화훼장식 교육에서 색채에 관한 교수자와 학습자의 인식

임양희(Yang Hee Lim),이화은(Hwa Eun Lee),홍종원(Jong Won Hong),박천호(Chun Ho Pak) 한국원예학회 2009 한국원예학회 학술발표요지 Vol.2009 No.5

당일 검사에 대한 원스톱 서비스 전과 후의 고객만족도 비교

강건우,이의정,이현경,이은선,임양희,한형태,Kang, Kun-Woo,Lee, Eui-Jeong,Lee, Hyun-Kyung,Lee, Eun-Son,Lim, Yang-Hee,Han, Hyung-Tae 한국의료질향상학회 2020 한국의료질향상학회지 Vol.26 No.2

Purpose:Hospitals provide top medical service using exceptional manpower, medical technology, and state-of-the-art equipment, thus raising the standard of customer satisfaction. In addition, their medical service is becoming higher than before. One-stop service is a good way to improve the quality of customer-centered service as a qualitative marketing strategy. This study thus aims to facilitate subsequent research and compare customer satisfaction before and after one-stop service. Methods: The study included 72 patients who received the reserved examination and one-stop service for 20 days from April 23 to May 12, 2014. The surveyed questionnaire data were analyzed using SPSS 18.00. Results: The comparison results of customer satisfaction showed that the satisfaction score was generally high in the areas of kindness of examination staff, the speedy/accuracy of work processing of examination staff, and the kindness of reservation staff. The group before one-stop service showed their dissatisfaction with repeated visits and difficulty of booking a desired day. The group after one-stop service showed dissatisfaction with the long waiting time for examination or same-day treatment. Conclusion: The one-stop service showed good results, but new uncomfortable issues for the customer were revealed as well, which may result in more work of employees. Considering the characteristics of various clinical departments, the author hopes to find an efficient operation plan through the development and improvement of an appropriate one-stop service method.

말기신부전증환자의 좌심실비대유형에 관한 연구

한설혜(Seol Hye Han),임양희(Yang Hee Lim),박현주(Hyun Joo Park),신길자(Gil Ja Shin) 대한내과학회 1996 대한내과학회지 Vol.51 No.1

N/A Objectives: Various factors have been implicated in the pathogenesis of left ventricular hypertrophy in patient with end stage renal disease. These include hypertension, anemia, coronary artery disease, parathyroid hormone. In present study, we used echocardiographically derived left venticular mass and relative wall thickness to assess the patterns of ventricular geometry, left ventricular load and contractile performance. And to evaluate the effect of age, duration of hypertension, anemia on left ventricular hypertrophy may help treatment of end stage renal failure. Methods: We measured systolic and diastolic function of left ventricle and left ventricular mass with M-mode, two dimensional, and Doppler echocardiography in 50 cases of end stage renal disease and 30 cases of healthy adults from July 1993 to March 19%. Results: 1) End stage renal diease group was 50 cases. Among the study patients, 12 cases(24%) had increased relative wall thickness with normal ventricular mass(concentric remodeling), 14 cases(28%) had increased relative wall thickness and ventricular mass(concentric hypertrophy), 24 cases(48%) had increased left ventricular mass with relative wall thickness(eccentrophic hypertrophy). There was no case of normal left ventricular mass and normal wall thickness. Among 30 cases of noraml control group, most of them showed normal left ventricular mass and normal wall thickness. 2) In concentric remodeling group, peripheral resistance was increased and left ventricular end diastolic dimension was decreased. Ejection fraction was preserved. 3) In group with concentric hypertrophy, high blood pressure was noted and end systolic wall stress was increased. Ejection fraction was decreased, So it reflects compensation of heart for hypertension. 4) In group with eccentric hypertrophy, the increase of left ventricular end diastolic dimension and post wall thickness was different from group with concentic hypertrophy. Left ventricular systolic function in eccentric hypertrophy was more decreased than concentric hypertrophy. So, concentric hypertrophy progresses to eccentric hypertrophy. 5) All the patients with end stage renal disease, diastolic dysfunction was noted. Conclusion: Appropriate treatment of hyper- tension and left ventricular hypertrophy according to each pattern may reduce performance and mortality of patients with end stage renal disease.

