대동맥 협착증과 동반된 출혈성 위장관 동정맥 기형에서 Estrogen-Progesterone 치료 1예

김도연,김화정,김효정,남준식,박수영,박영미,신정은,주미순,황민규,정혜경,손혜영,이선영,이한주 大韓消化器內視鏡學會 1999 Clinical Endoscopy Vol.19 No.부록2

포괄수가지불제도 적용에 따른 산부인과 진료수입의 변화

황태연,유병철,정귀언,정수진,김성준,배기택,손혜숙,이종태,전진호,엄상화 인제대학교 2001 仁濟醫學 Vol.22 No.1

Objectives: Under the fee-for-service system, Korean hospitals have been suffering from the worsening profitability caused by law medical care fees. To overcome the difficulties, they have maximized the quantity of medical services and made relatively large investment in developing new medical services using high-priced medical equipment, medicines and medical supplies which were not covered by medical insurance system rather than reduced running costs. Materials and Methods: This study was made to analyze and forecast the revenue change of the department of Obstetrics and gynecology of an university hospital in Seoul, expecting the implementation of DRG system in 2000. Results: The results were as follows : 1.During the first two days of hospitalization. 41% of total medical service fee was occurred, which was thought that most of the check-ups and operations were made during this period. After two days of hospitalization, the new occurrence of medical service fee tended to reduce. 2.Out of total medical service fee, 67% of admission fee was occurred after 5 days of hospitalization. This was because medical service fees in obstetrics and gynecology department occurred during the first 5 days of hospitalization. 3.Out of fees for operation, treatment, medical supplies and blood transfusion. 71% was occurred during the first two days. 4. In case of fees for examination, 50% was occurred during the first two days. 5.A total of 53% of fees for medication and injection was occurred during the first 5 days. Conclusions: By the implementation of the DRG system, the income is forecast to increase by 800 won to 310,000 won by the disease group of obstetrics and gynecology department. To increase hospital income with the implementation of DRG system, the results of this study suggest that examinations should be done at out-patient departments before the hospitalization of patient, the discharge of patient should be noticed in advance to reduce the period of hospitalization, and admission appointment system should be implemented for the immediate operation and delivery.

고추 풋마름병ㆍ역병 복합 저항성 계통육성

한정혜,김주영,황희숙,김병수 경북대학교 농업과학기술연구소 2000 慶北大農學誌 Vol.18 No.-

풋마름병과 역병에 복합저항성인 계통을 육성하기 위한 노력으로서 앞서 역병 저항성으로 육성한 계통(16-2-2-3-2 = 역병 저항성 '칼미초', 19-1-3-7-1-1, 19-2-4-5-3-2 = 역병 저항성 '수비초', 김 등, 1996)과 풋마름병 저항성 계통(KC350 = MC 4, KC353 = PBC631)을 교배하여 육성한 F5와 BC1F4, F6와 BC1F5 세대에 대해 1999년과 2000년에 각각 풋마름병과 역병에 대한 복합저항성을 검정하였다. 풋마름병과 역병에 복합 저항성을 보인 개체를 선발하여 다음 세대의 종자를 채종하였다. In an effort to breed lines resistant to both bacterial wilt and Phytophthora blight, F5 and BC1F4, and F6 and BC4F5 generations of the crosses between the lines previously bred for resistance to Phytophthora blight ((16-2-2-3-2 = Phytophthora-resistant 'Kalmi', 19-1-3-7-1-1, 19-2-4-5-3-2 = Phytophthora-resistant 'Subi', Kim et al., 1996) and sources of resistance to bacterial wilt (KC350 = MC-4 or KC353 =PBC631, Kim et al., 1998) were evaluated for resistance to both bacterial wilt and to Phytophthora blight in 1999 and 2000, respectively. Plants which were highly resistant to both bacterial wilt and Phytophthora blight were selected for development of the next generations.

