A Study on the obesity of middle-aged women

Cho, Hyun,Jin, Eun-Hee 仁濟大學校 2005 仁濟論叢 Vol.20 No.1

The goal of this study is to help promote the health of middle-aged women whose health is often not taken care of , by controlling weight to prevent obesity and various adult-related diseases. This research covered basic data related to obesity as well as exercise and food ingestion patterns of middle-aged women in the Gimhae and Jinju area. Research was conducted through a survey of 400 parents with children in elementary school on basic information as well as exercise and dietary habits. The survey composed of 11 exercise-related questions with a reliability factor of chronbach's a=.880, and 19 dietary habit related questions with a reliability factor of chronbach's a= .825. The data was analyzed using SAS 8.1, through frequency analysis, X^(2), and ANOVA. Math results of this study were as follows ; 1. Among general characteristics, subjects exhibited high instances of the followings: 70% of them are age 30-49, 75% have two chidren, 59.4% have 12years of education, 36.9% have a monthly income of 2,000-2,990thousand won, 57.3% are unemployed, and 51.9% are Buddhists. 2. On characteristics related to obesity, 64.6% are BMI 18.5 - 23, within normal range, 48.1% are trying to control weight, and 81.5% are exercising to control weight. 62.0% sited childbirth as the cause of weight increase. Average height of test subjects was 160.06cm, average weight 56.26kg, and BMI 21.96. The average pre-marital weight was 49.61kg and BMI 19.34. 3. On dietary habit related questions (max 5 points), the mean score was 4.00 among underweight subjects and 3.58 among overweight subjects, suggesting better dietary habits for the underweight group. Dietary habits and BMI have a significant statistical difference. 4. On exercise related questions (maximum 5 points), the mean score was 3.38 among overweight subjects and 2.66 for underweight subjects, suggesting that the overweight subjects exercised more. Exercise and BMI have a significant statistical difference.

조혈모세포이식 환자에서 침습성 진균 감염에 대한 Micafungin의 예방 효과 및 안전성

김시현,이동건,최수미,권재철,박선희,최정현,유진홍,이성은,조병식,김유진,이석,김희제,민창기,조석구,김동욱,이종욱,민우성,박종원 대한감염학회 2010 감염과 화학요법 Vol.42 No.3

Background: Micafungin, a potent inhibitor of 1,3-β-D-glucan synthase, is a novel antifungal agent of the echinocandin class. In vitro study showed that micafungin was effective against Aspergillus species as well as Candida species, but clinical data on the prophylactic efficacy against invasive fungal infections (IFIs) other than candidiasis are still lacking. Materials and Methods: We identified 60 consecutive adult hematopoietic stem cell transplantation (HSCT) recipients who received at least 3 doses of micafungin during neutropenic period. Micafungin was started as an alternative in patients who were intolerant or had adverse events (AEs) to primary prophylactic antifungal agents. We retrospectively reviewed the medical records and analyzed the efficacy and safety of micafungin for prophylaxis against IFIs. Results: The patients either had autologous (n=9) or allogeneic (n=51: 1 syngeneic, 24 sibling, 26 unrelated donor) HSCT. Itraconazole oral solution (n=58) was the most frequently used first line antifungal agent for prophylaxis and was administered for median 11 days. The most frequent cause of switch to micafungin was vomiting (n=42). The duration of neutropenia and micafungin administration was median 13 and 12 days, respectively. A successful outcome was achieved in 45 (75%) patients. Empirical antifungal therapy was initiated in 13 (22%) patients. There were 2 cases (3.3%) of breakthrough fungal infections which comprised a probable invasive pulmonary aspergillosis and a possible invasive fungal sinusitis. There was no case of invasive candidiasis. A total of 53 (88%) patients experienced at least one AE regardless of causality during micafungin administration. The most frequent AEs were hypokalemia, vomiting, diarrhea, and elevated serum aspartate aminotransferase or alanine aminotransferase. Among the aforementioned AEs, only 1 case of diarrhea could be classified as a probable relation with micafungin when causality was assessed. There was no AEs that caused discontinuation of micafungin. Conclusions: Micafungin seems to be a safe and effective agent for prophylaxis of IFIs including aspergillosis as well as candidiasis in HSCT recipients. However, further large, prospective, and randomized comparative studies are warranted for aspergillosis.

