Developpe devant 수행시 하지 관절 모멘트 분석

박기자,신성휴,권문석,김태완,이형나 한국운동역학회 2004 한국운동역학회지 Vol.14 No.1

K. J. PARK, S. H. SHIN, M. S. KWON, T. H. KIM, H. N. LEE. Analysis on lower extremity joint moment during a developpe devant. Korean Journal of Sport Biomechanics, Vol. 14, No. 1, pp. 133-144, 2004. The purpose of this study was to analyze the joint moment on lower extremity during a developpe devant. Data were collected by Kwon3D, KwonGRF program. Two professional modem female dancers were participated in this experiment. Subjects performed a developpe devant in meddle heights. On the axes of X, Y, Z, it was shown that the maximum joint moment was occurred in hip joint. The moments are plotted during developpe devant. The ankle muscles generate a plantar flexion moment and the knee muscles generate a flexion moment and The hip muscles generate a extension moment. So these muscles of joint muscles were known to play a key role in keeping the body balance while doing developpe devant. In addition adduction moment occurred at hip, knee, an ankle in the order of amount, we could assume from this data that turn out motion started from the hip joint. There was small active turn out possible below the hip joint. A small amount of extra turn out could be obtained when standing because of flexion between the foot and floor, which could be used to give a passive external rotation force to the whole leg and this could produce a rotation between the knee and foot. This passive external rotation could produce very damaging results. Therefore, lower extremity joint muscles such as hip, knee, and ankle muscle should be trained to keep the body balance and prevent injury during developpe devant performance. And for the safe and perfect turn ort performance, hip joint abduction, the most important external rotating muscle for turn out is needed to train and full stretching should be done in advance.

Structural Equation Modeling to Assess Discrimination, Stress, Social Support, and Depression among the Elderly Women in South Korea

Hung Sa Lee,,김춘미 한국간호과학회 2016 Asian Nursing Research Vol.10 No.3

Purpose: The purpose of this study was to find the relationship and conceptual model of discrimination, stress, support, and depression among the elderly in South Korea. Methods: This was a cross-sectional descriptive study involving 207 community-dwelling elders. Data were collected through questionnaires from May 5 to May 31, 2014 in community senior centers, and analyzed using descriptive statistics, t test, analysis of variance, Scheff e test, and structural equation modeling. Results: There were significant effects of discrimination on stress, support on stress and stress on depression. Moreover, there were two significant indirect effects observed between discrimination and depression, and between support and depression. For each indirect effect, the mediating factor was stress. Additionally, there was no direct effect between discrimination and depression or support. Conclusions: This study found that social support and discrimination had indirect effects on depression through stress. More specifically, decreased stress led to a reduction of depression. Therefore, social support based on a thorough understanding of stress is very important for caring elderly who are depressive.

Oral Health, ADL, Depression and Quality of Life among Community-dwelling Elderly Women

Hung Sa Lee,Chunmi Kim 한국간호과학회 2015 한국간호과학회 학술대회 Vol.2015 No.10

노인장기요양서비스 수급자의 상담 요구

이홍자 ( Lee Hung-sa ),김현실 ( Kim Hyun-sil ) 한국노인의료복지학회 2016 노인의료복지연구 Vol.8 No.2

Purpose: It is widely felt the counseling needs of the elderly who received the long-term care service. There is not always match between elderly`s counseling need and actual experience of counseling in the service. The purpose of this paper is to find the subject`s counseling need and the factors related it. Methods: The data concerning 671 subjects were collected from June 2010 to July 2010. We measured the subject`s socio-demographic characteristics, physical and cognitive function, behavior problem, rehabilitation level and counseling need. The data were analyzed by mean and standard deviation, Pearson`s correlation coefficient and multiple regression using SPSS 20.0 program. Results: The 14.01% of subjects lived alone, 47.39% lived with their spouse. The score of counseling need was 2.38. The highest score of the counseling need was that about long-term care system(2.61), the next was about long-term care service itself(2.32), the last was about physical function(2.20). The needs of counseling was correlated with the number of the received counseling.(F=0,11, p=.005). Conclusion: There are highly counseling need for long-term care insurance in system and service. But the elderly received counseling, regardless of their needs. So it is important to establish counseling system appropriate by care management.

자아존중감, 스트레스 및 사회적 지지가 중년 여성의 우울에 미치는 영향

이홍자(Lee, Hung Sa),고영(Ko, Young) 한국보건간호학회 2017 韓國保健看護學會誌 Vol.31 No.1

Purpose: This study was conducted to determine if women’s depression is influenced by their self esteem, stress, and social support. Methods: This study was a descriptive survey, and data were collected from the November 1 to December 20, 2015 using a self-reported questionnaire. The measurements were SES for self esteem, and CES-D for depression. A total of 165 middle-aged women participated through convenient sampling. Results: There were significant difference in self-esteem according to education level and monthly income. Additionally, there was an inverse correlation between stress and self esteem, as well as a significant strong correlation between self esteem, stress, social support and depression. Finally, multiple regression showed that self-esteem and stress had significant effects on depression, and their explanatory power was △R2(%)= 47.9 (△F= 66.526, p<.001), p<.001). Conclusion: This study confirmed that depression was closely related to self-esteem and stress among middle-aged women. Based on these findings, we suggest that the health policies of reducing depression for middle-aged women should focus on reducing stress and reinforcing their self-esteem.