Propylthiouracil에 의한 간염

박현주(Hyun Joo Park),정인성(In Sung Chung),강성원(Sung Won Kang),조한래(Han Rse Cho),한설혜(Sul Hae Han),한경아(Kyung Ah Han),김주형(Ju Hyung Kim),임양희(Yang Hee Lim),오경식(Kyung Shik Oh) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2

Propylthiouracil(PTU) is widely used to treat patients with hyperthyroidism. In rare case, this drug has been found to have toxic effects on the liver. W e experienced a case of PTU in- duced hepatitis in a 45 year old woman treated for Graves' disease with PTU. The biochemi- cal pattern of injury was predominantly hepatocellular with moderately elevated transminase values and histologic findings revealed marked micro and macrovesicular fatty changes and focal necrosis of hepatocytes without any zonal difference. Discontinuation of drug leads to complete recovery in this case. Although overt hepatitis due to PTU is probably a rare compli- cation, there is a potential danger of permanent liver damage. Thus it might be advisable to monitor transaminase levels on regular base in patients receiving PTU.(Korean J Gastroenterol 1994; 26: 369 372)

만성 폐 질환 환자에서 조직으로의 산소 전도와 2.3 - DPG 동 정맥간 산소 분압 차에 대한 연구

이동수(Dong Soo Lee),김민수(Min Soo Kim),유근배(Geun Bai Yu),조한래(Han Rae Cho),한설혜(Sul Hai Han),오경식(Kung Sik Oh),임양희(Yang Hee Lim),김주형(Ju Hyung Kim) 대한내과학회 1997 대한내과학회지 Vol.52 No.4

N/A Objectives: The presence of chronic low oxygen delivery to the tissues (blood flow×Hb concentration×arterovenous oxygen content difference) in patients with chronic lung disease (CLD) leads to a aggravated dyspnea. Therefore, total oxygen delivery to the tissues is a reverse correlation with severity of dyspnea. So far, the treatment of patients with CLD has been limited to only the increase of ventilation and perfusion capacity. However, this study focused on the capacity of oxygen delivery to the tissues in patients with CLD. We measured blood oxygen parameters as one of the extended approaches. Method: Simultaneous arterial and venous blood samples from 15 patients with CLD at rest were evaluated for 2.3-DPG, CO-Hb (Carboxy-monohe-moglobin), Met-Hb (methomoglobin), ABGA (Arterial blood gas analysis), VBGA (Venous blood gas analysis) and Hb (Hemoglobin). Smokers and patients with other disease were excluded from the study in order to avoid the factors (2.3-DPG, CO-Hb etc.) which can shift the oxygen dissociation curve. There were 12 men and 3 women, ranging in age from 40 to 75 years. The disease onset varied from 3 years to more than 30 years. Results: 1) As total oxygen delivery to the tissues decreased, Ao2(Arterial oxygen partial pressure) and A-VCb (Arteriovenous oxygen content difference) decreased, while 2.3-DPG increased. Total oxygen delivary to the tissues showed a significant correlation with more A-V and 2.3-DPG than AO2. 2) AO2 had a correlation with A-VO2 but AO2 did not clearly reflect A-VO2. 3) 2.3-DPG activity depended on more A-VO2 than AO2. 4) As A-VO2 decreased, there was more significant relationship among 2.3-DPG, A-VO2 and tissue oxygen delivery. 5) A-VO2 showed a significant reverse correlation with 2.3-DPG as well as Met-Hb % + CO-Hb %. 6) ACO2 (arterial carbon dioxide partial pressure) showed a correlation with 2.3-DPG as well as A-VO2. 7) Arterial PH did not correlate with 2.3-DPG as well as A-V. Conclusion: 1) AO2 in patient with CLD correlated with A-VO2 but AO2 did not clearly reflect A-V. 2) Total oxygen delivery (severity of dyspnea) showed a significant correlation with more A-VO2 and 2.3-DPG than AO2. 3) 2.3-DPG activity depended on more A-VO2 than AO2. 4) 2.3-DPG activity had a reverse correlation with A-V in spite that 2.3-DPG shifts the oxygen dissociation curve to the right, because 2.3-DPG shift is secondary change associated with the low oxygen delivery to the tissues, More extensive k prospective investigations are needed to clearly define correlation among A-VO2, 2.3-DPG and prognosis of patients with CLD.

