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Resistant hypertension: consensus document from the Korean society of hypertension
Park Sungha,Shin Jinho,임상현,김광일,Kim Hack-Lyoung,Kim Hyeon Chang,Lee Eun Mi,Lee Jang Hoon,Ahn Shin Young,Cho Eun Joo,Kim Ju Han,Kang Hee-Taik,Lee Hae-Young,Lee Sunki,Kim Woohyeun,Park Jong-Moo 대한고혈압학회 2023 Clinical Hypertension Vol.29 No.-
Although reports vary, the prevalence of true resistant hypertension and apparent treatment-resistant hypertension (aTRH) has been reported to be 10.3% and 14.7%, respectively. As there is a rapid increase in the prevalence of obesity, chronic kidney disease, and diabetes mellitus, factors that are associated with resistant hypertension, the prevalence of resistant hypertension is expected to rise as well. Frequently, patients with aTRH have pseudoresistant hypertension [aTRH due to white-coat uncontrolled hypertension (WUCH), drug underdosing, poor adherence, and inaccurate office blood pressure (BP) measurements]. As the prevalence of WUCH is high among patients with aTRH, the use of out-of-office BP measurements, both ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM), is essential to exclude WUCH. Non-adherence is especially problematic, and methods to assess adherence remain limited and often not clinically feasible. Therefore, the use of HBPM and higher utilization of singlepill fixed-dose combination treatments should be emphasized to improve drug adherence. In addition, primary aldosteronism and symptomatic obstructive sleep apnea are quite common in patients with hypertension and more so in patients with resistant hypertension. Screening for these diseases is essential, as the treatment of these secondary causes may help control BP in patients who are otherwise difficult to treat. Finally, a proper drug regimen combined with lifestyle modifications is essential to control BP in these patients.
Kim, Jae Hee,Kim, Gwang Suk,Kim, Eun Jung,Park, Sungha,Chung, Namsik,Chu, Sang Hui Aspen Publishers 2011 JOURNAL OF CARDIOVASCULAR NURSING Vol.26 No.6
<P>Poor adherence in patients taking warfarin may be one of the most common barriers to obtain favorable anticoagulation outcomes. This study was conducted to identify factors affecting medication adherence and their relationships with anticoagulation control in Korean patients taking warfarin.</P>
( Sungha Kim ),( Sooweon Lim ) 한국체육학회 2016 국제스포츠과학 학술대회 Vol.2016 No.1
Purpose: The purpose of this study is to understand the roles of the international coordinators who were selected and supported financially by the Korean Olympic Committee (KOC), and who are working in the national sports federations in Korea to reinforce the international cooperation of sports and administration. In addition, this study suggests alternatives for the future improvement of international sports cooperation through their strengthened roles and professionalism. Method: The method used in the study is a qualitative research. Eight research participants were selected via criterion-based sampling. The data was collected through in-depth interviews with the participants, and it was then analyzed using textual analysis. Result: National sports federations of Korea have strengthened their lack of manpower through international coordinators, not only for international cooperation but also for its own administration. Also, sports diplomacy and international cooperation have been improved by the international coordinators since they have created constructive communication channels with other international sports organizations, thanks to their multi-language skills and deep understanding of international relations. However, there are a few problems. The coordinators do not have enough opportunities to foster their professional skills due to the poor working environment of the national sports federations, and there is a lack of budget and time to receive proper education and fully develop their career. Secondly, there is a problem of job instability due to the limitations and conditions of the government subsidy. These problems hinder the potential development of sports diplomacy through international coordinators. Conclusion: National sports federations and the KOC should help international coordinators develop their professional skills with professional and educational programs. Also, the government subsidy for the international coordinators needs to remove the limitations and conditions of the period. With increased job stability and by strengthening their professional skills, the sports diplomacy and international cooperation of Korea will be much more effective through the young and talented international coordinators.
(Original Articles) Effects of Nattokinase on Blood Pressure: A Randomized, Controlled Trial
KIM, Ji Young,KIM, Kyong-Chol,OGASAWARA, Kazuya,INOUE, Kenichi,PARK, Sungha,JANG, Yangsoo,LEE, Jong Ho,LIM, Hyo Hee,GUM, Si Nae Japanese Society of Hypertension 2008 Hypertension research Vol.31 No.8
The objective of this study was to examine the effects of nattokinase supplementation on blood pressure in subjects with pre-hypertension or stage 1 hypertension. In a randomized, double-blind, placebo-controlled trial, 86 participants ranging from 20 to 80 years of age with an initial untreated systolic blood pressure (SBP) of 130 to 159 mmHg received nattokinase (2,000 FU/capsule) or a placebo capsule for 8 weeks. Seventy-three subjects completed the protocol. Compared with the control group, the net changes in SBP and diastolic blood pressure (DBP) were ?5.55 mmHg (95% confidence interval [CI], ?10.5 to ?0.57 mmHg; p<0.05) and ?2.84 mmHg (CI, ?5.33 to ?0.33 mmHg; p<0.05), respectively, after the 8-week intervention. The corresponding net change in renin activity was ?1.17 ng/mL/h for the nattokinase group compared with the control group (p<0.05). In conclusion, nattokinase supplementation resulted in a reduction in SBP and DBP. These findings suggest that increased intake of nattokinase may play an important role in preventing and treating hypertension.
Discrimination accuracy between real and sham press needles in the hands
Kim, Sungha,Lee, Sanghun,Choi, Sunmi,Park, Jeonghwan,Kim, Sungchul THE BRITISH MEDICAL ACUPUNCTURE SOCIETY 2015 ACUPUNCTURE IN MEDICINE Vol.33 No.4
<P><B>Objectives</B></P><P>To evaluate the blinding effectiveness of a modified blunt sham press needle on the basis of the ability of subjects to discriminate between real and sham acupuncture needles compared with their discrimination ability based on pure guessing, and to define differences between senses (touch and vision) in the rates of correctly identified needles.</P><P><B>Methods</B></P><P>Sixty-three healthy students and staff members were recruited through convenience sampling. First, real or sham acupuncture was randomly administered to the left LI4 point while subjects could not observe the needle tip. A real or sham needle tip was then shown to the subjects. Finally, a random combination of real or sham acupuncture needles were randomly administered to the left and right LI4 points, this time with the subjects observing the procedure. In all conditions the subjects gave their judgement as Yes or No in response to questions asking them to identify the needle type. The proportion of correct judgements (P(C)) was computed for the last part of the trial in left and right LI4 points, and the rates of correctly identified needles for each trial were obtained.</P><P><B>Results</B></P><P>The subjects’ accuracy of discrimination between the real and sham acupuncture needles in left and right LI4 points was not significantly different from that based on pure guess (P(C)=0.50 (chance level)), which indicates complete inability to discriminate between needles. The rates of correctly identified needles using touch, vision and a combination of both senses were not significantly different (p=0.807).</P><P><B>Conclusions</B></P><P>The findings from this study show that this sham acupuncture device successfully blinded subjects to real and sham press needles, suggesting that it is effective for subject blinding in studies on acupuncture using press needles, and facilitating evaluation of the effects of acupuncture in placebo-controlled trials using a rigorous scientific research methodology.</P>