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RISS 인기검색어
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- 저자 : 이길홍(Kil Hong Rhee) (검색결과 4 건)
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폐암에 의한 폐절제 후 운동부하 폐기능 검사 - 4 주 및 6 개월 추적검사 -
인병현(Byeong Hyun In),문성기(Sung Gi Moon),김현중(Hyun Jung Kim),김형식(Hyeong Sik Kim),이홍(Hong Lee),이길홍(Kil Hong Rhee),이흥범(Heung Bum Lee),이용철(Yong Chul Lee),이양근(Yang Keun Rhee) 대한내과학회 1998 대한내과학회지 Vol.54 No.3
N/A Objectives: At present, the overall incidence of lung cancer is increasing, causing the age-adjusted lung cancer death rate to double every 15 years. Surgical resection of the tumor offers the best prospect of long-term survival in patients with lung cancer. Accurate prediction of postoperative ventilatory function should be helpful in determining in which patients the risk of surgery are acceptable. Exercise pulmonary function test has been widely applied to objective measure of work capacity, and can be extremely helpful for investigating exertional dyspnea. But no attempt is made to assess the contribution of the lung to be resected to performance, and it has been advocated as an additional predictor of postoperative complications. The present investigation was designed to evaluate the factors such as FEV1, FVC, VEmax, Vo2max, anaerobic threshold, heart rate reserve, breathing reserve and the corelation between FEV1 and VO2max at 4 weeks and 6months after resection in patients with lung cancer. Methods : The eighteen of patients with lung cancer who considered surgically resectable underwent progressively incremental exercise test to symptom-limited stage before opera-tion, and also have done at surgical resection after 4 weeks, and 6 momths. Measurements were made of metabolic, cardiorespiratory, blood gases and symptoms during exercise test. Results: 1) There were significant decreases in FEV1, FVC, VC2max, VE max in 4 weeks operation and were more decreased in FEV1, FVC, VE max with significance, but fall in VO2max without significance in 6 month after operation. 2) There was a significant correlation between the decrease of FEV1 and that of VO2max in 6 month after operation. Conclusions This result suggests that change of FEV1 is a relatively useful predictor of change in exercise performance after lung resection in 6 month after operation.
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강신삼,이길홍,이근후,장동산 중앙대학교 의과대학 의과학연구소 1990 中央醫大誌 Vol.15 No.3
In this study, the author has attempted to set up guideline of prevention and early therapeutic intervention of psychiatrically illed female workers by analyzing the effect of psychosocial role conflicts originated from home and occupation on the mental disorders. Among psychiatric inpatients, the employed females were selected as study group, while the unemployed females and employed males were selected as control groups. The author had tried to extract sociopsychiatric variables of female employment. The sampling was performed through the three stage clustered random sampling method and questionnaires were finally applied to a total of 303 psychiatric inpatients including 124 men and 179 women at march, 1988. The major findings were as follows; 1. The employed female patients showed higher rates of working at professional, technical or administrative part, and more frequently having western religion and graduating college. 2. The employed female patients showed higher rates of divorce, and specifically the rates of divorce were higher in person of engage in upper class occupation such as professional or administrative manager. 3. It showed higher rates that the employed female patients showed the compulsive, passive-aggressive or dependent personality traits, and tended to dissatisfy in their sexual life. 4. The employed female patients showed higher life change scores and had many difficulties in their occupational adjustment, but they showed lower rates of doing serious maladaptive behaviors such as working off several jobs or loss of work than employed males patients. 5. The father of the employed female patients showed higher rates of working at non-professional part and having lower educational level. And the employed female patients were more perceived that the economical level of their family was relatively poor. 6. Among the familial psychological variables, the mother's rearing attitude was more closely related with female employment. Particularly, in employed female patients, adultcentered and punish oriented maternal care were prominent. 7. The employed female patients showed relatively lower rates of friction in spouse-parent relations or in spouse-children relations, and lower rates of children's dissatisfaction at home than unemployed female patients. In conclusion, the employed female patients had many psychiatric problems in their home environment, developmental process, and personality development. And they tended to suffer from various psychosocial stressor-s originated from role conflicts in their job and home environment after employment. Therefore, it is necessary that we must concrete the counter-plan for relieving from psychosocial stresses and have psychiatric consideration for unconscious motivation of employment, for promoting mental health of employed female workers.
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