Capsicum chinense, 재래종 및 저항성 고추 유전자원에서 역병 저항성 계통 선발

김정훈,여승호,김동우,배수연,한정혜,황희숙,김병수 慶北大學校農業科學技術硏究所 2002 慶北大農學誌 Vol.20 No.-

2000년도에 검정에서 역병에 살아남은 개체들로부터 채종하여 육성한 Capsicum chinense 31계통에 대하여 역병 저항성을 검정한 결과 고도의 저항성을 나타내는 것은 발견되지 않았다. 2001년도의 검정에서 역병에 살아남은 개체로부터 채종한 재래종 26계통에 대하여 다시 역병 저항성 검정을 실시한 결과 KC180, KC230, KC195, KC194에서 다수의 개체가 살아남아 저항성을 나타내었다. 그러나 KC180과 KC230은 각각 AC2258과 CM334와 혼종된 것으로 관찰되었다. KC195와 KC194는 재래종의 형질을 유지하고 있는 것으로 관찰되었다. CM334의 보존 증식과정에 자연교잡이 일어난 것으로 보여 이의 순도향상을 위하여 채종년도별로 시료를 꺼내어 역병저항성 검정을 실시한 결과 가장 오래된 1992년도 채종종자에서부터 약간의 이형주가 관찰도기 시작하여 1995년부터 2001년도까지 시간이 경과함에 따라 많이 변형되어 있는 것을 알 수 있었다. 1992년도 종자에서 이형주를 제거하고 원형의 개체로부터 자식종자를 대량으로 채종하였다. 함께 공시한 AC2258은 순수한 것으로 확인되었다. 1995년도 채종 CM334 종자에서는 비록 혼종은 되었으나 측지발생이 적은 개체들이 발견되어 이들을 개체 선발하여 역병에 저항성이며 측지발생이 적은 계통으로 육성하고 있다. A total of 31 c. chinense lines selected from 2000 screening were tested again for resistance to P. capsici but resistance was not found in the lines. A total of 26 selections from Korean land races tested 2001 spring were tested again for resistance to P. capsici. KC180, KC230, KC195 and KC194 showed moderate resistance to P. capsici. However, it was apparent on the basis of hortivultural characteristics that KC180 and KC230 had been naturally crossed with AC2258 and CM334, respectively. CM334 and AC2248 seed lots that were increased in different years were taken out and tested for resistance to improve their genetic purity because the resistant genetic resources have been showing some off-types in the population. Off-types began to be found in 1992 seed lots and the proportion and degree of the offs was increasing with time up to 2001. Plants true to the type in 1992 seed lots were selected and their inbred seeds were mass produced in a net cage in the greenhouse. AC2258 included in the experiment number of lateral branching at cotyledonary axil, although they were off from the original in the experiment together was uniform. In 1995 seed lost of CM334, plants with resistance to P. capsici and low or no number of lateral branching at cotyledonary axil, although they were off from the original CM334, were found and selection was applied to breed lines fixed in the characters.

국내산 과일 및 채소 추출물을 이용한 체중 조절 관련 기능성 식품소재 탐색

김인혜;김종배;조강진;황유진;황경아;고정숙;엄애선 한양대학교 2011 韓國 生活 科學 硏究 Vol.31 No.1

Obesity can be defined as a disorder of lipid metabolism and the control of this process is regulated by enzymes involved in lipid metabolic pathway. Obesity is also characterized increases in the number and size of adipocyte differentiated from fibroblastic pre-adipocytes in adipose tissue. The aim of this study was to screen ethanol extracts of 21 fruits and vegetables cultivated in Republic of Korea for identifying natural sources of lipase inhibitor and to investigate the effects of several extracts resulting in suppression of triglyceride (TG) accumulation in 3T3-L1 cells. Among the tested extracts, Diospyros kaki L. showed the highest contents of total sugar and the content of total phenolic compounds was detected 17 species while there was not detected in Ixeris dentate root and Allium fistulosum C. etc. We were screened 26 extracts of fruits and vegetables for pancreatic lipase inhibitory activity compared with orlistat. The strongest lipase inhibitory activities were shown by extract of Allium sativum L. stem, Allium sativum L. bulb, Apteryx australis, Diospyros kaki L. Malus Pumila, Perilla frutescens and Prunus mume regardless of concentrations treated. Eight extracts including Brassica juncea var. integrilolia had no effect on lipase inhibition. During the differentiation of 3T3-L1 preadipocyte to mature adipocyte, the cells were treated with carrier or 7 extracts(1, 5 and 10 ㎍/ml), which was shown to highest lipase inhibitory effects. We were quantified lipid contents secreted mature adipocytes and stained with Oil Red O. All cells treated with the Apteryx australis and Prunus mume significantly decreased TG contents than the control. These findings suggested that the screened fruit and vegetable could be a promising source as the effective and safe lipase inhibitors for isolating bioactive ingredients and developing functional foods.

