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      • KCI등재

        제2형 당뇨병환자에서 유산소 운동 강도에 따른 인슐린저항성의 변화

        구윤희 ( Yun Hyi Ku ),구보경 ( Bo Kyung Koo ),안희정 ( Hee Jung Ahn ),정지연 ( Ji Yun Jeong ),석희금 ( Hee Geum Seok ),김호철 ( Ho Chul Kim ),한경아 ( Kyung Ah Han ),민경완 ( Kyung Wan Min ) 대한당뇨병학회 2009 Diabetes and Metabolism Journal Vol.33 No.5

        연구배경: 운동은 주로 동맥경화증 및 인슐린저항성으로부터 보호하는 작용을 통해 사망률을 감소시키는 데에 도움이 되는 것으로 알려져 있다. 이번 연구에서는 제2형 당뇨병환자에서 어떤 강도의 운동이 염증을 완화하고, 내피 세포 기능을 개선시키며 인슐린저항성을 호전시키는 데에 더욱 도움이 되는지 알아보고자 하였다. 방법: 총 59명의 비만한 여성 2형 당뇨병환자가 대조군(CG, N=18), 중강도 운동군(MEG, N=17), 고강도 운동군(VEG, N=14)으로 randomly 배정되어, 가속계로 모니터하며 12주간 운동 요법을 시행하였다. 연구시작시점, 12주 운동 종료 시점, 연구시작으로부터 1년 시점에 체중, 전산화 단층 촬영을 이용하여 복부지방, 피하지방, 내장지방을 측정하였으며, 혈장 hs-CRP, IL-6, 인슐린감수성을 측정하였다. 결과: 평균 연령은 54±7세, 체질량지수는 26.9±2.5 kg/m2이었다. 운동 요법 동안 두 운동군은 운동 칼로리로 각각 488.6±111.9 kcal/day, 518.8±104.1 kcal/day를 사용하였다. 체질량지수, 복부지방, 피하지방은 두 운동군에서(ΔBMI: -1.1±0.7, -0.8±0.5, ΔTF: -4,647±3,613 mm2, -2,577±2,872 mm2, ΔSF: -2,057±2,021 mm2, -1,141±1,825 mm2, respectively) 대조군에 비해 유의하게 감소하였으나(P<0.01), hs-CRP, IL-6 및 FMD는 변화 없었다. 인슐린감수성은 고강도 운동군에서만 감소하였으며, 내장지방은 중강도 운동군에서만 감소하였다. 1년 추적관찰 결과, 이러한 차이는 모두 소실되는 경향을 보였다. 결론: 제2형 당뇨병환자에서 체중 및 체지방 감소를 동반한 고강도 운동은 3개월간의 intervention을 통해 전신 염증수치나 내피 세포 기능의 변화 없이 인슐린감수성 개선 효과를 나타냈다. Background: Exercise offers protection against atherosclerosis and insulin resistance. We evaluated the benefits of exercise at different levels of intensity for ameliorating inflammation, endothelial dysfunction, and insulin resistance in a sample of type 2 diabetic subjects. Methods: Fifty-nine overweight women with type 2 diabetes were randomly assigned to control (CG, N=18), moderate-intensity exercise (MEG, N=17), and vigorous-intensity exercise (VEG, N=14) groups. Patients in the two experimental groups completed a 12-week exercise program, with their exercise activities monitored by accelerometers. We assessed the patients` body weights, total abdominal fat (TF), subcutaneous fat (SF) and visceral fat (VF) via computed tomography, measurements of plasma levels of hs-C-reactive protein (hs-CRP) and interleukin-6 (IL-6), assessment of endothelial function by brachial artery flow-mediated dilation (FMD), and evaluation of insulin sensitivity by insulin tolerance tests, at baseline, at the end of the 12-week interventions, and one year after initiation of the study. Results: At baseline, the average age of all subjects was 54±7 years, and average body mass index (BMI) was 26.9±2.5 kg/m2. During the intervention, patients in the MEG and VEG groups expended comparable amounts of activity-related calories (488.6±111.9 kcal/day, 518.8±104.1 kcal/day, respectively). Although BMI, TF, and SF decreased similarly in the MEG and VEG groups (ΔBMI: -1.1±0.7, -0.8±0.5, ΔTF: -4,647±3,613 mm2, -2,577±2,872 mm2, ΔSF: -2,057±2,021 mm2, -1,141±1,825 mm2, respectively), compared to control (P<0.01), hs-CRP, IL-6, and FMD remained constant in both exercise groups even after completion of the 12-week exercise intervention. Insulin sensitivity improved only in patients subjected to vigorous exercise (VEG). Visceral fat loss was observed only in patients subjected to moderate exercise (MEG). At one-year follow up, these values had all returned to baseline. Conclusion: Exercise vigorous enough to result in significant weight and fat reduction did not ameliorate inflammation and endothelial dysfunction as measured at the end of a 12-week exercise intervention, nor did it result in sustained improvements in insulin sensitivity in type 2 diabetic subjects. (Korean Diabetes J 33:401-411, 2009)

