공중보건의의 고혈압 진단 및 치료과정 평가

송윤미,김윤,조홍준,정희숙,김용익 한국의료QA학회 1996 한국의료질향상학회지 Vol.3 No.1

Background : Little work has been carried out regarding quality assessment research in a primary care setting, comparing with that of hospitals. This study aims to evaluate the process of diagnosis and management of hypertension by public health doctors on the basis of pre-established clinical guideline, and to identify several modifying factors associated with them. Methods : Hypertension was selected as the target disease, because it is a chronic disease which is of great public health importance. Self-administered questionnaires were mailed to public health doctors practicing at health centers and health subcenters across the nation. The response rate was 20.9%. The questionnaire included the diagnosis and management process such as measuring blood pressure, history taking, physical examinations, and treatment approches and potentially modifying factors such as level of training, duration of practice as a public health doctor, and education on management of hypertension. Results : Public health doctors pay little attention in measuring BP, hypertension related history taking, performing physical examination and laboratory examination. But they devoted much effort in diagnosing hypertension exactly and giving nonpharmacological treatment. Among various antihypertensive drugs, calcium-channel blockers were the most preferred agent(50.8%). Level of training, duration of practice as a public health doctor, and education on management of hypertension made no difference on quality of care(p>0.05). Conclusion : These public health doctors showed poor compliance with the preestablished clinical guidelines, which leaves much to be desired in diagnosion and managing hypertensive patients by public health doctors. This study might be able to contribute to develop some strategies, such as educational programs, which would be able to improve the process of care in hypertensives.

열화조건하의 시멘트 혼입 폴리머계 방수재의 내피로성

송훈,도정윤,소양섭 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

Polymer-modified paste-applied membrane waterproofing materials has been used as waterproofing materials, e.g. for basement and water tank due to both simple handling and excellent workability. However, as for the polymer-modified paste-applied membrane waterproofing materials, the durability is easy to be degraded by the occurrence and propagation of crack. An aim of this study is to make clear performance of the polymer-modified paste-applied membrane waterproofing materials of which performances are improved through this study. PAE and EVA show the result to be markedly dependent on the condition and period of deterioration. Presence of reinforcement causes the influence to the physical properties of waterproofing materials. In addition, a reinforcement effect of non-woven fabric on cracking can be expected.

신고리 지역 기상관측을 통한 계절별 대기안정도 특성분석

송상근,김유근,오인보,정주희,조윤미,우경은,강태훈 부산대학교 환경문제연구소 2003 環境硏究報 Vol.21 No.-

In this study, we analyzed the characteristics of atmospheric stability to investigate local environment change at an atomic power plant in Gori region. The used data was obtained from field observation of major meteorological variables such as wind direction and speed, air temperature, relative humidity, and solar radiation using AWS (Automatic Weather System) in Gori region from February to September in 2003. As a result, when strong northerly winds (more than 4~6 m/s) and weak northwesterly winds (2~3m/s) blow, atmospheric stability was neutral and stable from winter to spring, respectively. Atmospheric stability (neutral) in summer was similar to that in two other seasons (winter and spring), but it was stable for weak southwesterly winds (2~3 m/s). Finally, atmospheric stability was neutral for strong winds (over 4~6 m/s) in fall without respect to wind direction, while that was stable for very weak winds (less than 2 m/s).

족저 근막염에 적용된 치료적 스포츠마사지의 효과

정동혁,김연수,송윤희 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.3

Plantar fasciitis is a repetitive microtrauma overload injury of the attachment of the plantar fascia at the inferior aspect of the calcaneus. The diagnosis of plantar fasciitis is common among athletes in many sports, primarily those sports that involve running. Common treatments for plantar fasciitis, including ice, stretching, ultrasound, and shoe inserts are helpful in reducing the symptoms. However, recurrence of the problem is common. By understanding the potential biomechanical causes of this disorder it may be possible to correct the anatomical and biomechanical variables that cause plantar fasciitis and reduce the rate of recurrence as well as speed the rehabilitation process. It may also be possible to identify predisposing maladaptations that can be corrected, therefore, preventing the initial occurrence of plantar fasciitis. The purpose of this study is to find out the effects of the therapeutic sports massage(TSM) applied to the patients with plantar fasciitis by measuring, assessing and analyzing the changes in intensity and unpleasantness of muscle pains before and after TSM. In the therapeutic sports massage program, such methods as effleurage, petrissage and deep transverse friction were selected as traditional massage treatments frequently used for muscles with pain and spasticity. After TSM, the McGill pain questionnaire word list(MPQWL), verbal rating scale(VRS), visual analogue scale(VAS) were used to measure the degree of the pain on the patients. The major findings from this study are as follows; 1. There was significant decrease in the numerical values of VAS, VRS and MPQWL after TSM(p<.05). 2. There was significant decrease in the intensity and unpleasantness of pains after TSM(p<.05). 3. From the analysis into chronological changes in the intensity and unpleasantness of pains before and after TSM with ANOVA, it became evident that the longer the period of treatment was, the higher the pains decreases drastically, while significant difference was shown in the intensity and unpleasantness of pains(p<.05). Summed up, it can be generally concluded that TSM is an effective treatment to rid the patients with plantar fasciitis of pains safely and promptly.