울산시 보건소 당뇨교실에 참가한 당뇨환자의 식습관 실태에 관한 연구

홍순명,황혜진,최순호,정은미 울산대학교 2000 생활과학논문집 Vol.2 No.1

본 연구의 목적은 당뇨환자의 특성, 식사조절, 운동여부와 그 외의 식습관을 조사함으로써, 이를 영양교육과 영양상담을 하는 데에 있어 기초자료로 이용하고자 한다. 울산시 동구 보건소를 내원한 당뇨환자 112명을 대상으로 조사한 결과를 요약하면 다음과 같다. 대상자의 당뇨보유기간은 7.58 ± 7.30년이었고, 공복시 혈당과 식후 2시간 후 혈당은 각각 180.92 ± 71.42mg/dl 247.64 ± 105.26mg/dl으며, 합병증 증세로는 저혈당 증세가 가장 많았으며, 심혈관질환, 망막장애, 백내장, 당뇨족, 신장장애, 말초신경장애 등 여러 합병증도 존재함을 알 수 있었다. 당뇨병으로 인한 증상으로는 눈흐림 50.5%, 피로 46.7%로 대부분의 조사대상자가 느끼는 증상이었고, 그 외 잦은 소변, 갈증, 짜증, 기타 증상(손발 절임, 어지러움, 몸이 무겁다, 변비, 가래)이 나타났다. 조사대상자들의 38%는 식사조절을 하였으나 대부분이 식품 교환표를 이용하지 않는 것으로 나타났고, 음주와 흡연을 한다는 경우는 각각 15.7%로 나타났다. 보건소를 이용하는 환자들은 대부분 고령인 점을 고려하여 이들이 쉽게 이해할 수 있으며 식생활에 적응할 수 있는 영양교육프로그램의 개발이 필요하다고 본다. The purpose of this study is to investigate the diabetes subject of health center for nutrition education. 112 subjects were evaluated with Questionnaire., Diabetic duration were 7.58 years and the fasting and 2-hour postprandial glucose level were 180.92 ±71.42mg/dl, 247.64 ± 105.26mg/dl. The complications were hypoglycemia > weakness in legs > renal, failure > peripheral neural disorder, and diabetic symptoms were sight disturbance > fatigue> polyuria. 62% of subjects were not executed diet therapy and 15.7% of subject had drinking and smoking habit. The most influential referents were medical professionals including doctors, nurses, dieticians, so their role in diet therapy should be emphasized. Since diabetic patients commuting to a local health center were mainly illiterate and received little formal education, it is very important to develop and assess appropriate nutrition education for them.

