high air-change, low air-change) respectively. Data were collected during two-hour sham operations in which subjects and their activities were strictly standardized. Bacterial flora were sampled from the study area floor and air colony-counts were measured. Results : In experiments involving high air-change ventilation system, there was a significant difference of floor contamination between three types of shoes, but no difference of air contamination. Under low air-change system, there was a significant difference of both floor and air contamination between three types of shoes. Conclusion : The results show that protective footwear would be unnecessary in the operating room with high air-change ventilation system, but it is important to choose suitable shoes carefully under low air-change system. Therefore, the use of outdoor shoes can be considered under high air-change system, but it would seem sensible to apply their first use in less bloody operations at the day surgery center or out-patient department to prevent transfer of body fluid into the outside environment.

      • KCI등재후보

        척추관 협찬증 환자 진료 프로세스 개발

        이환모,김호중,김긍년,안풍기,천자혜,김양수,신혜선,김인숙,정혜경,김영아,채형기,박인영 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

        연구배경: 수술적 치료가 필요한 척추관협착증 환자들은 주로 60세 이상의 고령환자로장기간의 입원 시 기회 감염의 증대와 불필요한 의료비의 증대를 가져오게 되며, 수술후환χ}들의 재원일수의 증가는병원의 병상가 동률을감소시키고, 전공의에게는불필요한 업무를 증가시킨다. 연구목적: 비용·효과면에서 최적화된 진료지침의 개발은 불필요한 의료비의 감소및 Hospital Induced Complication을 줄여 환자만족도를증진시킬 수 있으며, 각 환자에 대한전공의 업무를 줄일 수있다. 의료기관: 서울특별시에 소재한 2,075병상의 종합전문 요양기관 연구방법: 정형외과및 신경외과의 척추관협착증환자 의 처방을 비교하여 최적의 표준진료지침을 개발하고 최종적으로 CP Master Program (EMR 프로그램)에 입력하여 환자에게 적용하였다. 연구결과': CP 적용전, 후비교를통해 재원일수는 3.8일 이 감소하였으며, 이에 따라 병상가동률 및 진료수익이 증가했으리라고 예상되며 현재 비교검토중이다. 또한,CP 개발및 CP Master Program의 사용을 통한 전공의 업무감소에 대해 검토하고 있다.

      • SCOPUSKCI등재

        Subacute Toxicity of Combined Vaccine (KGCC-95VI) Against Japanese Encephalitis and Hantaan Virus Infection in Rabbits

        Shin, Kwang-Soon,Cho, Sung-Hwan,Yun, Hyo-In,Kim, Chul-Joong,Shin, Hyun-Jin,Nam, Sang-Min,Park, Young-Mi,Choi, Eun-Ah,Kim, Eun,Youn, Won-Ki,Sohn, Hwa-Young,Song, Dong-Ho,Park, Jong-Il,Cha, Shin-Woo,Ahn Korean Society of ToxicologyKorea Environmental Mu 1997 Toxicological Research Vol.13 No.3

        The subacute toxicity of the combined vaccine (KGCC-95VI) for the prophylaxis against Japanese encephalitis and Hantaan virus infection, recently developed by Korea Green Cross Corporation, was investigated. KGCC-95VI was subcutaneously administered into the both sexes of New Zealand White rabbits at the dosage of 0, 10. 50 and 250 ml/kg body weight (20, 100 and 500 times the expected clincal dose) once a day for 30 days. There were no deaths and clinical findings during the experiment period. In both sexes. there were no statistically significant differences between the treated and control groups in urinalysis tests, hematological tests, blood chemistry tests and pathological examinations. The KGCC-95VI is considered not to have the subacute toxicity in the rabbits.

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