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함희원,성무경,전혜정,선관우 건국대학교 의과학연구소 1996 건국의과학학술지 Vol.5 No.-
In this study, gall stones from 45 patients were analyzed in vitro. Gall stones from 23 patients were cholesterol stones and the others were non-cholesterol. Correlation with each radiologic physical properties(the number of stones, shape, calcification pattern, Hounsfield units measured by computed tomography) and chemical composition(cholesterol or non-cholesterol) were analyzed. The results revealed that the numbers and size were not related to the chemical composition, but there were significant correlation with faceted stones(p=0.002) or stones with no calcification (p=0.010) and cholesterol composition, and with irregular stones(p=0.000) or stones with dense calcification(p=0.015) and non-cholesterol composition. In study of Hounsfield units, it was difficult to fix the boundary, but the difference between cholesterol composition(138.43±281.81) and non-cholesterol composition(404.32±306.06)was significant(p=0.0109).
함옥경,성경미,이보경,최희원,임은옥 한국간호과학회 2016 Asian Nursing Research Vol.10 No.2
Purpose: The purpose was to evaluate the effects of a transtheoretical model (TTM) based exercise counseling offered with music skipping rope exercise on components of the TTM (stages of change, decisional balance, and self-efficacy), body mass index, glucose, and lipid profile of overweight/obese children in Korea. Methods: This study used a nonequivalent pretest and posttest experimental study design. A total of 75 overweight/obese children participated in the study. Eight sessions of exercise counseling combined with music skipping rope exercise for 12 weeks were offered for children in the experimental group, while one session of exercise counseling with music skipping rope exercise for 12 weeks was offered for children in the control group. Outcomes were measured at baseline, and 6 months after the intervention. Results: After the intervention, self-efficacy significantly improved among children in the experimental group (p = .049), while these children maintained their baseline BMI at 6-month follow-up (p > .05). Among children in the control group, BMI significantly increased (p < .05). Fasting blood sugar significantly increased for both groups after the intervention (p < .05). However, a greater increase was observed for the control group. Conclusions: Our study partially supports the hypothesis that a TTM-based exercise intervention is effective in maintaining BMI and improving self-efficacy of overweight/obese children. The TTM-based counseling combined with exercise classes has potential to control weight among overweight/obese children, while involvement of parents and children in the development of the theory-based intervention may generate further benefits regarding health and well-being of overweight/obese children.
Tuberculosis of Ascending Colon with Submucosal Abscess
Ham, Hee Won 건국대학교 의과학연구소 1992 건국의과학학술지 Vol.2 No.-
1940년대 이후 항결핵제의 발달로 인하여 폐결핵은 물론이고 소화관의 장결핵도 그 발병빈도가 급격히 감소되었다. 장결핵은 대부분 말단 회장 및 회맹부 접합부위에 많이 발병하며 회맹부의 하부 결장, 충수 그리고 공장에서 발병하기도 한다. 그러나 회맹부 하부 결장에만 국한되어 있는 경우에는 그 발병 빈도가 매두 낮고 또한 병변이 양성 및 악성 종양과 구별하기 매우 어려워 수술후 진단이 내려지기도 한다. 본 저자는 단지 혈변만이 주소인 상행 결장에만 국한된 결핵으로서 방사선 소견상 상행 결장에 점막하 낭성 종괴를 보여 괴사성 암종과의 술전 감별진단이 어려웠던 경우를 치험하였기에 병리학적 소견 및 문헌고찰과 함께 보고하는 바이다. The tuberculous involvement of the alimentary tract was abruptly decreased in incidence and morbidity along with pulmonary tuberculosis since the advent of effective antituberculous chemotherapy ti the 1940s. Tuberculosis of the gastrointestinal tract most commonly involves the ileocecal region. The colon distal to the ileocecal area, appendix and jejunum are other rare sites of involvment. Especially, localized segmental involvement of the colon distal to the ileocecal region is very rare and difficult to differente from benign or malignant neoplasm. The diagnosis of this case is tuberculosis localized in the ascending colon and is difficult to differentiate from necrotic submucosal tumor of the colon due to submucosal cystic mass in radiologic examination. Pathologic correlation and a review of the literature are provided.