고령자 급성 췌장염의 임상적 고찰

이진헌,강진경,박인서,송건훈,정재복,백용한,송시영,서정훈 대한소화기학회 1998 대한소화기학회지 Vol.32 No.3

Background/Aims: Inflammatory diseasas of the pancreas are not uncommon. The advanced age is one of the significant factors in assessing the severity of acute pancreatitis. It has been shown that the biliary tract disease is a more frequent cause of acute pancreatitis in the elderly than in the young. With the increased life span, the elderly are comprising a large proportion of the population. As a result, physicians are more often being faced with acute pancreatitis in the elderly. The purpose af this study was to evaluate clinical features of acute panereatitis in the elderly. Methods: A total of 188 patients with acute pancreatitis were reviewed. We investigated the differences of clinical characteristics between the elderly patients aged over 60 and the young patients aged under 60. Results: The sex distribution showed male preponderance in the young patients (M:F=2.4:1), but was nearly equal in the elderly patients (M:F=1.1:1). The most common cause of acute pancreatitis in the elderly was biliary tract disease (52.5%), while alcohol abuse was the most common cause in the young patients (38.8%), Local complications of acute pancreatitis, such as psuedocyst, necrosis, abscesses were not differently shown between the elderly (16.9%) and the young (20.2%) patients. Systemic complications including acute puhnonary failure occurred more frequently in the elderly patients than the young patients. The mortality rate of the elderly patients (5.1%) was not significantly different from that of the young patients (3.1%). Conclusions: To detect correctable underlying bihary tract diseases the elderly patients with acute pancreatitis should be completely investigated using endoscopic retrograde cholangiopancreatography (ERCP). In addition, the patient should be closely monitored for the development of the systemic complications during the disease process.

고령자 급성 췌장염의 임상적 고찰

백용한,서정훈,송건훈,이진헌,송시영,정재복,강진경,박인서,이수진 大韓消化器病學會 1998 大韓消化器病學會誌 Vol.32 No.3

레지오 에밀리아 접근법의 특징과 한국 영·유아교육/보육에의 시사점 : Its Image and Implications for the Education/care of Young Children in Korea

서영숙 열린유아교육학회 1998 열린유아교육연구 Vol.3 No.1

This qualitative study investigated how the Reggio Erniha approach can be adapted andimplemented in early childhood cahng and educadng settings in Korea. The intent was toconthbute to the base knowledge available to Korea. educators/care-givers seeking toadapt and implanent the Reggio Enliha approach in early childhood care and education. Literature review of the historical background and organizational shucture, and unique components of Reggio Emilia approach lvere presented to give hnplicahons for theeducahon/care of young children in Korea. The general process of adaption andhnplernentation of the Reggio Enliha approach in Korea was described frorn conductinginterviews with educators/care-givers who are uhlizhg ths approach. Eight cornponents of the Reggio lhniha approach and hnphcahon of each conlponentwere described and suggested The hnage of the child, interaction and collaboration, roleof environInent and space, role of teacher, project oriented emergent curriculum, docunlentation of projects, recycling center, and role of parents and commrnity.·Changing environInent and space and inlplernenting projects were the general process of adapting the Reggio Ernilia approach. ALctive sharing inforrnation about the Reggio Emilia approachand its imphcahons between early chndhood educator/care-givers needs to be encouraged to adapt and implement ths approach in Korea

혈중일산화탄소 농도와 일산화탄소 중독 증상과의 상관관계

서보완,변영주,박충서 최신의학사 1987 最新醫學 Vol.30 No.6

고빌리루빈혈증을 동반한 자가면역성 간염 1례

서영범,김성욱,장재식,강혁주,이중현,윤병구,김욱년,이광헌,이구,유석동,양창헌,이정호,이영현,이창우,서정일 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

자가면역성 간염은 대개 만성 경과를 가지며, 혈중 자가면역항체와 혈청 글로불린치의 상승, 그리고 조직학적으로 괴사 염증성 변화를 특징으로 하는 질환으로 아직 정확한 병인이 밝혀져 있지 않은 상태이다. 발병연령은 대개 젊은 영자(15-25세)에서 호발한다. 이 질환은 급성 간염의 임상경과를 보일 수 있으나, 심한 급성 간염이나 전격성 간염으로도 나타날 수 있는데, 이 경우 아주 나쁜 예후를 보인다고 한다. 치료는 자가면역성 간염 임상 경과의 다양성이나 병인, 병리기전의 불확실성에도 불구하고 대개 steroid 치료에 반응하는 것으로 알려져 있으며 대개 80%의 관해율을 나타내며 궁극적으로 간경변으로의 진행을 막을 수 있는 것으로 보인다. 저자들은 58세 남자에서 발생한 급성의 경과를 가지고 심한 황달을 동반한 자가면역성 간염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Autoimmune hepatitis (AIH) is a chronic necroinflammatory liver disorder of unknown cause associated with circulating autoantibodies and a high serum globulin level. The age of onset of AIH show a peak between the age of 15 and 25 years. AIH can develop and be manifested as acute hepatitis, but severe form of acute hepatitis or fulminant hepatic failure has a poor prognosis. Although AIH is likely to progress from chronic active hepatitis to cirrhosis, steroid therapy can control the disease activity, prolong survival, improve the quality of life , and defer liver transplantation. In the present report we describe a 58-year-old man who admitted because of progressive jaundice and fatigue. He was diagnosed with AIH from laboratory test result showing positivity for antinuclear antibodies, anti-smooth muscle antibodies, and negativity for hepatitis viral markers and from liver biopsy. Steroid therapy, oral administration of prednisolone, was effective in improving the liver function test. Following liver biopsy 6 months after onset shows markedly improved necroinflammatory activity.

