갑상샘암 수술환자의 심리 및 신체적 불편감에 미치는 정보교육 프로그램 효과

이양희,정영,박연주,최길순,정지연 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.2

본 연구는 정보교육 프로그램이 갑상샘암 수술 환자의 심리 및 신체적 불편감 감소에 미치는 효과를 검정하기 위해 실시된 비동등성 대조군 전,후 시차 설계의 유사 실험연구이다. 자료수집 기간은 2006년 6월 17일 부터 9월 19일 까지 3개월간 이었으며, 연구 대상자는 일개 종합병원에 갑상샘암 수술을 받기위해 입원한 환자 가운데 6월 17일 부터 8월 3일 까지 입원환자 29명을 대조군으로 하였고, 8월 5일 부터 9월 19일 까지 입원환자 30명을 실험군으로 하였다. 연구도구는 심리적 불편감을 측정하기 위해 Derogatis 등(14)이 개발한 ‘자기보고식 다차원 증상목록(Multidimensional Symptom Inven- tory)검사를 사용하였고, 신체적 불편감 측정은 McCorkle & Young(16)이 개발한 도구를 사용하였다. 본 연구의 결과는 다음과 같다; 1) 정보교육 프로그램을 받은 실험군은 정보교육 프로그램을 받지 않은 대조군에 비해 심리적 불편감 정도의 차이는 통계적으로 유의한 차이를 보이지 않았다(p= .135). 다만 ‘근심 걱정’요인에서 유의한 불편감 감소효과를 보였다(p= 0.49) . 2) 정보교육 프로그램을 받은 실험군과 정보교육 프로그램을 받지 않은 대조군은 두군 모두 신체적 불편감 정도가 사후 유의한 수준으로 증가함을 보였다(p= 0.90). 결론적으로 본 연구를 위해 만들어진 정보교육 프로그램은 갑상샘암 수술 환자의 신체적 불편감 감소에는 효과적이지 못하였으나 심리적 불편감의 근심걱정 요인을 감소시키는데는 효과가 있음을 알게 되었다. Objectives: This study was designed as a non-equivalent control group pre and post-test quasi-experimental study to examine the effects of education program using information on the psychological and physical discomfort of patients undergoing operation for cancerous thyroid glands. Methods: The study covered for three months from June 17, 2006 to September 19, 2006. The subjects of this study were selected from those patients who were admitted in one of the general hospitals in order to receive the operation for cancerous thyroid glands. They include 29 control group patients who were hospitalized during the period of Jun 17th to August 3rd 2006, and 31 experimental group patients who were hospitalized during the period of August 5th to September 19th, 2006, respectively. The instruments utilized for conducting this study includes the Multidimensional Self-Report Symptom Inventory test originally developed by Derogatis & et al. (1983) for measuring psychological discomfort. And for measuring physical discomfort, the tools developed by McCorkle & Young (1978) was utilized. Results: 1) Hypothesis 1 “The level of psychological discomfort of the experimental group who completed the information education program would be decreased comparing with that of the control group who didn't complete the program” was partly supported (Worry & Anxiety factor: p= .049). 2) Hypothesis 2 “The level of physical discomfort of the experimental group who completed the information education program would be reduced comparing with that of the control group who didn't complete the program” was not supported (p= -.90). Conclusion: The information program provided for this study was proved to be not effective for decrease physical discomfort of the patients undergoing operations for cancerous thyroid glands but proved to be effective for decrease the anxiety factor of psychological discomfort.

電氣爐 製鋼粉塵을 발즈法으로 還元 할때에 爐塊 生成에 관하여

黃龍吉,李相和,金榮熙,李成龍 동아대학교 공과대학 부설 한국자원개발연구소 1993 硏究報告 Vol.17 No.2

The steelmaking dust treatment process has been established through reducing volatilization method in rotary kiln. The more content of zinc in reduced pellets and basicity of pellet is in the range of 1.5~3.0, the more working time needed in rotary kiln, because of decreasing wall accretion. A portion of well forming kiln coating in the furnace is a fourth of the total length from the outlet. Constitutes on the furnace wall accretion composed of the mixtures such as Fe, FeO, Fe₂O₃, Fe₃O₄, ZnO and CaO-SiO₂system, and formation of kiln coating is decreased by adding coke ratio.

