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      • KCI등재

        염증성 배부통을 호소하는 환자에서의 진단적 접근

        조남순,김은진,성덕현 대한재활의학회 2009 Annals of Rehabilitation Medicine Vol.33 No.4

        Objective: To investigate the etiologic diseases of inflammatory back pain (IBP) and to propose a diagnostic algorithm for approaching the patients with IBP. Method: One-hundred-and-forty patients with IBP visiting the clinic for spinal disorders were involved. Clinical features of spondyloarthropathy (SpA) through medical records, presence of intervertebral disc disease, sacroiliitis and degenerative spondylosis through plain radiography and magnetic resonance image (MRI) of spine and pelvis, HLA B27 positivity, and quantitative laboratory results of acute phase reactant were retrospectively reviewed. Results: Diverse spinal disorders were indentified as etiologic diseases for IBP that were SpA (44 patients), diffuse idiopathic skeletal hyperostosis (DISH) (15 patients), degenerative spondylosis (15 patients), HLA B27 associated IBP (14 patients), lumbosacral radiculopathy (4 patients), and others (48 patients). When onset age was less than 45 years, the most frequent cause was SpA. When onset age was more than 45 years, DISH and degenerative spondylosis were the most frequent causes. Onset age (p=0.002), age at presenting to clinic (p=0.001), number of items satisfying IBP criteria (p=0.001), HLA B27 positivity (p=0.000), and elevated acute phase reactant (p=0.002) were statistically associated with SpA. Conclusion: The relative frequency among various etiologic disease of IPB is different depending on the onset age of IPB. Onset age of IBP, numbers of items satisfying IBP criteria, and laboratory test for HLA B27 and acute phase reactant can be useful factors for determining the causes of IBP, especially for diagnosing SpA. Diagnostic algorithm for approaching the patients with IBP is proposed according to the sensitivity and specificity of the factors which have statistically meaningful relationship with diagnosis of SpA. Objective: To investigate the etiologic diseases of inflammatory back pain (IBP) and to propose a diagnostic algorithm for approaching the patients with IBP. Method: One-hundred-and-forty patients with IBP visiting the clinic for spinal disorders were involved. Clinical features of spondyloarthropathy (SpA) through medical records, presence of intervertebral disc disease, sacroiliitis and degenerative spondylosis through plain radiography and magnetic resonance image (MRI) of spine and pelvis, HLA B27 positivity, and quantitative laboratory results of acute phase reactant were retrospectively reviewed. Results: Diverse spinal disorders were indentified as etiologic diseases for IBP that were SpA (44 patients), diffuse idiopathic skeletal hyperostosis (DISH) (15 patients), degenerative spondylosis (15 patients), HLA B27 associated IBP (14 patients), lumbosacral radiculopathy (4 patients), and others (48 patients). When onset age was less than 45 years, the most frequent cause was SpA. When onset age was more than 45 years, DISH and degenerative spondylosis were the most frequent causes. Onset age (p=0.002), age at presenting to clinic (p=0.001), number of items satisfying IBP criteria (p=0.001), HLA B27 positivity (p=0.000), and elevated acute phase reactant (p=0.002) were statistically associated with SpA. Conclusion: The relative frequency among various etiologic disease of IPB is different depending on the onset age of IPB. Onset age of IBP, numbers of items satisfying IBP criteria, and laboratory test for HLA B27 and acute phase reactant can be useful factors for determining the causes of IBP, especially for diagnosing SpA. Diagnostic algorithm for approaching the patients with IBP is proposed according to the sensitivity and specificity of the factors which have statistically meaningful relationship with diagnosis of SpA.