      • KCI등재

        지역관광개발에 있어 내발적 발전의 구성요소분석

        송금희(Song Geum-hee),남윤희(Nam Yun-hee) 한국호텔관광학회 2016 호텔관광연구 Vol.18 No.2

        This study was designed to examine the importance of endogenous local development theory from successful case analysis and to draw the needed components for local tourism development. In order to achieve the purposes of this study, Interviews and site investigation were conducted in KAGAWA PREFECTURE, NAOSHIMA. This study was implemented two main processes. First, the constitutional elements of local development were found three factors through literature review of endogenous local development theory. Second, through interviews and research in the NAOSHIMA, the three elements have been verified as important factors in the Endogenous Development As a result, the first element is use of endogenous resources. This is based upon the unique characteristics of the local’s technology, industry and culture. Also, the local residents should become main participants to the plan and management of development. The second element is sustainability through environmental conservation. The last is support system. This is to provide diverse system as policy or administration for the local residents and it helps them involve local development. Implication for future research has been discussed.

      • KCI등재
      • KCI등재

        Incorporating Grapefruit Seed Extract into Gelidium corneum

        Geum-Ok Lim,Yun-Hee Hong,Kyung Bin Song 한국식품영양과학회 2008 Preventive Nutrition and Food Science Vol.13 No.4

        The Gelidium corneum (GC)-whey protein isolate (WPI) blend film containing grapefruit seed extract (GSE) was prepared by incorporating different amounts (0, 0.02, 0.04, 0.08, 0.1%) of GSE into the film. The film’s tensile strength (TS) and water vapor permeability (WVP) were improved by the addition of GSE. The film containing 0.1% GSE had a TS of 3.27 ㎫, whereas the control had 2.64 ㎫. WVP of the film was also significantly decreased by the addition of GSE. Addition of 0.1% GSE decreased the populations of Escherichia coli O157:H7, Listeria monocytogenes, and Salmonella Typhimurium by 1.0, 1.6, and 0.6 log CFU/g, respectively, compared to the control. Fish paste was packed with the GC-WPI blend film containing GSE, and microbial change in the fish paste inoculated with E. coli O157:H7, L. monocytogenes, and S. Typhimurium during storage was examined. Populations of E. coli O157:H7, L. monocytogenes, and S. Typhimurium were decreased by 0.60, 0.48, and 0.85 log CFU/g, after 7 day of storage, respectively. These results suggest packaging fish paste in the GC-WPI blend film containing GSE can extend the shelf life.

      • KCI등재

        Army Soldiers’ Knowledge of, Attitude Towards, and Preventive Behavior Towards Tuberculosis in Korea

        Yun Choi,Geum Hee Jeong 질병관리본부 2018 Osong Public Health and Research Persptectives Vol.9 No.5