혼합형 자가면역성용혈성빈혈과 동반된 Evans 증후군 1례

선길홍,윤찬영,박상곤,박경희,우정주,한경택,김진화,김영훈,정춘해,박치영 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

Evans syndrome is defined as a simultaneous or sequential occurrence of autoimmune hemolytic anemia and autoimmune thrombocytopenia. Autoimmune hemolytic anemia (AIHA) is usually induced by IgG warm autoantibody or cold-active IgM antibodies reacting specifically with antigens associated with a patient's RBC. AIHA is a fairly uncommon disorder, with estimates of the incidence at 1 to 3 cases per 100,000 per year. Mixed-type AIHA is a relatively uncommon form of AIHA, with studies noting the incidence of 7-8% among cases of AIHA. We experienced a patient, 46-year-old woman who was diagnosed having a very rare clinical presentation of mixed warm and cold antibody mediated Evans syndrome. She was treated with corticosteroid therapy only and has been maintaining a complete response for 15 weeks. 저자들은 혼합형의 자가면역성 용혈성 빈혈과 자가면역성 혈소판 감소증이 동시에 발생한 혼합형 Evans 증후군으로 진단하고 스테로이드 요법 후 혈액학적으로 회복된 상태로 15주가 지난 현재 steroid 5 mg/일 까지 감량한 상태에서 추적 관찰 치료중인 46세 여자 환자를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

우리나라 기업의 그린마케팅 전개방안에 관한 연구

전영길,강현희 안성산업대학교 2002 論文集 Vol.33 No.-

A industrial development and the high level of industrial technology since the Industrial Revolution in 18th century result in the improvement of qualities of human's lives, while they bring about the shortage of natural resources and the destruction of environment. Today as qualities of human's lives are improved, a lot of consumers are concerned about the environment of the earth and these thoughts are expanded rapidly. Therefore this study is planed to search the desirable direction which Green Marketing should achieve, through the direct and practical cases of Green Marketing, which becomes the factors of threat and chance to enterprises, in the view of approaching of the environmental problems which let mankind realize the serious crisis. The meaning Green Marketing has as the survival strategy of enterprise is prior to all management strategy. The thing required in the situation like this is that the solution and means which can cope with the environmental pressure effectively should be developed and generalized. And then it should be able to realize the pursuit of the enterprise's profit with the result of environmental improvement. However, the basic solution of this environmental problem isn't solved only in endeavoring of enterprise. As the cooperating of each related subject and the social responsibility are required, Green Marketing is more and more important. As Green Marketing combines with consumers and government as well as enterprise unlike the existing marketing, if it has the strong will of environmental harmony, it can be the driving force enabled the environmental management of enterprise effectively. To enable the induction and development of Green Marketing, the construction of environmental management system and the environmental mind are stretched like a blood vessel to the system of enterprise and are managed synthetically. When this system is realized, the beginning of the environmental difference can be acquired.

Prediction Model of Exercise Behaviors in Patients with Arthritis : by Pender's revised Health Promotion Model

임난영,서길희 대한류마티스 건강전문학회 2001 근관절건강학회지 Vol.8 No.1

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and fuctional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and mood of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affact(depression) and perceived self-efficacy, interpersonal influences (family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fatness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy, BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status, perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39% perceived barriers of action were directly influeced by Past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status, which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention

자연파열된 신혈관근지방종 2례

이길호,선판일,성영훈,최영석,조철희,김철성,장대수 朝鮮大學校 附設 醫學硏究所 1993 The Medical Journal of Chosun University Vol.18 No.1

Renal angiomyolipoma is an uncommon benign tumor of the kidney that consists of smooth muscle, blood vessels and mature adipose tissues. The most common benign renal tumor associated with spontaneous non-traumatic perirenal hemorrhage is angiomyolipoma, because of high vascularity. The ultrasonographic and computed tomographic images are sufficiently characteristic to permit accurate preoperative diagnosis. We report 2 cases of renal angiomyolipoma with spontaneous perirenal hemorrhage which were managed with nephrectomy.

자동차 정비서비스의 고객만족에 관한 연구

김형길,오영희 제주대학교 관광과경영경제연구소 2003 産經論集 Vol.18 No.-

엔드밀을 이용한 곡면모델 NC절삭경로의 가공성능향상에 관한 연구

이상기,맹희영,서창길 서울산업대학교 산업대학원 1999 大學院論文集 Vol.6 No.-

A demand for the machining of aesthetic fuctional sculptured surfaces increased nowerdays owing to the adavnces in CAD/CAM technology. A comparative evaluation of machining performance is analyzed in this study between a conventional machining methodoly unsing ball endmill and a new strategy using flat endmill under the criterion of machining efficiency, and its quantitative results are used to scheme the further recommendable cutter paths for the machining of curved surfaces. A commercial CC-Cartesian method using at ?? 5.2 system is applied as a representative conventional machining methodology, and an another method named Steepest Directed Tree (a SDT mehod) is applied as a new methodology using flat endmill which is machining the curved surfaces along the steepest paths on them. The curved surface models are tested to prototype the practical workpieces, and it is investigated the evaluation criteria quantitatively, such as surface roughness, total length of cutter paths, fillet radius of uncut volume at intersection regions of material, cutting state, and the total machining time.

