심리사회적 중재가 간호대학생의 스트레스 지각, 대처방법, 스트레스 반응에 미치는 효과

김조자,허혜경,강덕희,김보환 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose was to examine the effectiveness of a psychosocial stress management program on stress and coping in student nurses. Method: A nonequivalent control group pre-posttest design was used. A convenience sample of 24 students from the Department of Nursing, Wonju College of Medicine, Yonsei University were assigned to experimental (n=12) and control groups (n=12). Stress was measured using the Visual Analog Scale (10 points) and blood cortisol. Coping was measured using a scale modified by So (1995) based on the Ways of Coping Checklist developed by Folkman and Lazarus (1985). Depression was measured using the CES-D by Radloff (1977) and state anxiety, using the State Anxiety Inventory by Spielberger (1976). The psychosocial stress management program included education, relaxation (Korean Dan Jeon-typed Breathing and music), and social support. Result: Results showed for the two groups, 1) a significant difference in stress scores (U=19.50, p=0.002), 2) no difference in cortisol levels (8am, 4pm). 3) a significant difference in problem-focused coping (U=25.50, p=0.007), 4) no difference in emotion-focused coping, and 5) no difference in state anxiety and depression. Conclusion: By utilizing the program, students were able to learn how to control their stress and improve their coping. Therefore with a partial modification, psychosocial stress management can be useful for continual management of stress in student nurses.

Cerebrovascular Complications of Rhinocerebral Mucormycosis

김용재,박기덕,최경규,구혜수 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

모균증은 진균 감염증의 하나로 급성으로 진행되며 사망률이 높은 질환이다. 다양한 임상 양상으로 나타나며 두부 모균증이 가장 흔한 형태이다. 두부 모균증의 임상 경과는 감염의 해부학적 위치에 따라 두통, 안면 부종, 압통부터 안구 돌출, 안구 마비, 시력 소실 등 다양하게 나타난다. 모균증은 혈관계를 잘 침범하며, 두부 모균증의 경우 해면 정맥동의 침범뿐 아니라 아주 드물게 내 경동맥이나 두강 내 혈관을 침범하는 경우도 있다. 저자들은 뇌혈관 질환이 동반된 두부 모균증의 드문 합병증 3예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

용접판재의 피로강도에 미치는 잔류응력 평가

차용훈,김덕중,이연신,채경수,성백섭,박회식 조선대학교 동력자원연구소 1997 動力資源硏究所誌 Vol.19 No.1

The objective of this thesis is to investigate the influence of the initial residual stress on the fatigue crack growth after the distribution of the initial residual stress is measured when the crack is growing from the compressive residual stress to the tensile residual stress field. In the case of as welded material, respective of load ratio, the span of the fatigue is the shortest in base metal, while in weld metal and HAZ, the crack growth was retarded due to the effect of the compressive residual stress at the crack tip as well as the span of the crack is longer than base metal. In region II that is in stable growth state of the fatigue crack, da/dN=C(ΔK)^m of power law was satisfied. Also, it was considered that the value of m is not affected by residual stress. Superimposing welding residual stress intensity factor K_res on ΔK, the value of ΔK_eff calculated was lower than ΔK in the same value of da/dN, while the ΔK_eff is almost the same at the high ΔK.

정상인과 뇌졸중 환자의 체간 위치감각 비교 및 보행과 균형에 미치는 영향

Hea-Duck Yang,Chang-beom Kim,최종덕,Young Moon 한국전문물리치료학회 2020 한국전문물리치료학회지 Vol.27 No.3

Background: Stroke patients have reduced trunk control compared to normal people. The ability to control the trunk of a stroke patient is important for gait and balance. However, there is still a lack of research methods for the characteristics of stroke control in stroke patients. Objects: The aim of this research was to determine whether trunk position sense has any relation with balance and gait. Methods: This study assessed trunk performance by measuring position sense. Trunk position sense was assessed using the David back concept to determine trunk repositioning error in 20 stroke patients and 20 healthy subjects. Four trunk movements (flexion, extension, lateral flexion, rotation) were tested for repositioning error and the measurement was carried out 6 times per move; these parameters were used to compare the mean values obtained. Subjects with stroke were also evaluated with clinical measures of balance and gait. Results: There were significant differences in trunk repositioning error between the stroke group and the control group in flexion, lateral flexion to the affected side, lateral flexion to the unaffected side, rotation to the affected side, and rotation to the unaffected side. Mean flexion error: post-stroke: 7.95 ± 6.76 degrees, control: 3.32 ± 2.27; mean lateral flexion error to the affected side: 6.13 ± 3.79, to the unaffected side: 5.32 ± 3.15, control: 3.57 ± 1.92; mean rotation error to the affected side: 8.25 ± 3.09, to the unaffected side: 9.24 ± 3.94, control: 5.41 ± 1.82. There was an only significant negative correlation between the repositioning error of lateral flexion and the Berg balance scale score to the affected side (–0.483) and to the unaffected side (–0.497). A strong correlation between balance and gait was found. Conclusion: The results of this study indicate that stroke patients exhibit greater trunk repositioning error than age-matched controls on all planes of movement except for extension. And lateral flexion has correlation with balance and gait.