Ketoconazole에 의한 간염 1예

임양희,이은령,문일환 梨花女子大學校 醫科大學 醫科學硏究所 1987 EMJ (Ewha medical journal) Vol.10 No.1

Ketoconazole-induced hepatitis was found in 36-year-old woman who developed easy fatiguability and jaundice, with abnormal liver function tests after taking ketoconazole 400mg a day for 6 months. All of the viral hepatitis serologic markers were negarive. Clinical and biochemical abnormalities spontaneously improved within 3 weeks after cessation of drug administration.

골격성 제 Ⅲ급 부정교합 환자의 상하악 동시이동술시 LeFort Ⅰ 상악골절단술의 술후 안정성에 관한 연구

임양희,고승오,신효근 大韓口腔外科學會 2003 大韓口腔外科學會誌 Vol.27 No.5

류마티스성 심장판막질환, 우심방혈전 및 대동맥 협착증과 합병된 만성 혈전색전성 폐동맥고혈압 1예

유근배,심준,임양희,이진화,신길자 梨花女子大學校 醫科大學 醫科學硏究所 1998 EMJ (Ewha medical journal) Vol.21 No.4

폐동맥 혈전색전증은 비교적 드문 질환으로 주로 심부 정맥혈전에서 발생하는 것으로 알려져 있으며 류마티스성 심장판막질환을 가진 경우 합병되는 우심방 혈전이 드물게 폐혈전색전증의 원인이 될 수 있는데, 저자들은 대동맥의 동맥경화성 협착증을 동반한 류마티스성 심판막질환 환자에서 우심부전 및 우심방혈전에서 발생한 만성 혈전색전성 폐동맥고혈압1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Most pulmonary thromboemboli arise from the deep vein thrombosis, which have complete clinical and at least near complete roentgenographic and angiographic resolution within four to six week of the acute event. But chronic pulmonary hypertension and cor pulmonale from unresolved pulmonary embo-lism complicate acute embolic episode with a frequency of less than 1 percent. Rarely pulmo-nary thromboemboli can result from right atrial thrombi. We experienced a case of chronic thromoboembolic pulmonary hypertension, which wrose from right atrial thrombi in the patient with rheumatic valvaular heart disease and thoracic aorta atherosclerotics stenosis.

급성 맹장염에 과한 임상적 및 병리조직학적 연구

박성숙,임양희 이화여자대학교 의과대학 1982 梨花醫學誌 Vol.- No.14

The clinical and histopathological findings, and leukocytes count in 164 patients with acute appendicitis were studied. And results were as follows: 1) In age distribution, most of the acute appendicitis occurred in young adults. 2) In sex distribution, the ratio of female to male was 1.5:1. 3) The most common clinical symptom was abdominal pain, and the chief complaints were nausea, vomitting, etc. Most of the patients came to hospital within one day from its onset of symptom. 4) In WBC count of peripheral blood, the most frequent value was 5000∼15000 per ㎣. 5) The histopathological study showed 53.7% of acute appendicitis with 7.9% of perforation, 1.2% of chronic appendicitis, 22.6% of non-inflammatory findings and 19.5% of no pathologic abnormalities. 6) The possible mechanisms of acute appendicitis present lymphoid hyperplasia, fecalith impaction and dilatation. 7) The accompanying disease of acute appendicitis were 66.7% of mucosal hyperplasia and 33.3% of diverticulum.

