미국 편모가계의 저축결정 요인에 관한 연구 : 가족생활주기에 따른 비교 A Comparison of Different Life Cycle Stages

차경욱 대한가정학회 2003 Human Ecology Research(HER) Vol.41 No.6

Using the 1998 Survey of Consumer Finances(SCF), this study examined the factors associated with the probability of saving by female-headed households in the U.S, and investigated how these factors differ by life cycle stages. Age of children, age of female householders and their retirement status were used to categorize three life cycle stages: first stage-have at least on child under age 18; second stage-under the age of 62 and have no children under age 18; third stage-over the age of 62 and retired. Logistic regression analysis results indicated that those with higher education and income and who were White were more likely to save. An interactive model showed that life cycle stages were significantly related to saving decisions. Femaleheaded households in the first stage or the third stage were less likely than those in the second stage(reference group) to save. For female-headed households in the first stage and the third stage, the amount of income had significantly positive effects on the decision to save. Also, in the group of households in the first stage, the receipt of welfare assistance increased the probability of saving.

중년후기 여성의 폐경관리와 삶의 질에 영향을 미치는 요인 분석

차경미,남철현,배성욱,서인선,김기열 慶山大學校 保健福祉硏究所 2002 保健福祉硏究 Vol.7 No.-

This study was conducted to identify influencing factors to management of menopause and quality of life and also to develope the developing education program of HRT(hormone replacement therapy) for healthy aging women. The hypothetical model explaining health promoting behavior and quality of life was constructed on the basis of Pender's health promotion model, Nho's quality of life model. The empirical data for testing the hypothetical model consisted of 356 late-middle aged(45~64) women who visited from 5th september to 20th september, 1999, in Pohang city. The reliabilities of instruments were adequate(Cronbach's alpha=0.7941, -0.9098). SPSS PC+ program were utilized for descriptive statistics and covariance structure analysis. The summary of research results was as follows: 1) The influential factors to management of menopause showed: The directed factors were the influences of family(β=.29), economical status(β=-.12), experienced symptoms of menopause(β=.24), multidimensional health locus of control(β=.15), subjective health status of compared with to another person(β=-.18). The indirected factors were the influences of family(β=.04), age(β=.05), experience of HRT's information(β=.02), belonging to occupation(β=-.03), stop of menstruation(β=-.02). 2) The influential factors to quality of life showed: The directed factors were the influences of family(β=.39), self efficiency(β=.15), subjective health status(β=-.31). The indirected factors were the influences of family(β=.37), age(β=-.97), belonging to occupation(β=.01), educational status(β=.21), a monthly income(β=.26). In conclusion, the purpose for "Healthy aging" in late-middle aged women is increasing of the quality of life after menopause. All the health providers have to efforts and harder study for developing health maintenances and health aging in late-middle aged women. Consequently, we need many kinds of public health education programs. And farther more, the developing HRT's educational program is very important in late middle-aged women's healthy aging.

Stent삽입을 이용한 관동맥성형술로 치료한 내장역위가 동반된 우심증의 급성 심근경색증환자 1예

황경화,김태용,김준영,최유정,최홍엽,오재인,임상욱,차동훈 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.9

당뇨병 환자에서 혈장 Thrombin-Antithrombin Ⅲ 및 Plasmin-α_2-Plasmin Inhibitor 복합체의 임상적 의의

김경욱,김은숙,정상수,윤수지,박우일,이준희,남수연,안철우,문병수,김경래,차봉수,송영득,임승길,이현철,허갑범 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.25 No.5

