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IgG3결핍 천식 환자에서 면역 글로불린 치료로 호전된 1례
김희규,옥철호,정만홍 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2
반복적인 호흡기 감염으로 천식 악화가 재발되는 환자는 면역 결핍이 그 원인일 수 있다. 저자들은 20년 전부터 기관지 천식으로 진단받고 최근 들어 잦은 호흡기 감염과 천식 악화가 발생한 환자에서 IgG3결핍을 확인하여 면역 글로불린 투여 후 임상적으로 호전된 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Asthma is precipitated into acute episode of airway obstruction by respiratory infection. Also, some immunological abnormalities including deficiencies of IgG subclasses are reported in patients with asthma. A 65 year old woman, who has a 20 years history of bronchial asthma and allergic rhinitis, has been suffering from recurrent upper and lower respiratory infection for 2 years. She has been admitted frequently by asthma exacerbation. We evaluated her immunoglobulin level. IgG subclass III level was reduced at 14.3 mg/dl (normal range 23.0~196.0 mg/dl) with other IgG subclass profiles in the normal range. So, we administrated IVIG (intravenous immunoglobulin) monthly 0.4 g/kg dose for symptomatic IgG3 deficiency. She was much improved in clinical course : without asthma exacerbation, recurrent respiratory infection, and need for antibiotics. So, the symptomatic IgG subclass deficient patients may be candidates for IVIG replacement.
간호관리자의 권력부여(Empowerment) 유형 및 수준
구옥희,안은경,김태숙,최옥순 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2
The purpose of this study was to investigate manager's type and level of empowerment perceived by clinical nurses. 125 nurses were selected by convenience sampling from three hospitals in Suwon(two private university hospitals, one private general hospital). The instrument of "the type of empowerment"(Vogt & Murrell, 1990) was used. The data were analyzed using descriptive statistics, t-test, and ANOVA. Supplemental computations using Scheffe's test were performed as post-hoc tests to examine the ANOVA results. The results of this study can be summarized as follows; 1. Generally clinical nurses recognized manager's empowerment to medium-high degree. And in the level of it's subtypes, the degree of recognition appeared in order of the following; evaluation/ control(42.83), information exchange(34.75), planning/organization(34.66), selection process/ arrangement/development(34.43), decision making/action(34.05), leadership/motivation(33.94). 2. In the relationship between general characteristics of clinical nurses and the level of their recognition on empowerment, a significant difference appeared in the type of position(p<.05), and very significant difference appeared in the types of unit and senior(p<.01). 3. In the relationship between general characteristics of clinical nurses and the level of manager's empowerment subtypes, the following results revealed; statistically meaningful differences appeared in unit and senior of information exchange type, in senior of planning/organization type, in age, position, carrier and senior of evaluation/control type, in unit and senior of leadership/motivation type, in unit and senior of selection process/arrangement/development type(p<.05).
이옥희,강영의 順天大學校 1998 論文集 Vol.17 No.1
This study was conducted to design Working clothes to increase efficiency. Working clothes to increase efficiency are needed form-construction, wear sensation, appearance appropriated for work. There, this research, using theory as a background has examined working environment and general characteristics of working clothes, to focus on the variables of the applications for development of the design according to female worker's demand. And, this research analyzed actual conditions of wearing and degree of preferences of working clothes by distribution questionnaires of female workers. The research based on theoretical studies and the questionnaires to find the improvement and demand characteristics are follows ; 1) In working environment, the temperature in factory(28∼29℃) was higher than ideal safety temperature(20∼25℃), and many of workers(85%) were annoyed by noise and dust that is harmful element for health. 2) In working motion, rather than sitting, was doing a work standing or walking mostly, and quantity of arm's motion was mostly work up and down. 3) In the actual condition of working wear, many of workers(77% and over) were wanted to improve working wear, and its contents are in order of ; color(45%), design(37%). The most discomfortable motion was answered ' when rise and fall arm'. Front hemlines of blouse and knee of slacks were parts that were worn out quickly, collar and knee were parts that polluted heavily, and unsewed parts were armhole and part with a zipper. In material characters, working clothes of winter was badly answered wrinkles and elasticity, and summer clothes was badly elasticity, air permeability, wrinkles, absorbency. In the degree of the preference of working wear, form was asked round collar and pants of knee length or three quarter slacks, and color was preferred sky blue, white, blue(lighter than weared clothes).
CLOSED LOCK 증례에 대한 악관절 세정술의 임상적 연구
현영옥,강창희,노양호,천영두,이희원 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.1
Purpose : To evaluate the efficacy of arthrocentesis for treatment of closed lock. Material : 42 patients were diagnosed to closed lock by physical, radiographic examriation and undergone arthrocentesis. All patients have a pain and mouth opening limitation on affected site. Method : Arthrocentesis was done under conscious sedation and local infiltration anesthesia, normal saline and some steroid was injected on upper compartment of tempormandibular joint. After pumping and lavage, manual reduction procedure of anterially displaced disc was done. All the patients wear an anterior repositioning splint just after arthrocentesis. The result of arthrocentesis was assessed by pain and difference of mouth opening. Result : Difference of mouth opening after arthrocentesis was improved to 18.85mm and pain was gradually decreased. All patients were worn stabilization type splint after mean 1.84 months. 6 patients had relapse of mouth opening limitation so done arthrocentesis again and delivered good results.
박희정,신혜정,정옥란,석동일 한국음성과학회 2004 음성과학 Vol.11 No.4
Spastic dysarthria is a motor speech disorder produced by a damage to the direct (pyramidal) and indirect (extrapyramidal) pathways of the central nervous system. This study attempted to determine the influences of the severity of spastic dysarthria on the stability of voice. A sustained /a/, /a/ produced at the beginning of a sentence and at the end of the sentence were analyzed. The Praat 4.0.51 was used for analysis. The results showed a significant difference between the severe spastic dysarthric group and normal group matched by age and sex at the beginning and the end of the sentence. In addition, the severe group showed a significant difference between the first /a/ and the second /a/ at the end of sentence.