24시간 활동 혈압에 의해 진단된 백의 고혈압의 임상적 특성

맹선희,조홍근,박시훈,신길자,이동수,임양희 梨花女子大學校 醫科大學 醫科學硏究所 1997 EMJ (Ewha medical journal) Vol.20 No.4

목적: 혈압은 의사가 측정할 때 승압반응에 의해 실제값보다 흔히 높게 측정된다고 알려져 있는데 이러한 특성 때문에 내원시 측정한 수시혈압이 실제 활동중 혈압과 차이가 있어 고혈압의 진단, 치료시기의 결정 및 효과의 판정등에 영향을 미치게 된다. 저자들은 24시간 활동 혈압을 시행받은 대상중 수시혈압은 고혈압의 진단기준에 맞으나 백의 고혈압으로 판명된 군의 특성을 알아보고자 본 연구를 시행하였다. 방법: 1995년 1월부터 1996년 7월까지 이화여자대학교 부속 동대문병원을 방문하여 24시간 활동혈압을 시행받은 총 434예의 환자중 잭의 고혈압으로 진단된 13예의 환자를 대상으로 하였다. 대상환자의 병력청취, 내원시의 수시혈압측정, 12극 표준 심전도, 흉부 X선 촬영, 형중 지질농도 검사, 심초음파 검사 및 24시간 활동중 혈압을 분석하였다. 결과 : 1) 백의 고혈압으로 진단된 환자는 24시간 활동 혈압을 시행받은 총 434예의 환자중 13예로 2.99%였으며 남자가 6예, 여자가 7예였다. 대상환자의 연령분포는 26세에서 65세까지로 평균 연령은 45±12세였다. 2) 흉부 X-선 검사는 11예에서 시행받았으며 심장흉부강비가 0.5 이상인 경우는 2예(18.2%). 정상인 경우가 9예였다. 12극 표준 심전도 검사는 모든 대상 환자에서 시행하였으며 모두 정상 동율동이었고 4예(30.8%)에서 죄심실 비대 소견을 보였다. 3) 생화학적 검사에서 혈중 콜레스테롤 189±34mg/dl. 중성지방 139±64mg/dl. 고밀도 지단백 콜레스테롤 100±27mg/dl 로 모두 정상 범위를 보였다. 4) 심초음파 검사는 8예에서 시행받았으며 좌심실질량은 90.7±11g/m^3로 모두 정상이었으나 1예에서 동심성 좌심비대의 소견을 보였다. 5) 좌심실 구혈율은 모두 정상범위였으며 평균 60.8±8.7%였다. 6) 좌심실 이완기지표인 승모판 혈류 속도 지표는 E velocity 0.71±0.14m/sec. A velocity 0.54±0.24m/sec E/A ratio 1.6±0.8. 감속시간(MVDT) 214±27.6m/sec. 등용적성 이완기시간(IVRT) 104±11.4m/sec으로 정상이었으며 1예에서만 비정상 소견을 보였다. 7) 외래에서 측정된 수시혈압의 평균은 수축기 혈압이 159±13.8mmHg. 이완기혈압이 101±9.0mmHg였으며 24시간 활동 평균 수축기 혈압은 128±4.9mmHg. 평균 이완기 혈압은 82±6.6mmHg였다. 백의효과는 수축기와 이완기 각각 31.7±14.1mmHg와 19.5±8.0mmHg였다. 24시간 활동 혈압에서 systolic pressure losd는 12.9±8.4%였고 diastolic pressure load는 21.4±15.3%였다. 8)24시간 활동 혈압에서 수축기 혈압의 야간 주간 혈압비는 0.93±0.06이었으며 이완기 혈압의 야간 주간 혈압비는 0.92±0.06으로 혈압의 일내 변동이 소실된 소견을 보였다. Dipper는 5예(38.5%), Non-Dipper는 8예 (61.5%)였다. 9) 백의 고혈압 진단 후 추적 기간중 고혈압으로 진단되어 항고혈압제를 투여받은 환자는 2예(15%)였다. 결론: 백의 고혈압은 24시간 활동 혈압으로 진단할 수 있으며 이들 환자의 백의 효과가 심장에 미치는 영향은 확실하지 않다. 본 연구에서도 좌심실의 수축기나 이오나기 기능은 정상이었으나 24시간 활동 혈압상에서 일내 변동을 보이지 않는 경우가 61.5%로서 정상 혈압군에서 보이는 소견과는 다르며 13예중 2예(15%)에서 고혈압으로 진단되어 항고혈압제를 투여받고 있으므로 이들에 대한 조기 발견과 정기적 추적 관찰이 중요하며 심혈관계에 대한 영향 및 지속성 고혈압과의 연관성, 치료 방침의 결정에 대한 연구가 필요할 것으로 생각된다. Objectives : The Measurement of blood pressure by a doctor may trigger a pressor response, so there are marked differences between office and ambulatory or self-measured blood pressure and the subjects may misdiagnosed as hypertensives and receive unneccesary medication. The study is designed to evaluate the charicteristic of white coat hypertension, the degree of