연구배경:당뇨병 환자에서 혈액응고 및 섬유소용해 체계의 이상경향이 있어 그 결과로 여러 혈관합병증의 발생위험이 높다는 사실은 널리 알려져 있다. 그 기전은 아직 확실히 밝혀지지 않았으나, 고혈당으로 인한 혈장 단백질들의 비효소성 당화작용이나 산화성 스트레스로 인한 유리 라티칼 작용으로 응고항진이나 섬유소용해 활성의 저하를 유발하는 것으로 생각되고 있다. 최근 응고 및 용해인자와 그 억제자의 복합체들의 증가가 이 상태를 비교적 예민하게 반영한다고 알려져 있다. 방법:본 연구에서는 당뇨병 환자 101명과 정상 대조군 20명에서 혈장내 thrombin­antithrombin complex(TAT)와 plasmin­α₂­plasmin inhibitor complex(PIC)를 측정하여 비교하고, 당뇨병 환자에서 미세혈관 합병증과 대혈관합병증의 유무에 따른 차이와, 이미 혈관 질환의 위험인자로 알려져 있는 인자들간의 상관성을 알아보고자 하였다. 결과:1. 환자의 분포를 살펴보면 혈관합병증이 있는 군은 85명, 혈관합병증이 없는 군은 16명이었고, 평균연령은 각각 57.9±14.1세, 49.9±16.6세로 혈관 합병증이 있는 군에서 더 나이가 많았고, 체질량지수는 23.2±3.4㎏/㎡, 24.1±3.4㎏/㎡로 두 군간 유의한 차이는 없었다. 또 두 군간의 혈압 및 HbA1c, 공복혈당 및 인슐린과 C­peptide, 총 콜레스테롤, 중성지방, HDL­콜레스테롤, Lp⒜는 유의한 차이가 없었고, 미세혈관합병증이 있는 군에서 당뇨병의 유병기간이 길었다. 2. TAT 및 PIC의 농도는 정상 대조군에서는 2.8±1.2 ng/mL, 240.4±69.7 ng/mL이었고, 당뇨병 환자군에서는 9.5±22.6 ng/mL, 472.2±258.7 ng/mL이었다. TAT와 PIC 모두 당뇨병 환자군에서 정상 대조군에 비해 유의하게 증가되어 있었고(p<0.001), TAT/PIC ratio는 두 군간 차이가 없었다. 3. 당뇨병 환자의 혈관합병증에 따른 TAT 및 PIC, fibrinogen 농도는 합병증이 없는 군은 각각 4.1±2.4ng/mL, 362.2±272.0ng/mL, 322.7±102.4mg/mL으로 PIC와 fibrinogen의 증가를 보였으나, 연령을 보정한 후에는 통계학적 유의성은 없었다. 또 대혈관 합병증군에서는 각각 6.0±4.9 ng/mL, 507.4±321.6 ng/mL, 427.1±194.7 mg/dL이었으며 미세·대혈관 합병증군에서는 10.4±6.4 ng/mL, 484.8±269.7 ng/mL, 388.4±132.4 mg/dL으로 TAT의 증가를 보였으나 역시 연령을 보정한 후에는 통계학적 유의성은 없었다. 4. 미세혈관합병증군에서 HbA1c(>8%)가 높은 군의 PIC 농도가 유의하게 높았고(p=0.049), 대혈관합병증군에서 HbA1c(>8%)가 높은 군의 총 콜레스테롤 농도가 유의하게 높았다(p=0.042). 5. 총 당뇨병 환자군에서 PIC는 fibrinogen과 HbA1c와 양의 상관관계를, BMI와 음의 상관관계를 보였으며(r=0.47, 0.31,-0.25), 혈관 합병증이 없는 당뇨병 환자군에서만 TAT는 HbA1c와 양의 상관관계를 보였다(r=0.67). 결론:이상의 결과에서 혈장 TAT 및 PIC 농도는 당뇨병 환자에서 정상 대조군에 비해 의미있게 증가되어 있었고, 당뇨병 환자군에서는 연령의 증가와 유병기간이 혈액응고항진 및 용해의 장애에 큰 역할을 함을 알 수 있었으며, 총 당뇨병 환자군에 PIC와 HbA1c와 양의 상관관계를, BMI와 음의 상관관계를 보였으며 혈관 합병증이 없는 당뇨병 환자군에서만 TAT는 HbA1c와 양의 상관관계를 보였다. 따라서 당뇨병 환자에서 혈액응고 및 용해의 장애가 동반되어 있다고 볼 수 있으며, 혈장 TAT 및 PIC는 혈관합병증으로의 진행을 예측하는 지표로서 유용하리라 생각된다. 또 혈당조절정도와 상관성이 있으므로 혈당조절후에 추적검사를 시행하여 합병증의 예방이 가능한지 추후 연구가 필요하리라 생각된다. Background : Abnormality of coagulation and fibrinolystic system is known as a predisposing factor of vascular complication in diabetes. Although the pathogenesis is not well known, non-enzymatic glycation reaction and the increase in production of free radicals due to an increased oxidative stress may be linked to the hypercoagulibility and hypofibrinolytic activity. As indices of abnormality in coagulation and firinolysis in peripheral blood, plasma thrombin-antithrombin Ⅲ complex (TAT) and plasmin-α_2-plasmin inhibitor complex (PIC) were measured. The purpose of this study was to clarify whether hypercoagulability exists in diabetic patients with or without vascular complication. Methods : In our study, we measured plasma thrombin-antithrombin Ⅲ compelx (TAT) and plasmin-α_2-plasmin inhibit or complex (PIC) in 101 diabetic subjects and 20 controls. Comparing TAT and PIC levels in diabetic microvascular complication group, diabetic macrovascular complication group and controls, we examined correlation between risk factors associated with diabetic vascular complication. Results : 1. The group with diabetic vascular complication was older than group without complication. There was no significant difference in BMI, blood pressure, HbA_ic, blood sugar level, insulin, C-peptide, serum creatinine, total cholesterol, triglyceride, HDL-cholesterol, Lp (a) between two groups. The group with diabetic microvascular complication had longer duration of diabetes. 2. Concentration of TAT and PIC were 2.8±1.2 ng/ mL, 240.4±69.7 ng/ mL in controls and 9.5±22.6 ng/ mL, 472.2±258.7 ng/ mL in diabetic patients, respectively. TAT and PIC were significantly higher in diabetic patients than in control (p<0.001). But TAT/PIC ratio was no significant difference between two groups. 3. In diabetic patients, concentration of TAT and PIC and fibrinogen were respectively 4.1±2.4 ng/ mL, 362.2±272.0 ng/ mL, 322.7±102.4 mg/ dL in group without vascular complication and 5.3±4.1 ng/ mL, 529.5±258.7 ng/ mL, 374.9±106.2 mg/ dL in group with microvascular complication, which group had increase in PIC and Fibrinogen but no significance after correction of age. Concentration of TAT and PIC and Fibrinogen were 60.±4.9 ng/ mL, 507.4±321.6 ng/ mL, 427.1±194.7 mg/ dL in macrovascular complication, and 10.4±6.7 mg/ mL, 484.8±269.7 ng/ mL, 388.4±132.4 mg/ dL in combined vascular complication which group showed increase of TAT but also had no significant increase after correction of age. 4. In diabetic microvascular complication patients, group of high HbA_1c (>8%) (p=0.049) had significant high PIC concentration. In diabetic macrovascular complication patients, group of high HbA_1c (>8%) (p=0.042) had significant high total cholesterol concentration. 5. In all diabetic patients, PIC was positively correlated with fibrinogen and HbA_1c and negatively correlated BMI (r=0.47, 0.31, -0.25). Only in daibetic patients without angiopathy, TAT was positively correlated with HbA_1c (r=0.67). Conclusion : In this study, plasma TAT and PIC concentration significantly increased in diabetic patients compared with controls, and PIC was increased in group with microvascular complication, TAT were increased in group with combined micro macrovascular complication. However, there was no significance relationship existed when correctinf for age. PIC was correlated with HbA_1c. TAT was correlated with HbA_1c only in the group without angiopathy. Abnormality of coagulation and fibrinolysis were combined in diabetes, plasma TAT and PIC can be used as an index of vascular complication. Also we found the correlation with the degree of the blood glucose control. Therefore we need follow up study for the possibility of prevention of vascular complication after controlling the blood glucose to age-matched patients (J Kor Diaabetes Asso 25:354~363, 2001).