안면부, 유방 및 상완부에 발생한 홍반성 루푸스 지방층염 1예

송유근,손두식,명형준,이현정,임중규,김순호,김윤아 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.2

Lupus erythematous panniculitis is a chronic inflammatory disease of subcutaneous fat that occurs in 2-3% of patients with systemic lupus erythematosus. Lupus erythematous panniculitis typically presents with firm, indurated subcutaneous nodules or plaques commonly developed in proximal extremities, trunks, head and neck. Face, breast and upper extremities involvement with lupus erythematous panniculitis has been infrequently reported. We report a case of lupus erythematous panniculitis developed in a 27-year-old female confirmed by histologic features and laboratory findings.

자기효능증진 교육프로그램이 고혈압 노인의 자기효능감, 자가간호행위 및 혈압에 미치는 효과

유수정,송미순,이윤정 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The cause of essential hypertension is yet unknown, but in general is caused by interaction of hereditary factors, diet, obesity, lack of exercise and stress. The aging process influences various Physiological mechanism related to regulation of blood pressure. So elderly hypertensives have a tendancy to consider the disease as a result of the physiological aging process. This attitude causes many complications, worsening of the disease and even early death because of inappropriate care. In order to improve self-management of elderly hypertensives in this study the researcher examined the effect of blood pressure regulation by an education program that improves self-care behavior. through increasing self-efficacy. The education program consisted of group education on hypertension and self-care strategies, and encouraging and reinforcing self-efficacy resources such as verbal persuation, performance accomplishment and vicarious experiences. A quasi-experimental pre-and post-test design was used. Thirty-two elderly' hypertensives participated in the study. Eighteen in the education group and fourteen in the control group. The education program consisted of eight sessions twice a week for four weeks. There was no intervention for the control group. Data were analysed using SPSS for Windows(Version 8.0). The results were as follows. 1.There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2.There was no significant difference in the level of self-care behavior between the experimental group and control group over three different times, and interaction by groups and over time. 3.There was significant difference in self-efficacy of experimental and control group, depending on the measuring period, but there was no difference between these groups on interaction by groups and over time. There was positive correlation between self efficacy and self care behavior depending on the measuring period. 4.There was negative correlation between diastolic blood pressure and self-care behavior on the posttest of the, program. and between systolic blood pressure and self-care behavior on the follow-up test of the program. Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.

