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RISS 인기검색어
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- 저자 : 김혜연(Hye-Yeon Kim) (검색결과 121 건)
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김혜연,윤우준,신민호,권순석,안혜란,최성우,이영훈,조동혁,이정애,Kim, Hye-Yeon,Yun, Woo-Jun,Shin, Min-Ho,Kweon, Sun-Seong,Ahn, Hye-Ran,Choi, Seong-Woo,Lee, Young-Hoon,Cho, Dong-Hyeok,Rhee, Jung-Ae 대한예방의학회 2009 예방의학회지 Vol.42 No.5
Objectives : Knowledge about the management status of diabetic melitus (DM) is essential to improve diabetic management. Moreover, low income is associated with poor adherence to treatment and increased mortality. This study was performed to evaluate the management status of DM in low-income patients in a rural area. Methods : We enrolled 370 patients with type 2 DM living in Gokseong county, JeollaNamdo. A well-trained examiner measured the height, weight, waist circumference, blood pressure, total cholesterol, triglyceride, high density lipoprotein cholesterol, fasting blood sugar and glycosylated hemoglobin (HbA1c) levels. Carotid ultrasonography was used to measure carotid artery carotid artery intima media thickness (IMT) and plaque. anklebrachial index (ABI) was used to evaluate peripheral artery disease. A fundoscopic examination was performed to evaluate diabetic retinopathy. A history of diabetes complications and health-related questionnaires were also completed. Results : The age of diabetic subjects was 68.7$\pm$8.7 years and the duration of diabetes was 8.9$\pm$8.2 years. Most (63.5%) had hypertension, and 45.7% had triglycerides below 150 mg/dl, 38.1% had low density lipoprotein cholesterol (LDL) cholesterol below 100 mg/dl, 48.7% had urine albumin to creatinine ratio (UACR) below 30 mg/g. Less than half (45.9%) achieved the goal of HbA1c less than 7% suggested by the American Diabetes Association (ADA). 10.6% had peripheral vascular disease, 11.9% had retinopathy, and 60.8% had chronic kidney disease. Conclusions : DM management in low income patients is very poor and requires further work to improve.
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요통경험 유무에 따른 초음파 영상에서 측정된 근육크기와 근지구력 시간과의 관계
김혜연(Hye-Yeon Kim),김소연(So-Yeon Kim),이해정(Hae-Jung Lee) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.4
본 연구의 목적은 체간근 즉 외(측)복사근(EO), 복횡근(TrA) 및 요부 다열근의 크기를 체간근 지구력 검사 동안 측정하여 요통 경험 유무에 따라 측정 근육의 두께와 근수축의 패턴을 관찰하여 통증유무와 근 수축 패턴의 연관성을 알아보고자 하였다. 19세에서 29세사이의 50명의 피험자를 대상으로 측정하였다. 연구 참여자는 요통으로 인하여 일상생활이나 직장생활을 하는 데 제약이 없으며 현재 척추 증상이 없는 자를 대상으로 하였다. 자료분석은 요통 경험 유무에 따라 그룹화하여 실시하였다. 근육의 크기는 드로인 검사, 굴곡근 지구력 검사, 사이드-브릿지 검사에서 실시하고, 측정은 휴식기, 수축기, 수축15초에 하였다. 피험자에 대한 일반적인 데이터는 모든 신체 검사 측정 후 수집하였다. 드로인 검사에서 근수축 시, 오른쪽 외(측)복사근 두께가 Group 1에서는 감소하는 반면, Group 2에서는 증가하였으며, 양쪽 복횡근 두께는 그룹에 상관없이 증가함이 관찰되었다. 굴곡근 지구력 검사에서, Group 2에서만 복횡근 두께가 증가되었다. 또한 사이드-브릿지 검사에서는, 오른쪽 복횡근의 두께가 Group 1에서는 수축동안 계속 감소함이, Group 2에서는 수축 시 감소하다가 15초 수축 후에는 층가함이 관찰되었다. 따라서 본 연구 결과는 요통과 연관하여 특정 근육의 기능을 파악하여, 이에 맞춰 구체적인 훈련하는 것이 중요함을 제시할 수 있다. The purpose of the study was to examine the thickness of the trunk muscles ie. external obliques (EO), transversus abdominis (TrA), and multifidus and the trunk endurance strength in order to determine any relationship between the presence or absence of low back pain (LBP) and the size of trunk muscles. Data were obtained from 50 subjects, aged between 19-29 years. Participants had no experience of spinal problems that had resulted in a restriction of normal activity or time-off work and no current spinal symptoms. Measurements of muscle thickness of the trunk muscles were collected at rest, contraction and 15 seconds of post contraction during endurance strength tests. Background information was obtained followed all physical measures. Subjects were divided into two groups based on their experience of LBP. In draw-in maneuver, increasing the thickness of TrA was observed in all participants while EO was decreased at contraction in group 1 and increase in group 2. Only subjects in the group 2 had TrA increased during the flexion endurance test. In the side-bridge endurance test, the thickness of the right TrA was also observed differently between groups. Therefore, the results of the study may suggest that a function of specific muscle should be addressed for training persons with LBP.
