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      • SCOPUSKCI등재

        Intracavitary Irradiation of Locally Advanced Recurrent Adenocarcinoma of Rectum Along the Fistula Tract

        김경애(Kyeong Ae Kim),김성규(Sung Kyu Kim),신세원(Sei One Shin),김명세(Myung Se Kim),송선교(Sun Kyuo Song),심민철(Min Chul Shim),권굉보(Koing Bo Kwun) 대한방사선종양학회 1988 Radiation Oncology Journal Vol.6 No.2

        방사선 치료는 악성 종양의 치료에서 국소 치료의 효과를 높이기 위한 수술 전후의 보조치료로서, 혹은 수술 불가능한 암, 잔여암, 또는 재발암의 치료로서 널리 사용되어 왔으며 외부 방사선 치료, 동위원소를 사용한 자입치료 등에 의한 장기간의 국소 치료효과 및 증상의 호전에 대한 보고는 많다. 그러나 수술전후의 방사선 요법과 수술을 병행한 직장암 환자에서의 치료후의 재발은 외과적 치룍 대부분에서 불가능하여 외부 방사선 요법, 화학요법 등이 증상완화의 목적으로 사용되어 왔으나 강내조사의 보고는 거의 없다. 영남대학교 치료방사선과에서는 수술전 검사에서 수술 불가능으로 판명되어 수술전 방사선 치료를 받은 후 개복하였으나 절제가 불가능하였던 환자에서 발생한 누도(fistula tract)를 따라 재발된 직장암 환자에서 강내 치료를 실시하여 매우 빠른 증세의 호전을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Radiation therapy has been used as adjuvant therapy or primary treatment for inoperable, remnant or recurrent cancer. Many authors reported good palliation effect by external irradiation or interstitial therapy, but the report of intracavitary irradiation for recurrent, inoperable rectal cancer is very rare. We experienced a case of recurrent adenocarcinoma of rectum along fistula tract after laparotomy and postoperative radiotherapy who achieved very good palliation by intracavitary irradiation. Even though we have only good palliation without impressive survival improvement in this case, we hope that this technique may achieve good local control in other similar patients.

      • KCI등재

        요양보호사의 치매관련 지식 및 태도에 관한 연구

        김경애(Kyeong Ae Kim),김경아(Kyoung Ah Kim),성미라(Mi Ra Sung) 한국케어매니지먼트학회 2011 한국케어매니지먼트연구 Vol.6 No.-

        본 연구의 목적은 치매전문교육을 받은 치매관련시설 종사자 중 요양보호사의 치매 지식과 태도의 관계 및 태도에 미치는 영향요인을 확인하고자 함이다. 연구대상자는 서울시에 위치한 치매시설 종사자 중 서울특별시치매센터에서 치매교육을 받은 요양보호사를 대상으로 하였다. 자료 분석은 수료자 71명 중 설문에 응답한 47명을 대상으로 하였다. 각 연구대상자는 노화 및 치매와 관련된 진단, 위험인자, 예방, 인지재활치료, 간호, 영양, 윤리문제, 가족상담, 사례관리 등을 포함한 26시간의 교육을 수료하였다. 본 연구의 결과는 다음과 같다. 치매노인에 대한 지식정도는 총 16문항으로 전체 지식평균 12.19로 나타났다. 대상자의 치매노인에 대한 태도정도는 5점 중 평균 4.21로 나타났다. 치매노인에 대한 지식과 태도의 상관관계는 전체지식보다 질환지식이 높을수록 긍정적인 태도를 보이는 경향이었으며 통계적으로 유의하였다(r=.369, p=.011). 다중회귀분석을 한 결과, 수정된 결정계수는 .122로 설명력은 12.2%였고, 요양보호사의 태도에 영향을 미치는 주요 요인으로 돌봄 시간이 증가할수록 태도는 감소하고 지식정도가 높을수록 태도도 증가함을 확인하였다. This study has been conducted for the purpose of identifying the relationship of careworkers' knowledge of the patients who had dementia and their attitude toward them and analysing factors affecting attitudes in certified geriatric careworker. The subjects were collected from dementia education in Seoul Dementia Center. The data were gathered from June 26th to July 3rd 2010 through questionnaires. The collected data were analyzed using Win SPSS 12.0 program. Careworkers' average score they got from their knowledge about the patients who had dementia was 12.19(Total 16 items). Their score they got from their attitude toward their senile patients who had dementia was 4.21. So the relationship between these two: as the knowledge about the patients who had the dementia increased, they tended to have higher positive attitude toward their patients: this was statistically very significant(r=.369, p=.011). As a result of multiple regression analysis shows, the major factors that could influence the attitude of caretakers were length of their caring time and their knowledge about the patients who had dementia. As their caring time lengthens their attitude becomes worsening. In the meantime while their knowledge about the patients who had dementia deepens, their attitude becomes better.