미세혈관 협심증 환자의 임상상 및 지표에 관한 연구

박상호,온영근,김현정,이태훈,길효욱,김현건,박수진,송해정,한대희,방덕원,신원용,이내희,김성구,권영주 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Background : Microvascular angina or syndrom X is heterogenous and encompasses different pathogenetic entities. Several studies suggest that microvascular angina have good prognosis and occurs predominantly in postmenopausal women. Lipoprotein (a), total cholesterol, LDL-cholesterol, HDL-cholesterol, triglyceride, homocystein, CRP and fibrinogen are the independent risk factor of acute coronary syndrome and are the chief underlying cause of atherosclerosis. We investigated clinical characteristics and markers in patients with microvascular angina. Methods : We studies 23 patients diagnosed with microvascular angina and 16 control group with negative treadmill exercise test and no significant coronary angiogram. We investigated clinical characteristics in patients group and evaluated symptom during a follow-up period of 4.2± 2.5 month. Exercise time in treadmill exercise test was compared between patients and control group. We assessed the level of markers, such as lipoprotein (a), total cholesterol, LDL-cholesterol, HDL-cholesterol, triglyceride, homocystein, CRP and ESR in two groups. Results : There is no difference in age between two groups. Patients group had a tendency to increase in female, hypertension, DM, and smoking history, but there was no statistical significance difference. Exercise duration time was significantly decreased in patients with microvascular angina (p<0,05). Serum lipoprotein (a), total cholesterol, LDL-cholesterol, HDL-cholestrol, Triglyceride, ESR, Fibrinogen and Homocystein value were no significant difference between microvascular angina and control group. Only CRP was significantly high in patients with microvascular angina (p<0.05). Conclusion : There was no statistical significance difference in age, sex, hypertension, DM and smoking history between two groups but patients group had a tendency to increase the prevalence in hypertension, DM and smoking history, female. Also, Symptom improvement and disappearance in follow-up was presented in 11 patients of 19(57.9%). Exercise tolerance was worse in patients group than control group. CRP value was significantly higher in patients group than control group. There was no statistical significance difference in lipoprotein (a), total cholesterol, LDL-cholesterol, HDL-cholesterol, triglyceride, homocystein, ESR and Fibrinogen between two groups.

조기위암의 형태학적인 분류에 따른 임파절 전이 양상

최은서,강길,박정희,장정환,김권천,김경종,민영돈 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Currently, in the limited cases of early gastric cancer (EGC), endoscopic mucosal resection (EMR) is used for curative treatment. However, its completeness is still controversial. The purpose of this study was to review the suggested indications of EMR. We retrospectively analyzed 234 patients with EGC who underwent curative (RO) gastrectomy. The enrolled cases were further classified into mucosal and submucosal types, and mucosal EGC were further classified according to the size, gross type and histologic pattern. 133 patients had mucosal cancers and 101 patients submucosal. The overall incidence of positive lymph node was 14.1% (33/234), the incidence of mucosal cancer was 8. 3% (11/133), which was significantly lower than that of submucosal, 22% (22/101). Of 133 patients with mucosal EGC, 90 were smaller than 2㎝ in size and the incidence of lymph node metastasis was 5.6% (5/90), compared to 43 of larger than 2㎝ with the incidence of 14% (6/43). According to the gross type classification of mucosal cancer, incidence of lymph node metastasis in protruded type (EGC type Ⅰ, Ⅱa, Ⅰ+Ⅱa) was 15.4% (4/26), nat type(EGC type Ⅱb) 2. 9% (1/35), depressed type (EGC type Ⅱc, Ⅲ) 8.3% (6/72). Lymph node metastasis in differentiated type of mucosal cancer was 6.9% (5/72) and undifferentiatcd type 9.8% (6/61). In this study, there was no single indication free from lymph node metastasis, It is thought that the selection of EMR for the curative treatment of EGC should be considered carefully and more clinical studies with long-term follow up are necessary for EMR to be generally acceptable.