심근 허혈-재관류 백서 모델에서 mitogen-activated protein kinase 활성화에 대한 α-lipoic acid의 효과

김연경,박은미,최준호,윤경호,유남진,이은미,김남호,정진원,김민선,박병림,오석규 圓光大學校 醫科學硏究所 2006 圓光醫科學 Vol.21 No.1

금병산과 적오산의 산림군락 분류

김효정,이미정,지윤의,이규석,송호경 忠南大學校 環境問題硏究所 2002 環境硏究 Vol.20 No.-

대전에 위치한 금병산과 적오산의 식생을 분류하기 위하여 연구가 수행되었다. 총 41개의 조사구에서 식물사회학적 방법으로 조사를 하였다. 이 지역 산림식생은 크게 이차림식생과 조림식생으로 구분 되었다. 이차림 식생은 소나무군락, 상수리나무군락, 팽나무군락으로 구분되었다. 조림식생은 아까시나무군락, 리기다소나무군락, 일본잎갈나무군락, 곰솔군락으로 구분되었다. 본 조사지역에서 출현한 종수는 총 145종이었으며, 가중나무, 개망초, 미국자리공 아까시나무, 족제비싸리 등 총 5종의 귀화식물이 출현하였다. This study was carried out to classify forest vegetation community of Geumbyeongsan and Jeokosan in Daejeon. Employing the releve´ method of Dierssen, 41 plots were sampled. Forest community ws classified as second forest vegetation and afforestation vegetation. The second forest vegetation was classified into six communities such as Pinus densiflora community, Quercus acutissima community, Quercus serrata community, Quercus variabilis community, Quercus aliena community, and Celtis sinensis community. Afforestation vegetation was classified again as Robinia pseudoacacia community, Pinus rigida community, Larix leptolepis community, and Pinus thunbergii community. In the present study area, we found a total of 145 taxa. We found a total of five naturalized plants taxa of Ailanthus altissima, Erigeron annuus, Phytolacca americana, Robinia pseudoacacia, and Amorpha fruticosa.

대전 도덕봉과 백운봉의 산림군락 분류

김효정,이미정,지윤의,안승만,이규석,송호경 한국환경생물학회 2002 환경생물 : 환경생물학회지 Vol.20 No.3

본 연구는 계룡산국립공원의 지류인 도덕봉과 백운봉의 산림식생을 대상으로 식물사회학적 방법에 의해 산림군락을 분류하고 이 지역의 식생 현황 파악과 국립공원관리에 필요한 기초자료를 제공하고자 하였다. 식물사회학적 방법으로 89개 조사구를 분석한 결과, 신갈나무군락, 졸 참나무군락, 굴 참나무군락, 소나무군락, 서어나무군락, 리기다소나무-곰솔군락으로 구분되었다. 신갈나무군락은 해발고가 가장 높고 경사가 급한 지역에 분포하였으며,졸참나무군락은 해발고가 비교적 낮고 경사가 급한 지역에 분포하였다. 그리고 굴참나무군락은 신갈나무군락에 비해 해발고가 낮은 남사면의 건조한 지역에 분포하고 있었다. 소나무군락은 해발고가 비교적 높고 폭이 좁은 건조한 능선 부위에 분포하고 있으며, 서어나무군락은 주로 남사면 계곡부의 중부에 분포하고 있었 다. 그리고 리기다-곰솔군락은 조림군락이다. This study was carried out to classify forest vegetation community of Dodeokbong and Baekwunbong in Gyeryongsan. Employing the releve method of Dierssen, 89 plots were sampled. Forest community was classified into Quercus mongolica community, Quercus serrata community, Quercus variabilis community, Pinus densiflora community, Carpinus laxiflora community, and Pinus rigida-Pinus thunbergii community. Quercus mongolica community was found in high altitude and steep area, Quercus serrata community in relatively low altitude and steep slope area, and Quercus variabilis in southern arid and low area compared with Quercus mongolica community. Pinus densiflora community is present in relatively high altitude and narrow arid ridge area. And, Carpinus laxiflora community is mainly distributed in southern valley area. Pinus rigida-Pinus thunbergii community is planted community.

HL-60 세포주를 이용한 결핵균항원의 세포성면역반응의 분석

박정규,강윤중,김운옥,임재현,송창화,조은경,김화중 충남대학교 의학연구소 2001 충남의대잡지 Vol.28 No.2

Most persons who become infected with M. tuberculosis mount a protective immune response and remain clinically well, the only evidence of infection being development of a positive tuberculin skin test. Five to 10% develop tuberculosis disease within the first 2 years after infection (primary tuberculosis) or thereafter (reactivation tuberculosis). Acquired resistance against tuberculosis paradigmatically rests on cell-mediated immunity, with the major factors being mononuclear phagocytes and T Lymphocytes. While the former cells act as the principal effectors, the latter ones serve as the predominant inducers of protection. The usefulness of the single dose of BCG routinely given in childhood in many developing countries in preventing far more commonly occurring tuberculosis in adults is in doubt. An effective and safe vaccine against tuberculosis is sorely needed. A subunit vaccine are capable of inducing protective immunity and could have substantial advantages over BCG or other whole-bacterium vaccines. The human promyelocytic cell line HL-60 adopted characteristic macrophage-like properties, including adherence and CD14 expression after a period of continuous culture at high ambient CO_(2) concentration. When HL-60 cells were cultured with 1,25-dihydroxyvitamin D_(3) for 4 days, the cells acquired the activity to potentiate T cell proliferation by the 30 kDa or 38 kDa antigen of Mycobacterium tuberculosis H37Rv Therefore, vitamin D-treated HL-60 cells showed the function of the antigen presenting cells.