      • 한국군 병사에서의 브루가다형 심전도의 유병율

        황일웅 ( Hwang Il-ung ),이희경 ( Lee Hee Kyeong ),고재경 ( Ko Jae Kyung ),고현범 ( Ko Hyun Bum ),김경애 ( Kim Kyung Ae ),최훈정 ( Choi Hun Jung ) 국군의무사령부 2010 대한군진의학학술지 Vol.41 No.1

        Objective: Brugada syndrome(BS), accounting for 40∼60% of indiopathic ventricular fibrillation(VF), is one of main causes of sudden cardiac deaths(SCD) in the young. It shows high incidence in Asean countries and extreme male predominance. Patients with BS are usually asymptomatic but become fatal when the VF is triggered. Typical Brugada-type ECG shows RBBB with the elevation of ST segment in V1∼3 without structural abnormalities. The prevalence of Brugada-type ECG has been reported 0.05%(Europe)∼ 0.4%(Japan). To find soldiers who have Brugada-type ECG but asymptomatic, a ECG screening was performed to 10,182 soldiers. Method: The authors used special ECGs mounted with CDMA wireless modem. After being checked the quality, every ECG was transmitted to a server computer located in 400km far from the base. BP were recorded. Every soldier was inquired about the history of the syncope and the SCD of family member. ECGs were interpreted by 13 cardiologists who specialized in ECG. The ECGs found out positive were reviewed by another 3 cardiologists. Results: Of 10,182 soldiers, 51(0.5%) showed Brugada-type ECG. 1 was type 1, 33 were type 2, 17 were type 3. 14 had histories of syncope. 3 experienced multiple episodes of syncope. 8 had family histories of sudden death. 1 of 51 confirmed as a brugada syndrome after EP study following flecainide provocation test. Conclusions: Prevalence of Brugada type ECG in korean young male is pretty high. The prevalence of general population may be higher than the result of this study.

      • 중년 여성의 피부건강관리 지식, 태도 및 교육 요구도 조사

        김연진,김경애,정연강 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

        In this study, I have conducted a questionnaire survey of 323 middle-aged women (at the ages of 35∼59) from September 1 to 30, in order to sort out middle-aged women's level of requirement for the education of skin health care, and to analyze variables, which have influence on the level of requirement. As for the attitudes toward the skin health care according to the features of health, when subjects' level of concern about skin care is higher (p>0.01), and they take periodic medical examination of skins (p>0.01), and they have the experience of skin care (p>0.01), and they use alcoholic drinks (p>0.05), and they acquire information from dermatologists and skin-care centers (p>0.01), the level of attitudes toward the skin health care is statistically higher. As for the method of education, 39.8% wants lectures and 37.5% wants personal consultation. AS for the place of education, 34.1% prefers the skin-care centers. As for the number of education, 34.0% chooses the 'once a week' system. As for the duration of education, 68.6% wants the 'about one hour' program.

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