제통단이 퇴행성 슬관절염 환자의 삶의 질에 미치는 영향

서병관,류성룡,강중원,우현수,이상훈,이재동,최도영,김건식,이두익,이윤호 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objectives : to evaluate the effects of Jetongdan, the newly developed herbal medicine, on the quality of life in patients with osteoarthritis of knee Methods : Placebo-controlled, randomized clinical trial on the 80 patients with osteoarthritis of the knee was fulfilled. After enrollment, they took medication as they enrolled. And they were asked to answer the questionnaires (Korean Health Assessment Questionnaire (KHAQ), Lequesne's functional index (LF1), visual analogue scale (VAS)) and analysed with the erythrocyte sedimentation rate (ESR) at baseline, after 4 weeks and 8 weeks of medication. Results : Total KHAQ score, some categories of KHAQ like hygiene, activities were significantly improved after 8 weeks of medication. And the change of the KHAQ score was significantly correlated with the change of VAS. But LFI, VAS, ESR level was not significantly improved, and it was considered because of the short medication period and small size of study population. Conclusion : In conclusion, Jetongdan could improve the health-related quality of life in patients with osteoarthritis of knee. Further study in the large population, in long period were recommended.

내용 지식과 쓰기 성취의 관계에 대한 연구

서수현,이병승 한국초등국어교육학회 2009 한국초등국어교육 Vol.39 No.-

이 연구의 목적은 주제에 대한 내용 지식과 쓰기 성취의 관련성을 살펴보는 것에 있다. 이에 답하기 위해 이 연구에서는 우선 관련 선행 연구를 검토하는 과정을 통해 주제에 대한 내용 지식은 쓰기 성취에 영향을 미친다는 것을 확인하였다. 또한 쓰기에서 학생들은 자신의 선행 지식과 화제의 영향을 받는다는 것도 확인하였다. 이러한 문제 의식을 바탕으로 이 연구에서는 일반적인 주제에 대한 쓰기 성취와 특정한 내용 지식이 요구되는 쓰기 지식 간의 관계, 내용 지식의 수준과 쓰기 성취 간의 관계, 그리고 성별과 쓰기 성취도의 상호 작용 양상을 살펴 보았다. 연구 결과 일반적인 주제에 대한 쓰기 성취와 특정한 내용 지식이 요구되는 주제에 대한 쓰기 성취는 통계적으로 유의미한 관계가 없었으나, 주제에 대한 내용 지식이 많은 집단과 적은 집단 사이에 쓰기 성취에 있어서는 통계적으로 유의미한 차이가 있었다. 또한 축구에 관한 쓰기 성취별 집단과 성별 사이에 상호 작용이 나타나는가를 분석한 결과 상호작용은 없는 것으로 나타났다. 이러한 연구 결과는 학생들의 쓰기 성취도를 평가하기 위한 쓰기 과제는 특정 영역의 주제를 선정하는 것을 피해야 함을 의미한다. 글쓰기에 있어서 주제 변인이 클 경우 학생들의 쓰기 전략을 온전히 평가할 수 없게 되는 결과를 초래하기 때문이다. 또한 학생들에게 글쓰기를 위한 내용 지식을 제공할 때에는 지식과 기능의 구조를 공유하고 있는 절차에 집중하는 접근을 하는 것이 바람직할 것이다. This study focused on the relations between content knowledge and writing achievement. According to the study result, there were no statistical relations between writing achievement of general and specific subjects. However, there were statistical differences of writing achievement by a group with more subject knowledge and group with less knowledge. The result also shows no other interrelations of writing ability and gender: in general, female students showed higher level of writing ability than male counterparts, while any gender with more knowledge about soccer showed higher level of writing ability on the subject. In other words, the level of knowledge about soccer is the biggest factor that affects the writing achievement regardless of gender when it comes to writing on the subject of soccer. The study clearly proves that the level of knowledge about a subject will mostly affect the achievement of writing on any subject that requires knowledge in certain areas. Any large subject variable factors can be turned into some difficulties when assessing the writing skills of students. However, when it comes to writing, the content knowledge is not separated from writing strategy. While content knowledge is highly related with writing achievement, such content knowledge cannot be learned through reading activity only. content knowledge is impossible to be acquired without concentrated learning process. Therefore, while providing content knowledge to students, it is better to focus on process that offers both knowledge and functions.