측뇌실내 수막종 : 임상분석 및 수술접근법 Clinical Analysis and Surgical Approach

양희진,김동규,정희원,이현구,김현집,조병규,최길수,한대희 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.10

The authors present six cases of lateral ventricle meningiomas treated at Seoul National University Hospital between 1979 and 1991. These six cases of lateral ventricular meningiomas constitute 1.8 percent of all intracranial meningiomas and 16.7 percent of mass lesions of the lateral ventricle. The mean age was 29 years ranging from 11 to 50 years, younger than that or intracranial meningiomas with a statistical significance(p<0.01). Four of the patients were women and two were men. All cases were located in the trigonal area. The most common clinical symptoms and signs were related to increased intracranial pressure such as headache, nausea and vomiting. Based on the clinical presentation and radiological features(CT. MRI and angiography), correct preoperative diagnosis was possible in five cases. Gross total removal of the tumor was achieved in all cases. There was no operative mortality. A temporal gyrus approach was used in five cases with good surgical results. The benefits and drawbacks of each surgical approach for meningiomas of the lateral ventricle is discussed with review of pertinent literatures.

만성 승모판 패쇄부전증 환자에서의 안지오텐신 전환효소 억제제의 장기 투여 효과

김대희,이명묵,이해영,조현재,박승정,서재빈,서정원,양한모,윤창환,조상호,이준희,김용진,김명아,손대원,오병희,박영배 대한순환기학회 2004 Korean Circulation Journal Vol.34 No.2

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

마늘첨가가 김치의 숙성 및 품질에 미치는 영향

조현경,박소희,조재선,정청송 한국식생활문화학회 2001 韓國食生活文化學會誌 Vol.16 No.5

마늘이 김치의 숙성과 품질에 미치는 영향을 조사하고 아울러 cyclodextrin과 sorbitol의 마늘냄새 masking효과를 실험하였다. 김치 숙성 초기의 산도는 마늘 첨가량이 많을수록 대조구에 비해서 높았고 환원당 함량은 마늘 첨가량이 많을수록 높았으나 숙성말기에는 거의 비슷한 수준을 유지하였다. 미생물의 경우 숙성초기에는 마늘 첨가에 의해 성장이 촉진되었으나 이후에 그 수준을 유지한 후에는 대조구에 비해서 오히려 억제되었다. 관능 검사 결과는 온도에 관계없이 마늘을 첨가하지 않은 김치가 모든 관능적인 면에서 유의적으로 나쁘게 평가되었으며 마늘을 2∼3% 첨가한 김치가 유의적으로 가장 좋게 평가되었다. Cyclodextrin 또는 sorbitol을 1%씩 첨가한 결과 마늘맛을 masking 하는데는 효과가 없었고 관능적으로도 나쁘게 평가되었다. This study was conducted to investigate the effect of garlic on the fermentation and organoleptic quality of kimchi. For this study, changes in pH, acidity, reducing sugar content and microbial count of kimchi during fermentation were tested and sensory test of fermented kimchi was also conducted. The acidity of kimchi with garlic was increased rapidly more than control kimchi at early stage of fermentation. Though the reducing sugar content was higher in kimchi with garlic than control kimchi, but that of all samples were almost same at mature stage of fermentation. Total bacteria and lactic acid bacterial counts were higher in kimchi with garlic than control kimchi at early stage of fermentation, but those were reversed at final stage of fermentation. By the result of sensory test, garlic was contributed to taste and aroma positively at level of 2∼3g garlic to 100g of kimchi.