체성분이 폐경 전후 여성의 골밀도에 미치는 여향

배성욱,남철현,신두만,차경미,서인선 慶山大學校 保健福祉硏究所 2002 保健福祉硏究 Vol.7 No.-

Objectives : To evaluate the degree of bone mineral density and prevalence rate of osteoporosis according to age and to search the preventive strategy for osteoporosis, the factors that affect on bone density were studied in Physical Characteristics of pre- and postmenopausal women in korea. Methods : The subjects were 961 premenopausal and 1,167 postmenopausal women who have examined in health promotion center of Yeungnam University Hospital in Daegu city from January, 1999 to January, 2001. The test for bone mineral density, biochemical factors, and body composition were done. Results : 1) The prevalence rates of reduced bone mineral density and osteoporosis in premenopausal women were 23.8% and 1.6%, respectively. However, these values were increased to 46.1% and 28.1% in postmenopausal women. 2) The body weight and height were important predictive factors for bone mineral density. The effects of age, body weight, and height on bone mineral density were 39%. The body weight was correlated statistically significantly with bone mineral density in pre- and postmenopausal women. The higher body mass index (BMI), the greater value of bone mineral density was revealed in pre- and postmenopausal women. 3) The correlation between body composition adjusted for body weight and bone mineral density revealed similar pattern between pre- and postmenopausal women. The height, lean body mass, muscle mass, mineral content, and mineral fraction were positively correlated with bone mineral density, however, body fat mass, percent body fat, waist/hip ratio, and BMI were correlated negatively with bone mineral density. 4) There was no direct correlation between cardiovascular risk factor and bone mineral density in this study, however, further study is needed because cardiovascular disease and osteoporosis have common risk factor and the prevention of osteoporosis can help to prevent cardiovascular disease. 5) In multiple regression analysis among bone mineral density as a dependent variable and independent variables (age, body weight, height, Ca/creatinine ratio, and alkaline phosphatase (ALP)), ALP revealed statistically significant inverse correlation with bone mineral density. Conclusions : These results suggested that to prevent osteoporosis, the systemized program including physical condition for promoting anti-osteoporotic factor have to be developed and apply from the thirties whom have maximal bone mineral density.