忠南大 學生들의 價値觀에 關한 硏究

徐昌源,南竝鉉 충남대학교 학생생활연구소 1985 學生生活硏究 Vol.13 No.-

사찰 개심사(開心寺)의 함축적인 배치 계획에 관한 연구

서병진,이일형,양상현 순천향대학교 부설 산업기술연구소 2008 순천향 산업기술연구소논문집 Vol.14 No.1

The site planning of traditional Korean Buddhist temple is interpreted as same type usually, It has a religional symbol and dignity by court rank. But Buddhist temple has various types occasionally according to the condition, It is related with the site location, the condition of the area and the types of Buddhist temple which was formed in times. The large scale Buddhist temple has been composed with the arrangement which follows in court rank. It has a architectural hierarchy by court rank. The Gaesimsa is a Buddhist temple which is representative in Chungchong-Namdo, Korea. But it has a difficulty because its site is narrow. The court rank of Gaesimsa was transformed according to the condition of site. The court rank of Gaesimsa is implicative as a result. The Gaesimsa is a small Buddhist temple, but it has the architectural iinportance. Because it has religional symbol and architectural court rank which was composed with spatial layout.

병리검사 처방오류 개선 시스템 구축

이현임,최영진,구숙희,양승주,김병로,김묘정,신일근,신미옥,서임선 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

문제: 조직병리검사의 처방이 복잡하고 전문화됨에 따라 오류처방이 빈번하게 발생되고 이를 해결하기위한 프로세스가 복잡하여 부서간의 갈등과 업무의 가중, 또한 병원 수입 감소가 초래되었다. 목적: 발생된 오류처방의 유형과 발생율, 오류처방을 해결하기 위한 프로세스를 파악하여 이에 대한 문제점을 개선하여 업무의 효율성과 관련부서간의 부가업무 감소와 갈등해소, 더불어 병원수익을 향상시키는 것에 목표를 두고 활동하였다. 의료기관: 서울시에 소재한 종합병원 질 향상 활동: 조직병리검사 처방의 오류처방 발생 원인과 유형, 발생율을 조사하여 원인을 파악하고 개선을 위한 프로세스를 구축하여 질 향상을 도모하였다. 개선효과: 수술실에서 의뢰한 외과 입원환자의 일반조직병리검사 오류율은 개선 전 7.8%에서 개선 후 3.5%, 동결절편조직검사 오류율은 개선 전 28.6%에서 개선 후 0%로 이전보다 모두 개선되었다. 또한 수술실 간호사의 업무 만족도는 일반조직병리검사의 처방시 95%, 동결절편조직검사 처방시 90%로 높은 만족도를 보였다. 단 병리과의 경우 업무가 증가됨에 따라 초과근무시간이 증가하였다.