울산시 보건소 당뇨교실에 참가한 당뇨환자의 교육 효과에 관한 연구

홍순명,황혜진,최순호,정은미 울산대학교 2000 생활과학논문집 Vol.2 No.1

최근 유병률이 증가하고 있는 당뇨병 환자에 대한 영양교육의 효과를 알아보기 위하여 울산시 보건소에서 환자 36명을 대상으로 교육을 실시하였다. 설문지를 통하여 교육 전과후의 신체계측, 혈당, 당뇨병의 합병증과 임상 증상을 조사하였고, 식습관의 변화와 교육의 효과 등을 분석한 결과를 요약하면 다음과 같다. 당뇨교육 후 체중이 감소한 경향으로 나타났고, BMI(kg/m')는 교육 전후가 거의 변화가 없는 것으로 나타났다. 당뇨교실 전후의 혈당치를 조사한 결과 공복시 혈당이 교육전보다 교육 후 줄어들었다(p<0.1). 식후 혈당치는 170.0 ± 70.71mg/dl에서 158.50 ± 40.31mg/dl로 줄어드는 경향으로 나타났다. 교육전후의 건강증상의 상관관계를 보면 눈흐림 증상이 유의적으로 감소된 것으로 나타났고, 갈증을 느끼는 경우도 감소한 경향이 나타났다. 교육 후에 교육 전보다 식사 조절을 많이 하는 것으로 나타났고, 식품교환표를 이용하여 식사조절을 하는 것으로 나타났다. 당뇨교실교육은 91.7%가 도움이 되었다고 당뇨교실이 효과적인 것으로 나타났다. The purpose of this study was to evaluate the effect of nutrition education for diabetic patients commuting to a local health center in Ulsan city. We examined the effect of nutrition education on physical characteristics and blood glucose by comparing before and after education with questionnaire. All diabetic subjects were interviewed for general characteristics, diabetic complications, food habits and education effect. BMI was no difference before and after education. Fasting glucose level were significantly lower after education and postprandial glucose level were decreased after education (158.50 ± 40.31mg/dl) compared before education(170.0 ± 70.71mg/dl). but there was no significance in postprandial glucose. When we compared before and after diabetic symptoms, sights disturbance were decreased aftar education and the symptoms of polydipsia were decreased after education. The diabetic subjects were executed diet therapy after education. This study showed that nutrition education for diabetic patient was effective in significant changes.

좋은 죽음의 개념 분석

이경주,황경혜,라정란,홍정아,박재순 가톨릭대학교 간호대학 호스피스 교육연구소 2006 호스피스논집 Vol.10 No.-

Purpose: Death is not an option but a necessity in our life. However, there is little understanding of what a good death means. This study was conducted to analyze the concept of a good death by exploring attributes, antecedents, consequences and empirical criteria for a good death in literatures. Method : Reviewed materials were collected by searching for web cites such as PubMed, National Library of Korea, National Assembly Library. Walker and Avant's method(2004) was used for this concept analysis. Results : The findings showed that a good death includes seven attributes: dignity (personal respect and privacy), self-control (the right of choice, independence, clear consciousness), comfort (physical, psychological, spiritual). optimal relationships (supportive environment, proper care, restoration of relationships), appropriateness (sequence and proper age of death), preparation for death (completing unsettled tasks, leaving a legacy, positive attitude toward life, awareness and acceptance of death) and minimizing burden. Conclusion : This results will provide health professionals and people with a preliminary understandings of a good death. In addition, there is the need for further study to develop objective measurement of a good death and effective nursing intervention for the dying.