齒周靭帶細胞의 生化學的 特異性에 對한 硏究

趙誠旭,車敬石 대한치과교정학회 1992 대한치과교정학회지 Vol.22 No.1

To find out the differences between periodontal ligament cells (PDL cells) and gingival fibroblast cells (GFB cells), alkaline phosphatase, a marker enzyme for osteoblast, was used to measure the activities and 45CaCl₂isotope was used to find out cellular and release of 45Ca, a requisite for bone formation, PDL cells and GFB cells from 1 to 5 passages were also measured in alkaline phosphatase activity assay. By the use of above methods, followings were concluded that the PDL cells and the GFB cells have characteristics that are different from each other. In that PDL cells showed large amount of calcium uptake ad large amount of calcium release in initial stage, they seem to possess characteristics which are similar to osteoblast-like cells. 1. The PDL cells, in contrast to the gingival fibroblast, showed exceedingly high alkaline phosphatase activity which was highest at the second passage, decreasing thereon. But gingival fibroblasts cells showed no distinct differences in alkaline phosphatase activity as the passage were elapsed. 2. For both PDL cells and GF cells, the 45Ca uptake was greatest at 2 hours period. The PDL cells showed higher measuring than GFB cells through out the whole time period. 3. Whereas the GFB cells showed slow increase of 45Ca release as time relapsed, the PDL cells showed rapid increase of 45Ca release.

중등도 심부전증 환자에서 Carvedilol의 치료 효과

차동훈,차영수,국진환,황경화,김형태,임상욱,김태용,조윤경,박필원 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.4

생쥐 위장관의 Interstitial cells of Cajal(ICC)에 대한 면역조직화학적 연구

김영철,차경훈,신무경,임건한,김주영,안병수,김장만,양경철,박도영,오재욱,장인엽 조선대학교 2003 The Medical Journal of Chosun University Vol.28 No.1

Background and Objectives : Interstitial cells of Cajal(ICC) are the pacemakers in gastrointestinal tract that modulates gastrointestinal motiliey and these cells also transmit neural input from enteric nerves to smooth muscles. Recent work on tissues from patients with motility disorders that suggest that loss or defect in ICC could be related to pathophysiology in human and animal models. Immunolabelling of ICC in intestinal wall is recently developed by using specific marker, anti-c-kit antibody. Immunohistochemistry was done for ICC network in attempt to provide a morphological basis for the mechanism regulating gastrointestinal motility Methods : Cryosection was done, and whole-mount preparations of mouse stomach, gastrointestinal tract were immunolabelled using the anti-c-Kit. Immunolabelled ICC networks were observed under a confocal laser scanning microscopy. Results : According to three dimensional reconstruction study, we found that the c-Kit-positive celluar networks were widely distributed in the gastrointestinal muscle (1) circular muscle layer(IC-IM), (2) myenteric plexus(IC-MY), (3) deep muscular plexus(IC-DMP) in ileum, (4) submucosal plexus(IC-SMP) and longitudinal muscle layer(IC-LM) in colon. Conclusion : The characteristic profiles of ICC celluar networks provide a morphological basis upon the mechanism regulating gastrointestinal motility. Additional studies for the enteric nerves-ICC interaction are need to evaluate the detailed roles of Icc in gastrointestinal tract.

디젤엔진의 배기시스템에서 산화 촉매가 극미세입자 발생에 미치는 영향에 관한 실험적 연구

김세준,이해철,차경옥,이진욱 明知大學校 産業技術硏究所 2006 産業技術硏究所論文集 Vol.25 No.-

Recently, the Diesel PM's number concentration emitted by Diesel internal combustion engine has focused on attention because this particle matters are suspected being hazardous of human health. In this study, particle condensations and size distribution were measured in the exhaust system of a turbo charged diesel engine, equipped with a diesel oxidation catalyst(DOC). A scanning mobility particle sizer(SMPS) system was applied to measure the particle number and size concentration of diesel exhaust particles, at the front and rear position of diesel oxidation catalyst(DOC) along the engine speed and load conditions. As the result, the effects of diesel oxidation catalyst(DOC) on the Diesel nano particle number and size distribution will be represented in this study.

주부소비자에게 유용한 제품 및 서비스 조사분석 : An Analysis of Demand by Consumption Categories

문숙재,정순희,차경욱 이화여자대학교 생활환경대학 인간생활환경연구소 2002 인간생활환경연구소 논집 Vol.- No.1

This study examined useful goods and services which aided the married women in the household work. The sample (n=1,000) of this study was composed of both married women who participated in the paid labor force and those who did not. Also, this study identified criteria important to make a purchase for household consumption, and examined the differences of those criteria between married women who were employed in the labor market and those who were not employed. This study made a final list of preferred goods and services which were helpful to women both in market work and in the household work. An open handed question was used to identify what kind of household work need to be shared with society. Finally, this study could provide the private enterprise with the information necessary to develope more helpful goods and services for married women who were burdened with household work.