Topical timolol maleate 0.5% for infantile hemangioma -single center experience of 56 cases in Korea-

( Kyung Hea Park ),( Hyun Wuk Cha ),( Han Jin Jung ),( Kyung Duck Park ),( Hyun Jung Lim ),( Weon Ju Lee ),( Do Won Kim ),( Seok Jong Lee ) 대한피부과학회 2012 대한피부과학회 학술발표대회집 Vol.64 No.3

신장 ; 국내 단일기관에서 시행한 췌장이식의 임상적인 결과

한덕종 ( Duck Jong Han ),김송철 ( Song Cheol Kim ),박재범 ( Jae Berm Park ),김영훈 ( Young Hoon Kim ),박관태 ( Kwan Tae Park ),홍정자 ( Jung Ja Hong ),하희선 ( Hea Seon Ha ),정주희 ( Ju Hee Jung ),김인구 ( In Koo Kim ),박건춘 ( Ku 대한내과학회 2011 대한내과학회지 Vol.80 No.2

목적: 췌장이식은 인슐린 의존형 당뇨병에서 1966년 미네소타대학 병원에서 처음 시행된 수술로써 인슐린을 끊을 수 있는 유일한 치료법으로 이식수술 후 합병증의 감소, 면역억제제 및 수술 후 관리의 개선으로 널리 시행되고 있다. 국내에서는 1992년 첫 췌장이식이 시행된 이래 점차 늘어가고 있지만 아직 활발히 이루어지고 있지는 못하다. 이에 저자들은 1992년 7월부터 2009년 12월까지 국내 단일기관에서 시행한 췌장이식의 임상 결과를 분석하여 보고하고자 한다. 방법: 본원에서는 1992년 7월 이후 2009년 12월까지 18년간 119명의 당뇨병 환자에서 췌장이식을 시행한바 이를 후향적으로 분석하여 췌장 이식의 임상적인 결과를 분석하였다. 결과: 이식수혜자의 당뇨병 분류로 총 119명 중 인슐린 의존형이 93명(78.2%)이었고, 16명(13.4%)에서는 Type II형 이었다. 기증자는 뇌사자가 107명(89.9%), 그리고 12명(10.1%)에서는 가족간 생체기증이었다. 당뇨합병증으로 신·췌장 동시 이식이 67명(56.3%)이었고, 42명(35.3%)에서는 췌장단독이식, 10명(8.4%)에서는 이미 신장이식을 받은 환자에서 췌장이식이 시행되었다. 수술 후 췌장 이식편생존율은 81.6%(1년), 63.4%(5년), 그리고 57.1%(10년)이었다. 면역억제제로 tacrolimus와 MMF를 사용한 1999년 이후(n=96) 췌장 이식편 생존율은 89.1%(1년), 72.9%(5년), 그리고 66.2%(10년)이었고, 환자의 생존율은 93.0%(1년), 86.0%(5년), 그리고 86%(10년)이었다. 결론: 최근 췌장이식 수술의 향상된 성적으로 삶의 질과 장기 환자 생존을 고려할 때, 췌장 이식은 당뇨병의 유형에 상관 없이 인슐린 투여가 필요한, 심각한 당뇨 합병증 또는 인슐린 투여 관련 합병증의 위험에 놓여 있는, 비비만형 당뇨병 환자들에게 효과적인 치료로 제시 될 수 있다. Background/Aims: Pancreas transplantation (PT) as the ultimate treatment for insulin-dependent diabetes has been the subject of debate clinically. Marked improvements in patient and graft survival, and decreases in postoperative morbidity have been achieved due to technical refinements, improved immunosuppressants, and better postoperative management. Here, we report our 18-year experience with PT performed at our institute. Methods: All recipients who underwent deceased donor or living donor PT between July 1992 and December 2009 were included. We reviewed the medical records, including operation records, progress, and laboratory findings during follow-up. Graft and patient survival were analyzed using the Kaplan-Meier method. Results: In total, 119 cases of pancreas transplantation were performed between July 1992 and December 2009 at our institute. Indications for pancreas transplantation were type I diabetes in 93 (78.2%) patients and type II diabetes in 16 (13.4%) patients. The transplanted pancreas was obtained from a deceased donor in 108 cases (90.8%) and a living donor in 11 cases (9.2%). Median follow-up duration was 39.3 months posttransplantation (range 0~176 months). Overall graft survival rates at 1, 5, and 10 years were 81.6%, 63.4%, and 57.1%, respectively. Following the introduction of tacrolimus as an immunosuppressant in 1999, graft survival at 1, 5, and 10 years was 89.1%, 72.9%, and 66.2%, and overall patient survival at 1, 5, and 10 years was 93.0%, 86.0%, and 86.%, respectively. Conclusions: Considering the quality of life and long-term patient survival, PT is an effective treatment strategy in non-obese diabetic patients requiring insulin regardless of the type of diabetes. (Korean J Med 2011;80:167-178)