white coat effect and the relationship between the white coat hypertension and persistent hypertension. Methods : Thirteen patients with office hypertension receiving no medication, were recruited from 434 patients experienced in ambulatory blood pressure. Past history, physical examination, office blood pressure, 12-channel standard electrocardiography, chest X-ray, plasma lipid battery, echocardiography and 24-hr ambulatory blood pressure monitoring with BP3 MEDIANA were performed. Results : 1) White coat hypertensive patients were 13 of 434 patients(2.99%) who were performed 24-hr ambulatory blood pressure monitoring. The mean age was 45±12 years with 6 men and 7 women and rage of age was 26-65 years. 2) The lipid battery, chest X-ray and 12-channel standard electrocardiographty showed no significant finding. 3) The LV mass index was 90.7±11.0g/m^3 but one of 8 who performed echocardiography showed concentric hypertrophty. 4) The LV ejection traction was 60.8±8.7% which normal range. 5) The mitral flow velocity parameters were E velocity 0.71±0.14m/sec, A velocity 0.54±0.24m/sec, E/A ratio 1.6±0.8, mitral valve deceleration time 214±27.6msec and isovolumic relaxation time 104±11.4msec but one of 8 showed LV relaxation abnormality. 6) The mean office systolic blood pressure was 159±13.8mmHg, mean office diastolic blood pressure 101±9.0mmHg, 24-hr mean ambulatory systolic blood pressure 128±4.9mmHg and 24-hr diastolic bliid pressure 82±8.6mmHg. 7) The night day ratio of systolic blood pressure was 0.93±0.06 and the night day ratio of diastolic blood pressure was 0.92±0.06 suggestive of blunted diurnal variation. The Dipper were 5 of 13 patients(38.5%) and the non-Dipper were 8 of 13 patients(61.5%). 8) Two of 13 white coat hypertensives were diagnosed as persistent hypertensives in follow-up periods and antihypertensive drug had been initiated. Conclusion : White coat hypertension can be diagnosed by 24-hr ambulatory blood pressure monitoring. The influence of white coat effect to cardiovascular system was not established. Sixty-two percent of white coat hypertensives showed blunted diurnal variation in 24-hr ambulatory blood pressure monitoring and two of 13 were diagnosed as persistent hypertensives in our F/U study, so white coat effect cannot be merely innocent and need strict evaluation and regular follow-up.