서울市內一部 動物病院에서 臨床診療된 愛玩犬의 病類別 分布에 對한 醫學統計學的 考察

徐政煜,李元暢,鄭柄鉉,尹和重 건국대학교 동물자원연구센터 1999 動物資源硏究誌 Vol.20 No.-

우리 나라의 소동물 수의임상분야(獸醫臨床分野)에서 주류를 이루고 있는 애완견의 병류별 질병분포를 파약하여 수의임상반야의 기초자료로 제시하고자 시도하고 서울시내 중견 동물병원 5곳을 무작위선택방법에 의하여 선정하여 1993년도부터 1995년도 말까지 3개년간의 임상의료철을 수집, 의학통계학적 방법을 이용 분석 및 관찰한바 몇 자기 결과를 얻어 다음과 같이 적요 한다. 진료과별 진료건수의 분포를 보면, 전체진료건수 8,360건 중에서 내과질환이 53.6%를 점유하고, 외과질환은 13.01%, 비뇨생식기질환1.96%, 피부과질환 15.47%, 안과질환 2.68% 그리고 이(耳)과질환 13.28% 등으로 관찰되었다. 조사 관찰된 내과질환은 총 19종의 질병과 4,481건의 진료건수가 있었으며, 이중에서 위발증(胃發症)이 가장 많아 21.38%를 점유하고 있었고, 외과질환은 성형외과와 정형외과 질환을 포함하여 역시 총 19종의 질병과 1,088건의 진료건수가 있었는데, 이중에서 외상(外傷)이 가장 많아 19.21%, 비뇨 생식기질환은 6종류의 질병과 164건의 진료건수가 있었으며, 그 중에서 비뇨기 감염증이 가장 많아 37.0%를, 피부질환은 5종의 질병에 1,293건의 진료가 있었고, 이중에서 체외기생충의 감염이 37.74% 그리고 안이과(眼耳科)질환은 7종에 1,332건으로 외이염(外耳炎)이 가장 많아 59.49%를 점유하고 있었다. 애완견에서 빈발하는 10대 질환의 분포를 관찰하바, 위염 (11.46%), 위장염(10.28%), 외이염(9.74%), 기관기관지염(8.49%), 대장염(6.41%), 체외기생충증(5.84%), 체내기생충증(4.35%), 이내(耳內) 진드기(3.8%), 피부진균증(3.53%) 및 피지누증 (3.12%) 등의 순으로 관찰되었다. 끝으로 애완견의 전염병으로는 distemper가 44.8%, parvoviral infection 39.37%, coronaviral infection 15.83% 그리고 본조사기간중 서울시내에서의 rabies 발생건수는 전혀 없었다. The purpose of this study was to a retrospective and medical statistical observation on the clinical cases of pet-dogs by veterinary hospital in Seoul City, during the period from 1993 to 1995, which important not only in veterinary clinic but also pet animal health information system development for veterinary practitioner of Korea. The results were summarized as follows: In the clinical cases determined by the international classification of diseases, during the period of three years, 8,358 cases of morbidity of pet-dogs were shown by five veterinary hospital for small animals. Among them, the disease of internal medicine, including medicine, including digestive, respiratory, circulatory, metabolic and parasitosis were 53.6% of total cases, the surgical disease, including orthopedic and plastic surgery were 13.01%, the disease of urogenital was 1.96%, the disease of dermatology was 15.47%, the disease of ophthalmic was 2.68% and the disease of otiatric was 13.28%, respectively. The gastric crisis of 21.38% among 4,481 cases of 19 kinds on the disease of internal medicine showed the highest morbidity. The trauma of 19.21% among 1,088 cases of 19 kinds in the surgery, including orthopedic and plastic surgery, the case of urogenic infection of 37.0% among 164 cases of 6 kinds in the urogenital organe, the ectoparasitosis of 37.24% among 1,293 cases of 5 kinds in the disease of dermatology, the otitis externa of 59.49% among 1,332 cases of 7 kinds n the opthalmatic and otiatric diseases showed the highest morbidity in each part of veterinary clinics. Observation on the morbidity of the main disease of pet-dogs were gastritis (11.46%), gastroenteritis (10.28%), ectoparasitosis (9.64%) including ear-mite, otitis externa (9.47%), trachobronchitis (8.49%), enterocolitis (6.41%), endoparasitosis (4.35%), dermatophytosis (3.53%) and seborrhea (3.12%), respectively. Finally, distributive observation on the incidence case of the main infections disease in pet-dogs which that distemper, parvoviral infection and coronaviral infection were 44.80%, 39.37% and 15.83, respectively.