유치원 아동의 흡연태도 및 흡연의도에 미치는 영향요인

이홍자(Lee, Hung Sa),백선복(Paik, Sun-bok),김현철(Kim, Hyun Chull),최경희(Choi, Gyoung Hee) 한국보건간호학회 2004 韓國保健看護學會誌 Vol.18 No.2

人蔘, 桔梗, 및 遠志 Saponin에 對한 毒性比較 (第一報)

洪思岳,李容采,金濟勳,金暎洙,金東秀,李哲和,李恒振,韓大燮,宋雄奎,高桂珣 中央醫學社 1963 中央醫學 Vol.5 No.6

As a preliminary study on Panax ginseng, the saponin fraction of Panax ginseng, Platycodon grandiflorun and Polygala tenuifolia were extracted and purified to compare with toxicities in animals. Gypsophila saponin was used as the standard. Following were the results; 1) In fish the toxicities of saponins less intense from Ginseng and Platycodon were, while those of Polygala and Gypsophila were remarkable. 2) Hemolytic action of Ginseng saponin in defibrinized blood of cows, guinea pigs rabbits and rats was weak, which, however, was increased in order of Platycodi, Gypsophila and Polygala. 3) LP5n in mouse were; 275±52.0mg/kg. with Ginseng, 367-1-52.05mg/kg. with Paltycodi, 111.9±23.0mg/kg. with Gypsophila and 31.05±4.55mg/kg. with Polygala respectively.

노인요양기관별 서비스 유형과 종사자의 업무분석

이홍자,Lee, Hung-Sa 한국가정간호학회 2005 가정간호학회지 Vol.12 No.1

Purpose: Long-term care facilities have a responsibility to provide care service that enables residents to maintain their maximal functional capacity and quality of life. Also their needs must be reflected to the service programs. In oder to provide an adequate service, we should assess the elderly's physical, psychological and social health status and the need. In addition to this, the long-term care facilities must be defined clearly by the type of services. This study would contribute to conduct appropriate services in public long-term care policy for the older population in the future. This study would provide informations of long-term care facilities' services and older persons' needs for long-term care. Method: To achieve this objectives, this paper investigates the types, service programs of long-term care institutes and job descriptions of workers. The subjects were consisted of 150 long-term care institutes. 150 institutes of long-term care facilities were drawn from all over the country by a nonrandom, convenience sampling. The data were analyzed by frequency, percentage, $x^2$-test using SPSS program. The instruments of this study were self-reported questionnaires for long-term care institutes. The data were collected from March 1, 2004 to may 31, 2004. Results: Service programs of long-term care institutes were not enough for residents' demands. The job descriptions among nurse, social worker and physical therapist were not clearly defined. The nurse's main role was medication and checking vital sign(49.7%), that of social worker's was observation and supervising (31.2%). The most significant problems were lacking of diverse service programs for residents. Conclusion: Considering these findings and conclusion, the needs of long-term care services should be provided by individual physical and psychological level. And the professional manpower for elderly should be educated in multi disciplines.

산에 의해 변색되어 불법제조 유통되는 식용유의 효과적인 분석에 관한 연구

박성우(Sung-Woo Park),이진훈(Jin-Hoon Lee),정진일(Jin-il Jeong),오세진(Sae-jin Oh),이진숙(Jin-Suk Lee),김유나(Yu-na Kim),민승식(Seung-Sik Min),손행자(Hang-Sa Son),노미정(Mi-Jeong No),박유신(Yoo-sin Park),장성길(Seong-Gil Jang) 한국법과학회 2001 한국법과학회 학술대회 Vol.2001 No.1

증례 : 소화기 ; 총담관-십이지장 누공을 동반한 담관 내 점액성 유두 종양

김형태 ( Hyung Tae Kim ),김사일 ( Sa Il Kim ),권오완 ( Oh Wan Kwon ),이항락 ( Hang Lak Lee ),전대원 ( Dae Won Jun ),이오영 ( Oh Young Lee ),최호순 ( Ho Soon Choi ) 대한내과학회 2011 대한내과학회지 Vol.81 No.1

담관 내 점액성 유두 종양이 다른 장기와 누공을 형성한 증례보고는 저자들이 문헌고찰한 것에 의하면 없으며, 누공형성 기전도 확립된 것이 없어 더 많은 보고와 연구가 필요하다. 저자들은 황달과 가려움증으로 내원하여 총담관-십이지장 누공을 동반한 담관 내 점액성 유두 종양을 진단하였으며, 간좌엽 절제술 및 담낭절제술로 치료한 증례를 경험하여 보고한다. An intraductal papillary mucinous neoplasm of the bile ducts (IPMN-B) is an uncommon tumor characterized by the secretion of large amounts of mucin and intraductal growth. The characteristic clinical symptoms and radiologic findings are due to bile-duct obstruction caused by mucin. A parapapillary choledochoduodenal fistula is a rare disorder. This fistula has no clinical symptoms and is diagnosed by chance. We report a case of parapapillary choledochoduodenal fistula associated with IPMN-B. A 63-year-old woman was admitted to Hanyang University Hospital because of jaundice. Computed tomography (CT) showed diffuse intra- and extrahepatic bile duct dilatation. The ducts were filled with heterogenous material. Duodenoscopy revealed a large choledochoduodenal fistula. Endoscopic retrograde cholangiography through the fistula showed a papillary mass in the common hepatic duct. IPMN-B with choledochoduodenal fistula was diagnosed. The patient underwent a left hepatectomy. Her postoperative course was uneventful, and she was observed regularly in the outpatient department. (Korean J Med 2011;81:93-97)