        Objectives The aim of this study was to gather information about Korean Army soldiers’ attitude towards tuberculosis to enable the development of an informed educational program and potential intervention plans. Methods There were 500 male soldiers serving in the Korean Army who responded to questionnaires regarding knowledge of, attitudes towards, and preventive behavior towards tuberculosis. The questionnaires were collected between September 10 until October 1, 2014. Participants’ characteristic that influenced differences in knowledge, attitudes, and preventive behavior towards tuberculosis were compared by t test. Variables that influenced preventive behavior were identified by multiple regression analysis. Results The mean scores assessing knowledge of, attitude, and preventive behavior towards tuberculosis were 11.64 (± 4.03) out of 20 points, 3.21 (± 0.38) out of 4 points, and 2.88 (± 0.42) out of 4 points, respectively. Non-smokers were more knowledgeable about tuberculosis than smokers. Participants who had family or friends with tuberculosis had better knowledge and a more productive attitude to tuberculosis. Participants who were educated or obtained information about tuberculosis, received better scores in all areas of knowledge, attitude and preventive behavior compared to other participants. Non-smoking, family or friends who have had tuberculosis, obtaining information about tuberculosis, and positive attitudes towards treatment and preventive education had an explanatory power of 24.6% with regard to preventive behavior against tuberculosis. Conclusion More relatable, systemized education should be provided regularly to improve soldiers’ knowledge of, attitudes towards, and prevention against tuberculosis in the Republic of Korea Army.

      • GO-23 : Chemosensitivity testing based on gene expression profiling in patients with ovarian cancer

        ( Geum Seon Sohn ),( Hyeong Ju Kim ),( Ji Yun Lee ),( Jinkyoung Kong ),( Ji Hee Choi ),( Hanbyoul Cho ),( Eun Ji Nam ),( Sang Wun Kim ),( Sunghoon Kim ),( Jae Hoon Kim ),( Young Tae Kim ),( Doo Byung 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-

        목적: To evaluate the association between clinical response of treatment agents and results of chemosensitivity testing in ovarian cancer. 방법: Tissue was obtained from 21 ovarian cancer patients and gene expression was evaluated by quantitative real-time polymerase chain reaction (PCR). Selected gene panel with expression of specific genes in the pathways that are related to drug responses in ovarian cancer were analyzed( AKT, Aurora A, BCRP, CD31, ERCC1, GSTpi, HER2, MDR1, Mitosin, PI3 Kinase, RRM1, Survivin, TOP1, TOP2A, TS, VEGF, VEGFR2, XIAP, P73). Gene expression were matched with therapeutic agent including Platinum, Taxanes, Bevacizumab, Gemcitabine, Topoisomerase I Inhibitors, Topoisomerase II Inhibitors, Cyclophosphamide, Herceptin, and 5-fluorouracil for chemosensitivity. 결과: Chemosensitivity testing revealed sensitivity rate of 66%, 81%, 96%, 56% and 61% for Platinum, Taxanes, Topoisomerase I Inhibitors, Topoisomerase II Inhibitors, and Bevacizumab, respectively. Treatment response rate was 70% (Complete Response: 40%, Partial Response: 30%). Treatment response was not significantly increased in the platinum sensitive patients (p=0.613), and overall response rate did not significantly differ according to the chemosensitivity test. 결론: This study may provide useful information in optimizing individual chemotherapy in the treatment of ovarian cancer.

      • KCI등재후보

        온라인 치과 롤플레이 영상 및 치과 ASMR 영상의 이용 현황과 효과 분석

        Geum-Han-A-Reum Lee,Geun-Hyo Kim,Su-Min Kim,Eun-Ji Lee,So-Hyeon Ji,Yun-Hee Choi,Sun-Jung Shi 대한치과의료관리학회 2022 대한치과의료관리학회지 Vol.10 No.1

        This study aimed to compare the perception of dental role-play or dental ASMR videos between the general public and dental personnel, to determine whether they are suitable for mass media or educational media, and to identify guidelines for video production. The survey consent form was agreed on using SNS for the general public and dental personnel, 236 ordinary people and 232 dental officers who said that they watched dental ASMR videos were analyzed. The questionnaire consisted of 27 questions for the general public and 31 for dental personnel. Data were analyzed using the chi-square test and the Independent T-test using SPSS 25.0 ver. The viewing experience of ‘dental ASMR videos’ was significantly higher among dentists (84.7%) than among the general population (71.5%) (p<0.001). Overall, 53.8% of the general public were interested in watching dental ASMR videos, and 47.8% of dental personnel acquired clinical information from them.. Overall, 64.8% of the general public and 65.5% of the dental workforce felt that such technical videos should be produced under the guidance of experts in the field to provide accurate technical information. It is necessary to avoid indiscriminate video production with inaccurate information produced by non-experts and to continuously monitor dental ASMR videos dental institutions for better quality of the videos.

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