Clinical Characteristics and Long-Term Prognosis of Alport Syndrome: A Retrospective Single-Center Study

Jang, Hea Min,Baek, Hee Sun,Park, Sun-Hee,Kim, Yong-Lim,Kim, Chan-Duck,Jung, Hee-Yeon,Cho, Jang-Hee,Han, Man Hoon,Kim, Yong Jin,Cho, Min Hyun Korean Society of Pediatric Nephrology 2020 Childhood kidney diseases Vol.24 No.2

Purpose: Alport syndrome (AS) is one of the most common inherited renal diseases caused due to mutations of genes encoding specific proteins of the type IV collagen family, and its major clinical manifestations include progressive renal failure, sensorineural deafness, and ocular abnormalities. We investigated the clinical characteristics and long-term prognosis of AS in Korean pediatric and adult populations. Methods: We conducted a retrospective review of medical records of 33 children and adults who had been diagnosed or treated with AS from 1985 to 2019. Results: The mean age of the 33 patients diagnosed with AS was 16.2±13.6 years, and the male-to-female ratio was 2:1. At the first visit, recurrent gross hematuria was the most common initial symptom. In 10 of 33 patients (30.3%), sensorineural hearing loss (SNHL) was diagnosed, but none had ophthalmic problems. Moreover, 11 of 33 patients (33.3%) had advanced to end-stage renal disease (ESRD), and a significant difference was observed in the age of the patients who progressed to ESRD based on the presence or absence of SNHL (P=0.035). Conclusion: SNHL in AS can be an important prognostic factor for long-term deterioration of renal function. Further investigation is required to confirm the clinical course and the genetic characteristics of AS in Korea through prospective national cohort studies.

Polymerase Chain Reaction-Restriction Fragment Length Polymorphism법을 이용한 Chlamydia trachomatis의 혈청형 분석 : Restriction fragment Length Polymorphism Analysis

서일혜,박필환,김완,김덕언,최태열 대한임상병리학회 2000 대한임상병리학회지 Vol.20 No.5

디지털 오너먼트의 패턴생성기법 및 표현특성 연구

한혜신(Han, Hea-Shin),김문덕(Kim, Moon-Duck) 한국실내디자인학회 2010 한국실내디자인학회논문집 Vol.19 No.5

Conventionally, ornament has developed around linear thinking based on Euclidean geometry, and been explained as simple and lucid natural Euclidean geometrical phenomena. The modular arrangement with vertical, horizontal and diagonal grids has been an organizing principle of classical ornament, but in digital era ornament is found not to be explained only with the principle of traditional arrangement due to the seemingly irregular complex forms. In that sense, this study presents the concept of digital ornament and examined the backgrounds of ornament in digital age, that are complex system and non-Euclidean geometry. Accordingly, the present study takes an approach by dividing new formal types of ornament into algorithmic form, hybrid form and dynamic form to find out a principle of pattern organization. Lately, architects who actively use computer for their architectural designs take the algorithmic strategies in nature and create various and complex patterns by simple rules. The patterns are not the repetition of the same, but the production of singularities. In addition, hybrid form by morphing shows a topologically flexible evolutionary transformation, and is used to create in-between transitional shapes from the source to target. Finally, the patterns by the interaction between the system components which are corresponded to the embedded forces emerge from dynamic simulation of the natural environment. Rather than objects itself, focus is given to the process of generating forms, and the ornamental patterns as the revelation of such implicit order provide not just the formal beauty but also spatial pathways for lights and air, maximizing the effects of lights.

궤도구조를 고려한 철도교량의 동적거동 분석

강덕만(Kang Duck-Man),안해영(An Hea-Young),성덕룡(Sung Deok-Yong),김성일(Kim Sung-Il),박용걸(Park Yong-Gul) 한국철도학회 2009 한국철도학회 학술발표대회논문집 Vol.2009 No.5월

This study is objected by analyzing whether it is applied to the analysis model considering the track stiffness or not when the railway bridge is designed or reviewed for the dynamic stability. It is performed that the analysis model is verified by comparing the field test result with the analysis result. Also, The dynamic response of railway bridge through the existing analysis model is compared with the analysis model considered the track stiffness. In addition, it is performed by analyzing the model considering the stiffness of concrete track. Therefore, this study is suggested that the design of railway bridge apply to the existing analysis model considering the mass of track and the dynamic stability review of railway bridge apply to it considered the stiffness & mass of track. Also, it is suggested that the stiffness of concrete slab on the bridge must consider when it is designed or checked over the dynamic stability.