刑事政策上에서 본 우리나라 非行少年處遇에 戴한 考察

徐永培 慶尙大學校 1975 論文集 Vol.14 No.-

The juvenile is the foundation for the development of the nation; and, so it is sad for the juvenile to be ruined by delinquency. It is natural that we should protect them from delinquency. If a juvenile is involved in delinquent behavior we should be considerated in his treatment. The Writer intends to suggest seine solutions to the many problems arising from delinquent youth's contact with the legal system. 1. One urgent need is that of establishing adequate facilities to fulfill the needs of young people. Juvenile crime may result from dissatisfaction or frustration. If young people channel their free time and enrgies into the use of these facilities, their enxieties could be reduced. 2. It is necessary to set up an effective program of juvenile guidance services This program must have quality personnel and have an adequate budget. 3. The institution responsible for controlling and managing juvenile crime should be unified. 4. This institution should assure the juvenile of opportunities for Probation. 5. Specific classifications of juveniles and their crimes should be established as guidelines for the judgement and scientific analysis of problems and data. 6. Finally, A national campaign is needed to increase the awareness of the existing civil service of the varied problems confronting the juvenile delinquent and the solutions that are available today. In conclusion, the writer feels that these 6 suggestions for action can provide an outline for an effective and proper method for dealing with the problems of juvenile delinquency.

TV안보기 운동이 유아와 그 가족생활에 미친 영향

서영숙 淑明女子大學校 兒童硏究所 1995 兒童硏究 Vol.8 No.1

This study investigates the effects of turning off TV on the lives of young children and their families. Thirty-four 3-6 years old children and their families participated in NO-TV WEEK campaign initiated and directed by their nursery school teachers. The participants were requested not to watch TV for 5 days (from Monday to Friday) and to report their time spending at home. Teachers encouraged the participants to turn off TV during this week by holding various class activities and parent meetings, and by operating toy-landing library. TV was used to turn on for about 3 hours and 38 minutes a day at the children's homes during weekdays and half of those times were watched by one of the family members. The children used to watch TV about 1 hour and 51 minutes a day. One third of the children's watching times was solitary watching. It was particularly no-ticeable that the three year-old children watched alone for half of their watching times and seventy percent of their watching times were out of parent supervision and/ or care. These results suggest that the parents, either employed or not, use TV as a babysitter and there is little verbal or social communication between children and their parents or other family members while they watch TV. Younger children of working mothers tend to become more solitary TV watchers. Twenty-two children (73. 3 percent of the participated children) succeeded not to watch TV during this campaign week and 63. 3 percent of the mothers recorded that none of their family members watched TV during this week. Considering every child and his/her family reported that they tried not to watch TV except for some unescapable events or times, NO-TV WEEK campaign turned out to be so successful. Analysis of the participants' time spending at home shows that NO-TV WEEK campaign increased parent-child interaction activities, such as talking and playing together, reading books to child, etc. It also enhanced husband-wife communication and shared household activities, and as a result, family relationship became more pleasant and more cohesive. The implications of turning off TV to the family relationship and parental role and the importance of parent education / participation in early childhood education were discussed later.

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

아동의 미래관과 자아개념, 학업성적과의 관계 연구

서영숙,이연갑 숙명여자대학교 생활과학연구소 1990 生活科學硏究誌 Vol.5 No.-

This study was intended to investigate the generalized future expectancies for personal life success and failure in a sample of elemantary students and to determine the association between optimism and pessimism and two other variables; self-concept and academic achievement. For this purpose, 418 of 3rd and 6th grade children were measured on their future expectancy and self-concept by two kinds of questionnaires used after Suh Young Sook(1988) and Kim Ki-Jeong(1984) perspectively. Children's academic achievement were measured by class record(transcripts) of children's grade. The results were appeared that children's future expectancies were quite optimistic regardless of their gender and grade. There was strong positive association between optimism and self-concept, while pessimism appeared different association in accordance with the lower domain of the self-concept. Children's pessimism showed a negative association with academic achievement. It was concluded that children has strong optimistic bias about their adult life in future, and it is influenced by the current self-concept and academic achievement.

정상인에서 베타3-아드레날린 수용체 유전자의 변이가 복부 비만도 및 지질대사에 미치는 영향

김영선,윤석기,김철희,서교일,김학선,김극배,변동원,유명희 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

The β₃-adrenergic receptor is expressed in visceral adipose tissue in humans and is thought to contribute to the regulation of the resting metabolic rate and lipolysis. We studied the influence of a mutation in the β₃ -adrenergic receptor gene(Trp64Arg) on body fat distribution, central obesity, lipid metabolism in 65 healthy young male adults. One out of 65 subjects were homozygous (Arg/Arg) for the trp64Arg mutation, 17 subjects were heterozygous (Trp/Arg), and 47 lacked the mutation(Trp/Trp). The body weight, height, body mass index, waist-to-hip ratio were similar between the subjects with- and without the mutation. Total body fat, abdominal fat amount, body fat distribution, serum total- and HDL-cholesterol, triglyceride, glucose, and insulin concentrations were also not different according to the presence or absence of the mutation. These results suggested that Trp64Arg mutation in β₃-adrenergic receptor gene is not a major contributing factor for central obesity or change in lipid metabolism in Korean young adults.