      • KCI등재

        부모효율성훈련의 효과지각에 관한 조사연구

        조남순 한국아동교육학회 1996 아동교육 Vol.5 No.2

        The purpose of this study was to research three key issues: first, to find out of the results effective perception had on mothers that were involved in case applied, home programs; second, to find the effective perception of a family with various special character; and third, to examine developmental trends on age and sex of children. This subjects were selected from 120 mothers who participated in P. E. T. from March to December of 1995. The constructed a questionnaire that was sent to all participants. The collection rate was 81.6% and the data of 98 mothers were used for this study. The results from this study are listed below. The Effective perception of P. E. T. was showed positively by the general perceptio n of mothers. The effective perception of P. E. T. in subordinate domain was differe nt in each age group mothers: the extent of difficulty in adjusting the technical application of P. E. T. was different between mothers ages of 36 to 42 compared to those whose ages 29 to 35, and ages 43 and over. The effective perception of P. E. T. in subordinate domain was also different according to a mother's educational background. The mother who was a high school graduate proved that she had a higher degree of effective perception than a mother who was an university graduate(p<.05) in a 'twelve kinds roadblock do not use' and a difficulty appeared in adjusting technical application of P. E. T. The technical application of P. E. T, in subordinate domain and a children's changing behavior showed a difference in the effective perception of P. E. T, in the marriage period time of mothers. A marriage period (between 10 and 14 years) was better than a marriage( between 5 and 9 years) was better than a marriage (between 5 and 9 years and 15 years over}. The effective perception of Y. E. T, in subordinate domain according to family form was greater in expanded families than in nuclear families(p<.05) in a 'twelve kinds roadblock do not use".

      • 만성 화농성 중이염의 세균학적 고찰

        조남순,이영훈,강기훈,최제환,송태현,이병돈,장혁순,강주원,김연준 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

        Background and Objectives : Chronic suppurative otitis media is one of the frequent diseases in otolaryngologic field. It is important to choose of antibiotics in the management of infectious disease. But the organisms in infections have been changed and resistance to antibiotics has been grown as the development of antibiotics has been achieved. And so it has been necessary to recognize the changes of organisms and resistance in antibiotics. Our study was performed to identify the pathogens isolated from discharges in chronic otitis media and evaluate the antibiotic agents, to recognize the change of to resistance to·antibiotic agents and to use the appropriate anitiotics. Materials and Methods : Retrospectively, authors reviewed the backeriologic study of 114 cases of chronic suppurative otitis media who visited the Department of Otolaryngology, Soonchunhyang University in Seoul from Nov. 1996 to Oct. 1999 and analyzed 101 strains and its sensitivity test to various antibiotics. Result : In 93 cases in which pathogenic organism was isolated, single infection was 85 cases(91.4%) and mixed infection was 8 cases(8.6%). The most frequent pathogenic organism was Staphylococcus aureus(59.4%), Pseudomonas aeruginosa(13.9%), Providencia(4.8%), Alcaligenes(3.0%) and Streptococcus pneumoniae(2.9%) were the next. Methicilline-Resistance Staphylococcus aureus was 34 cases(57.6%) of Staphylococcus aureus. Staphylococcus aureus was sensitive to Vancomycin(96.7%), Trimethoprim-Sulfamethoxazole (57.6%), Cefuroxime(42.4%) and Ciprofloxacin(40.7%) but resistant to Penicillin(94.9%). Pseudomonas aeruginosa was sentitive Amikacin(100%), Ciprofloxacin(100%) and Gentamicin(67%). Conclusion : As MRSA recently was wide spread in community accquired infection as well as nosocomial infection, we must consider strict control of MRSA.

      • Weak equivalence and weak Radon-Nikodym property

        Lee, Byoung Mu,Cho, Nam Sun 대구효성가톨릭대학교 자연과학연구소 1990 基礎科學硏究論集 Vol.4 No.-

        본 논문에서 X가 가분 Banach 공간일 때. 임의의 유계인 weakly?-가축함수? : Ω→X*에대하여 T(X**) =X**· ? 로 정의된 연산자 T : X**→L∞(?)가 막 compact이면 X*가 WRNP를갖는 것과 ? 와 약 동치인 Bochner 적분 가능한 함수 g : Ω→X*가 존재한다는 것이 동치임을증명하였다.

      • KCI등재

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