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골반 장기 탈출증 환자에서 각 연령별에 따른 수술 후 합병증 비교
김혜연 ( Hye Yeon Kim ),전명재 ( Myung Jae Jeon ),정다정 ( Da Jung Chung ),김세광 ( Sei Kwang Kim ),김재욱 ( Jae Wook Kim ),배상욱 ( Sang Wook Bai ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.11
목적: 본 연구는 골반 장기 탈출증 환자에서 연령이 증가함에 따라 수술 후 퇴원까지의 합병증이 증가하는지에 대해 알아보고자 하였다. 연구 대상 및 방법: 1999년 3월부터 2006년 2월까지 본원 산부인과에서 골반 장기 탈출증으로 수술을 시행 받은 환자 중 기록 분석이 가능한 322명의 환자를 대상으로 하였다. 40대부터 80대까지 각 연령에 따른 환자들의 특성과 재원일수, 신체질량지수, 기왕 수술력, 수술 시간, 수술 방법, 마취 방법, 기저 질환, 수술 전 후의 혈색소 차이와 수술 후 합병증에 대해 후향적으로 조사하여 비교 분석하였다. 결과: 연령별로는 40-49세가 35명 (10.9%), 50-59세 97명 (30.1%)이었고, 60-69세가 123명 (38.2%)으로 가장 많았으며, 70-79세가 64명 (19.9%), 80세 이상은 3명 (0.9%)으로 가장 적었다. 각 연령군 간에는 분만력에서만 유의한 상관관계를 보였으며, 병기, 신체질량지수, 기왕 수술력, 수술 시간, 수술 종류, 마취 종류, 기저 질환, 수술 전후의 혈색소 차이는 통계학적으로 유의한 상관 관계가 없었다. 또한 발열, 빈혈, 수혈 여부, 혈종, 장마비, 장폐색, 상처 감염, 상처 열개, 하부 요료계 감염, 폐렴, 골반 감염, 심부전, 심근 경색, 폐부종, 폐색전 등의 수술 후 합병증 발생에서 각 연령군 간에 유의한 차이를 보이지 않았다. 결론: 골반 장기 탈출증 환자에서 수술 후 합병증의 발생은 환자의 연령과 연관성이 없는 것으로 사료된다. Objective: The purpose of this study was to estimate the effect of age on the risk of in-hospital surgical morbidity in patients with pelvic organ prolapse (POP). Methods: Of the women aged 40 years and older who underwent surgical correction of POP at this institution from March 1999 to February 2006, 322 had medical records that could be analyzed. These patients were grouped according to decade of age and assessed according to a set of characteristics and postsurgical complications. Results: There were 35 patients between 40 to 49 years of age, 97 between 50 to 59 years, 123 between 60 and 69 years, 64 between 70 to 79 years and 3 patients were 80 years or older. There were no differences between age groups regarding the following variables: stage, delivery history, BMI, previous surgical history, underlying medical disease, duration of hospital stay, operation time, type of operation and anesthesia, difference of preoperative and postoperative hemoglobin level. There were differences only for parity. Also, between each age group, no statistical differences were noted in postoperative complications. Conclusion: The risk of in-hospital surgical morbidity in patients with POP was not related to the age of the patients.