유지 투석중인 만성 신부전환자에서 허혈성 심질환의진단 지표로서의 심장트로닌-I의 유용성

신병철,강대웅,정지용,류봉관,서영욱,김정인,김범윤,김현리,정종훈 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Background : Coronary disease is highly prevalent in patient with end stage renal disease (ESRD) and account for much of their observed morbidity and mortality. Troponin-I consistently maintains a high sensitivity and specificity and is most sensitive marker for ischemic heart disease (IHD). Method : We examed 49 hernodialyzed patients (22 male, 27 female) without evidence of acute coronary syndrome (ACS) for 6 months. Biochemical markers were measured in serial predialysis blood samples. For analysis, we used two cardio-specific assays for troponin-T (cTnT) as well as for troponin-I (cTnI) and compared the results with CK-MB (reference value ≤ 4.0 ng/mL) concentration. Results : Myocardial ischemia was observed in 47% (23/49) of patients. cTnT level above 0.1 ng/mL. and cTnI level above 0.5 ng/mL, were observed in 22% (11/49) and 20% (10/49) of patients respectively. cTnI revealed significantly higher positive rate in patients with myocardial ischemia than the patients without myocardial ischemia (43 % vs 30%) (p<0.05). cTnT and CK-MB revealed no difference in positive rate between the patients with and without myocardial ischemia (cTnT : 30% vs 15% and CK-MB : 30% vs 19%). The sensitivity and specificity of cTnI to myocardial ischemia were higher than those of cTnT and CK-MB (sensitivity 43% vs 30% and 30%. specificity 100% vs 85% and 81%). Conclusion: Both cTnT and cTnI are useful in ruling out myocardial injury in chronic renal failure patients. But. cTnI is a more sensitivity and excellent specificity of ischemic heart disease than cTnT and CK-MB in hemodialyzed patients. In patients with ischemic heart disease, the presences of DM and advanced age were higher than those in patients without ischemic heart disease (p<0.05). Among the baseline characteristics old age, elevated LDH and diabeties were significant more frequent in the patients with elevation of cardiac troponin-I (p>0.5 ng/mL) than those with cardiac troponin-I (p<0.5 ng/mL), p=0.038, p=0.049, and p=0.045, respectively. Our results suggest that these cTnI is the potential diagnostic marker for the prediction of IHD in ESRD patients.

O_3/활성탄에 의한 고도정수처리에 미치는 기존처리공정의 영향에 관한 연구

김현정,서규태,문병현,이택순 7개 국립대학교 환경연구 논문집 공동발행 위원회 2001 환경연구논문집 Vol.1 No.1

The effect of conventional process, such as coagulation, sedimentation and rapid sand filtration, on O_3/GAC was evaluated for stable operation of the advanced treatment process. Five years long term water quality data was analyzed for a water treatment plant adopting O_3/GAC. Treatment efficiency of unit process in the plant was also monitored for 7 months(from 2000. 11 to 2001. 5) to investigate the pre-treatment effect on the operation of the process. Despite significant seasonal variation of raw water quality, treated water of the plant was good enough to meet drinking water quality standard. However effluent turbidity (1NTU) of sand filter was relatively high compared to the guideline that turbidity of filtered water should be lower than 0.3NTU for the effluent turbidity, 2NTU, of sedimentation tank. It was observed that effluent organic compound of sand filter gave an adverse effect on the running time of GAC filter. This phenomenon could be deduced from the correlation of the effluent water quality of sand filter and GAC in terms of TOC and UV-254. Therefore more sophisticated operation, such as adopting enhanced coagulation, should be given to the conventional process for stable and extended operation of GAC filter to produce safer drinking water even at deteriorated raw water quality.

싸이클론의 건식 공정으로 생산된 재생 잔골재를 사용한 콘크리트의 중성화 저항성 및 건조수축에 관한 실험적 연구

김병윤,이세현,서치호 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1(구조계)

The purpose of this study was to provide durability data of concrete using recycled fined aggregate which was produced through a dry production with cyclone for making it sure whether it can be put to practical use for concrete. In the experiment. recycled fine aggregate was substitute for natural fine aggregate the rate of 0, 25, 50, 75 and 100% each. The results of the study were as follows; 1. The depth of neutralization was become deeper according to the increase of substitutive ratio of recycled fine aggregate. 2. The performance of length alternation was fallen gradually according to the increase of substitutive ratio of recycled fine aggregate. But, it showed the similar durability with concrete using natural fine aggregate fewer than 25% substitution ratio. Based on the above results, it is concluded that the recycled fine aggregate through the wet production process can be used as fine aggregate on condition that the substitution ration is under 25%.

일개 대학병원에 내원한 장애자의 실태

김병성,장인서,최현림,원장원 경희대학교 2001 慶熙醫學 Vol.17 No.1