자가공명영상을 이용한 정신분열병 환자의 뇌량 면적 측정

박홍석,이정섭,황성혜,김창현 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.5

연구목적 : 본 연구에서는 정신분열병의 병태생리에 뇌량이 관여하는지 확인하기 위해 초발 및 만성 정신분열병 환자, 대조군의 뇌량의 영역을 측정하였다. 방 법 : 국립의료원에 입원한 23명의 정신분열병 환자(남자 15명, 여자 8명)와 단순 두통 또는 어지럼증을 호소하여 내원한 23명의 외래환자를 대조군으로 하여 뇌자기공명영상을 얻었으며, 남자는 26명, 여자는 20명 이었다. 환자군중 초발군은 13명, 만성군은 10명이었다. 정중시상평면에서 뇌량을 7개 영역으로 구분하여 NIH Image 1.60프로그램으로 분석하였으며, 정중시상평면의 대뇌면적도 구하였다. 이렇게 구한 각 뇌량척도들은 t-test를 이용하여 대조군과 비교하였으며, 성별에 따른 차이는 ANOVA를 이용하였으며, 이후 대뇌면적을 공변량으로 하여 ANCOVA를 시행하였다. 또한 초발군과 만성환자군, 대조군의 비교는 나이와 대뇌면적을 공변량으로하여 MANCOVA를 시행하였다. 결 과 : 환자군과 대조군 사이의 총뇌량의 평균면적과 각 7부분의 평균면적을 비교한 결과 환자군이 제 3, 제 6 뇌량영역을 제외하곤 대조군에 비해 평균면적이 작은 것으로 나왔지만 통계적 유의성은 없었다. 성별에 따라 비교한 결과 통계적 유의성은 관찰되지 않았지만 남자환자는 대조군에 비해 작고, 여자환자의 경우에는 큰 것으로 확인됐다. 초발과 만성환자군으로 나누어 대조군과 비교해 본 결과, 통계적 유의성은 없었으나 초발환자군이 만성환자군에 비해 모든 뇌량척도가 작았고, 만성환자군은 대조군보다 총뇌량의 평균면적이 컸으나 초발군은 대조군 보다 작았다. 결 론 : 본 연구의 결과 정신분열병 환자에서 유의한 뇌량의 형태적 이상을 확인하지는 못했지만 이전 연구들에서도 다양한 결과들을 보고하고 있으며, 이는 정신분열병이 생물학적 및 임상적으로 각기 다른 표현형을 가지고 있다는 가설로 설명할 수 있다. Objectives : This study was performed to determine whether the corpus callosum is involved in pathophysiology of schizophrenia and measured corpus callosal areas of first episode, chronic schizophrenic patients and controls. Methods : We obtained the brain magnetic resonance imaging of 23 schizophrenic inpatients(15 males, 8 females) and 23 controls(11 males, 12 females) with simple headache or dizziness. Among the schizophrenic group, first episode patients were 13, chronic patients were 10. In mid-sagittal plane, the corpus callosum was divided into 7 areas and the cerebral area was measured. This data was analyzed with NIH image 1.60 software. We compared the corpus callosal areas of schizophrenics with controls by t-test and by ANOVA according to sex. Thereafter, ANCOVA was performed with mid-sagittal cerebral area as covariant. Comparison of first episode, chronic schizophrenics and controls was carried out by MANCOVA that was adjusted with age and mid-sagittal cerebra area. Results : The schizophrenics, compared with controls, had smaller corpus callosal areas except for the 3rd, 6th callosal area, but statistical significance was absent. According to sex, male schizophrenics had insignificantly smaller total callosal areas than male controls and female schizophrenics had larger ones. In comparison of first episode, chronic schizophrenic patients and controls, first episode patients had smaller every corpus callosal areas than chronic ones, chronic ones had larger total callosal area than controls and first episode ones had smaller total area than controls, but statistical significances were absent also. Conclusion : Our study did not reveal the structural abnormality of corpus callosum in schizophrenic patients, but many controversial results have been reported in other studies. This inter-study inconsistency could be explained by the hypotheses of not only clinical but also biological different phenotypes within the schizophrenia.

고추 잎점무늬병ㆍ역병 복합 저항성 계통육성

김주영,한정혜,황희숙,김병수 경북대학교 농업과학기술연구소 2000 慶北大農學誌 Vol.18 No.-

1999년도에는 KC47 × KCB14, KC220 × KC268 조합의 F2 및 여교배 집단과 KC47-1 × KC263(AC2258), KC47-1 × KCB13-2-1, KC47-1 × KCB13-4-2 조합의 F3집단에 대하여 잎점무늬병과 역병을 차례로 접종, 복합저항성 개체를 선발하여 차세대를 육성하였다. 2000년도에는 같은 조합의 F3 및 F4세대에 대하여 잎점무늬병과 역병에 대한 저항성을 검정하여 복합 저항성인 개체로부터 차세대 종자를 확보하였다. 선발세대의 경과에 따라 두 가지 병에 대한 저항성에서 현저한 진전이 관찰되었다. F2 populations of crosses KC47-1 (PI244670) x KCB14-2-2-3-2 (PI201234), KC220-1 x KC268 and F3 bulk populations of the crosses KC47-1×KC263 (AC2258), KC47-1×KCB13-2-1 (PI201232), KC47-1×KCB13-4-2 (PI201232), either one parent of which was resistant to Phytophthora blight, were tested for both gray leaf spot and Phytophthora blight by serial inoculation with Stemphylium solani or a mixture of S. solani and S. lycopersici, and P. capsici in 1999. In 2000, F3 and F4 lines or populations developed from the respective F2 or F3 selections in the previous year were evaluated for resistance to both disease. A significant progress in resistance to both disease was achieved by selection.