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건강가정 교육프로그램 개발에 관한 연구: 최소치 향상 원리의 팀 성과행동 코칭모델의 적용과 평가
김혜연 ( Hye Yeon Kim ) 대한가정학회 2013 Human Ecology Research(HER) Vol.51 No.6
This study aims to develop an educational program for healthy families using Christoph`s team performance coaching (TPC) model and evaluate the program by program participant feedback. The educational program is unique in terms of helping the program participants measure the health level of their families, setting goals for the health improvement of their families based upon minimum family performance and seeking ways to achieve these goals. The educational program was designed as 3-hour-course for the convenience of implementing education and recruiting participants. The overall program was based on the characteristics and principles of coaching. Those with a master`s degree or above and professional coaches were recruited as instructors. The first workshop for the instructors was conducted in 2 sessions, for 12 hours each (Dec 29-30, 2010 and Feb 12-13, 2011) and the second workshop was conducted Mar 25-26, 2011, for 12 hours. During the workshop for the instructors, the final education program was completed based upon the instructors` impression and evaluation. 8 instructors conducted the educational programs in educational institutions and facilities across the nation. The results of the program evaluated by 419 adults of education participants demonstrated the applicability of Christoph`s team performance coaching model to the educational program for healthy family and its effects. If various educational programs with flexible education hours and content according to the needs of subject groups are developed, this educational program can be used as a basic educational program for in-depth education and further service for the improvement of family health.
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활기찬 걷기(brisk walking)의 운동 강도 평가
김혜연(Hye Yeon Kim),조정환(Jung Hwan Cho) 한국체육측정평가학회 2010 한국체육측정평가학회지 Vol.12 No.1
이 연구는 공중보건 차원에서 제시된 중강도 운동 예시로서 활기찬 걷기에 대한 운동 강도 특성을 보행 소요 시간, 보행 수, 보행 속도, 심박 수, %최대 심박 수 관점에서 기술함으로써 운동 중재 프로그램의 개발 및 평가에 필요한 기초적인 자료로 제시하는데 목적이 있다. 여자 대학생들을 대상으로 신체활동 그룹 10명, 비 신체활동 그룹 10명을 편의 표집하여 활기찬 걷기를 스스로가 지각한 속도로 1,000m 구간에서 수행하였다. 비모수적 방법을 적용하여 신체활동습관에 따른 활기찬 걷기의 보행 수 및 운동 강도를 비교하여 다음과 같은 결론을 얻었다. 첫째, 보행 계수기의 신뢰도는 느린 보행 속도에서 낮으며, 안정적인 보행 수 측정을 위해서 사전에 보행계수기 특성에 대한 정보를 충분히 숙지하여야 한다. 둘째, 대상자의 신체활동 습관은 중강도 신체활동으로 지각된 활기찬 걷기 (perceived brisk walking)의 보행 속도, 보행 시간 수준 등 운동 강도의 차이를 유발한다. 셋째, 여자대학생의 1,000m 구간의 활기찬 걷기 보행 소요시간과 보행속도는 최대산소섭취량과 높은 상관관계를 보여 유산소운동능력 지표로서 개발 활용 할 수 있다. 넷째, 중강도 신체활동 제안된 활기찬 걷기의 운동 강도는 비 운동 집단에서는 권장 운동 강도에 미치지 못하여, 대상자 특성을 고려한 새로운 형태의 가이드라인 개발이 필요하다. The purpose of this study was to examine characteristics of perceived brisk walking for female college students measuring steps/sec, walking time, walking velocity, and heart rate. A total of 20 female college students were recruited, who are 10 active individuals (21.60±1.84 yrs, 20.60±2.53 kg/m2) and 10 inactive individuals (20.10±0.32 yrs, 21.86±2.14 kg/m2). All participants were asked to take 1,000m brisk walking with their own perceived walking speed. To measure steps taken, Yamax pedometer (Digiwalker 650) and Yamasa pedometer(MP 100) were employed. The walking velocity was measured by SPI Elite (GPSports). The number of heart rate was measured by Polar (Polar(TM) T31 Transmitter). Descriptive statistics, Pearson Product-moment correlation analysis, and nonparametric inferential analysis were computed using SPSS (SPSS Inc., USA) to investigate the relationships of the perceived brisk walking with the variables employed and to examine the difference of the characteristics between different manufactures of pedometers and active and inactive groups, respectively. The findings of this study were as follows: 1) There was statistical difference between perceived brisk walking steps taken by two pedometers of different companies. 2) The active group walked faster than inactive. 3) Walking speed, heart rate, VO<sub>2max</sub> showed high correlation. 4) The active group perceived the given brisk walking based on their own % heart rate as moderate intensity. However, the inactive group perceived the given of walking speed as a vigorous intensity. 5) The active group reached the physical activity guideline of healthy lifestyle in terms of brisk walking recommended by CDC or ACSM nevertheless, the inactive group did not meet the guideline. For the future studies, the definition of "brisk" should be revised to determine the moderate intensity of physical activity, especially walking activity, for different age groups and various populations. It will help to obtain more accurate effects of physical activity interventions and eventually to lead reaching the physical activity guideline to enhance people`s health.
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