국민연급제도의 만족도에 관한 실증적 연구 : 과표 노출자-직장인-중심으로 Focusing on Monthly Salried Person

조현연,김희숙 가톨릭대학교 사회과학연구소 2002 社會科學硏究 Vol.18 No.-

본 연구는 국민연금제도의 도시지역 자영업자로의 확대 시행에 따라 상대적으로 소득이 노출된 직장인들의 만족도를 파악·분석함으로서 국민연금제도에 영향을 미치는 요인과 문제점이 무엇인지를 고찰하여 국민연금제도 개선의 근거자료로 삼고자하는 것이다. 이 목적을 달성하기 위해서 국민연금제도에 대한 직장인의 만족도와 인적 변수에 따른 만족도 차이에 대하여 조사·분석하였다. 이러한 분석을 위하여 선행 연구 및 관련문헌을 참고로 설문지를 작성한 후, 모 대기업 연구소에 근무하는 직장인들을 대상으로 설문 조사하였다. 이 설문자료는 빈도분석, 백분율, T-Test, 분산분석을 통하여 처리되었다. 국민연금제도에 대한 직장인의 만족도와 만족도 차이에 대한 조사결과는 첫째, 국민연금에 납부하는 금액이 클수록 만족도가 낮았고, 국민연금의 노후대책에 대한 적합성에 관해서는 대체로 적합한 것으로 파악되었다. 또한 사적보험인 개인연금보다 국민연금에 더 만족하고 있었다. 하지만, 국민연금 재정 고갈로 인한 연금개시연령을 늦추는 방안과 연금보험료율 인상에 대해서 만족하지 못하였으며, 자영업자들이 신고하는 소득이 자신들의 소득처럼 투명하지 않은 것으로 조사되었다. 둘째, 직장인들의 인적 변수인 학력·연령·잔여 근무년수·국민연금 납부연수·연금 급여 개시에 따른 만족도는 차이를 보이지 않았으나 국민연금 납부금액 만족도에서는 금액 부담이 적은 집단이 만족하고 있었고, 금액이 클수록 만족하지 못하고 있었다. 또한 금액이 큰 집단일수록 보험료를 인상 및 연금 급여 개시일을 늦추는 것에 대하여 반대하고 있었다. 셋째, 국민연금의 향후 개선방안에 대해서는 재정투명성의 확보, 소득액 추정의 활성화, 투사정책 확보, 납부율 인하, 개시연령의 단축 등으로 개선되어야 한다고 조사되었다. 결론적으로, 국민연금제도의 개선을 통해 만족도가 높은 진정한 국민의 연금으로 정착하는 길은 재정투명성의 확보, 재정운영상의 개선 및 활성방안의 모색, 자영업자들의 소득 투명성의 재고가 이루어져야 할 것으로 본다.

산발성 장형 위선암 환자의 Microsatellite Instability와 병리학적 양상

조창희,홍유찬,안지현,최경현,이상호,신영명,윤기영,정민정,장희경 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Background : Through many researches, microsatellite is expected to be a good diagnositic and prognostic factor in colorectal cancer, endometrial cancer, gastric cancer, and the others. The prevalence of microsatellite instability (MSI) in gastric carcinoma has reported variously, 13~44%. Purpose : We aimed to determine the prevalence of MSI-high and the relationship between MSI and pathological characteristics of sporadic intestinal type adenocarcinoma of stomach. Material and Methods : We analyzed 106 sporadic intestinal type adenocarcinoma specimens excised from patients who were over thirty-five years old to determine the statue of microsatellite by DNA sequencing. The tissues were formalin-fixed and paraffin embedded. DNA were extracted and amplified by polymerase chain reaction (PCR). MSI was determined using five markers recommended by National Cancer Institute (NCI). Specimens were also studied with five patholical factors-differenciation of tumor cells, depth of invasion, lymph node metastasis, vessel invasion, and perineural invasion- to determine pathological state. Result : The microsatellite statue was determined as MSI-High in 5 cases (4.7%), no MSI-low, and MSS (microsatellite stable) in 101 cases (95.3%). Within the frequency, there was no large gap in the distinction of gender in MSI cases, but in MSS cases, there was three-times more cases in male. MSI cases had moderate-to-poor differenciation and trend to invade toward serosa. All MSI cases showed no perineural invasion. But we could not find any statistical significance between MSI and pathological characteristics of sporadic intestinal type adenocarcinoma. Conclusion : Results suggest that MSI can not make any certain pathological significance in sporadic intestinal type adenocarcinoma. Even though less than 5% of sporadic intestinal type adenocarcinoma patients showed MSI, it can be used as a influential prediagnostic factor of gastric cancer. Further study with large scale of cases will be followed to verify these results.

경정맥 신우조영술중 파열된 자궁의 악성혼합뮬러리안 종양 1예

조희정,김태희,김정식,이해혁,남계현,김희경 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

The Malignant Mixed Mullerian Tumor(MMMT) of uterus, a biphasic malignant tumor composed of both epithelial and stromal component, is rare but very aggressive and generally lethal. Most of these tumors arise spontaneously in the sixth to eighth decade of life, but certain proportions are known to be occurred in women, who had received pelvic irradiation. But, the precise role of irradiation in the genesis of uterine neoplasia remains uncertain. We experienced a case of MMMT of uterus which ruptured during intravenous pyelogram and she had received pelvic irradiation 40years ago.

대기 현상에 대한 초등학생의 선개념 및 오개념 분석

조현희,김광명 춘천교육대학교 과학교육연구소 2001 과학교육연구 Vol.24 No.-