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( Seung Hyun Yong ),( Ah Young Leem ),( Song Yee Kim ),( Kyung Soo Chung ),( Ji Ye Jung ),( Young Ae Kang ),( Young Sam Kim ),( Joon Chang ),( Moo Suk Park ),( Hye Jin Jang ) 대한결핵 및 호흡기학회 2019 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.127 No.-
Background: Interstitial Lung Disease (ILD) has known as a poor prognosis disease, particularly idiopathic pulmonary fibrosis (IPF). Corticosteroid is widely used for treatment of acute exacerbation (AE)-ILD. This study aims to clarify efficacy of corticosteroid use, and compare the mortality rate depending on the subgroups of ILD. Materials and Methods: We collected the data from the patients who have diagnosed ILD and visited emergency room (ER) with the respiratory symptoms from January 1, 2016 to December 31, 2018. We classified AE-ILD patients into 3 groups depending on methylprednisolone dose per kilogram. Also, we compared the mortality of IPF patients to that of non-IPF patients. Results: A total case of AE-ILD visited ER from 2016 to 2018 was 209 cases, including IPF cases (n=122) and non-IPF cases (n=87). We divided total patients (n=209) into three groups depending on steroid use, and these include group 1 of 0-0.49 mg/kg (n=78), group 2 of 0.5-0.99 mg/kg (n=58), and above 1.0 mg/kg (n=41), each. We found poor prognosis from the cases of IPF compared to non-IPF cases (p=0.029, OR 2.463). Furthermore, there was significant differences of mortality rate according to steroid dose (p=0.036, OR 1.712), CRP elevation (p=0.016, OR 1.004), and intubated case (p=0.000, OR 8.152). Also, we categorized IPF (n=122) to non-IPF cases (n=87) and analyzed the mortality rate. Most of the patients were death from ILD itself (n=23, 63.9%), Pneumonia(n=8, 22.2%), and Lung cancer (n=5, 13.9%). Bacterial infection (n=26) was dominant cause of AE, followed by fungal infection (n=15), and viral infection (n=10). Conclusions: This retrospective analysis of corticosteroid treatment shows more fatal outcome when we use high dose steroid in AE-ILD cases, and there was significant difference in mortality rate depending on the subgroup of ILD and medical background, such as intubation status, higher CRP level, and IPF cases.
항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향
소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3
Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.
서애리,이현숙,김영순 高麗大學校 倂設 保健大學 保健科學硏究所 2000 保健科學論集 Vol.26 No.1
Cognitive decline is perceived to be a characteristic of the aging process, and is profoundly manifested in age-related neurodegenerative disorders such as Aizheimer's Disease(AD). The pathologic mechanisms underlying neurodegeneration are complex and not completely understood, but a contributing factor is believed to be oxidative stress. The brain has a high metabolic requirement for oxygen and a high concentration of polyunsaturated fatty acids, and therefore is prone to lipid peroxidation. Lipid peroxidation leads to the production of free radicals that may attack and irreversibly damage neural tissue, thus contributing directly or synergistically to neurodegenerative process. Accumulating evidence from preclinical and clinical studies supports the hypothesis that oxidative stress may be associated with the onset and progression of AD. Antioxident therapies are being promoted in the lay press to enhance mental functions and delay cognitive losses with aging. This paper summarizes the oxidative stress hypothesis of AD and reviews the strengths and limitations of published antioxidant studies in AD in relation to the role of such therapies in practice.
일개 병원 간호사의 암환자 통증관리에 대한 지식과 태도 : A Survey from Korean Cancer Pain Management Project
박현애,고명자,이현숙,김영미,김문숙 성인간호학회 2003 성인간호학회지 Vol.15 No.2
This study was conducted to examine the nurses’ knowledge about and attitude toward cancer pain management. Method: Study subjects of this retrospective cross-sectional survey study were 343 nurses sampled conveniently in a tertiary teaching hospital in Seoul. Seven measurement tools were used to collect data on demographic data, knowledge about and attitude toward cancer pain management, barrier to cancer pain management, knowledge about and concerns for the opioid use, and professional education of cancer pain management. Result: Nurses showed knowledge deficient when their knowledge on the cancer pain management and the opiod use was evaluated using two case scenarios and the 15-item questionnaire respectively. Ninety-five percent of the nurses believe that cancer pain management it a major problem. However, inadequate staff knowledge of pain management was rated as the single most important barrier to adequate pain management by 20.4% of nurses. Only 10.9% and 23.2% of the nurses replied that nursing school’s education and professional education in cancer pain management respectively, were adequate. Conclusion: This study confirms the existence of knowledge deficits and attitudinal barriers among Korean nurses that can impede cancer pain management. This study suggests a need for professional education for nurses on cancer pain management.
신현아;이애정;이지선;우혜임;조아라;채유진;엄애선 한양대학교 2010 韓國 生活 科學 硏究 Vol.30 No.1
Over the past decade, there has been growing scientific evidence that dietary milk plays a role in beneficial effects for human health. Milk provides a number of good ingredients, in particular with growth factors and different types of proteins such as α -lactalbumin and β-casein. As well as essential amino acids of leucine and isoleucine are make to a positive way of human physical conditions. Therefore, those ingredients are directly involved in the human body, fluid composition and involved in metabolism of protein or carbohydrate. In addition, the development of physical strength and bone health associated with milk consumption. Thus, milk is one of good food for prevention of osteoporosis. Nowadays, several dietary guidelines suggest that people should intake two or three cups of dairy products including milk a day. However, some people cannot drink milk because they appear many adverse effects with regard to intake of milk like allergic reactions, lactose intolerance and weight gain problem. Consequently, it is worthy to discuss about these matters. Person pose the health problems regarding milk consumption should select dairy products carefully. Milk substitutes such as partially-hydrolyzed formula, yogurt, cheese and non- and low-fat dairy products are suggested. They prevent the allergy and lactose intolerance due to lactase in fermented milk digesting the lactose into glucose and galactose. Taking all of these into account, milk consumption is very important to maintain the human health. Although there are several adverse effects with regard to milk consumption, it would not be shown any health problem only if it follows the milk dietary guidelines. Therefore, a milk drinking should be actively encouraged for the public health.
Mulligan 치료법과 고유수용성 신경근 촉진법이 동결견 환자의 치료에 미친 효과
양정애,윤홍일,박현식,신영일,전범수 대한정형도수치료학회 2006 대한정형도수물리치료학회지 Vol.12 No.1
The purpose of this study was to compare the effects of Mulligan method and PNF method on the pain and limitation of range of motion in patients with frozen shoulder. The subjects of this study were 20 patients, 10(50%) males and 10(50%) females. They visited clinic for physical treatment within 6 months after onset of shoulder pain and limitation of range of motion with frozen shoulder. One group was applied with Mulligan method and other group was with PNF method . The patient were treated 5 times session weekly for 6 weeks from March 4th, 2002. And each treatment session was 15min. with physiotherapy. The pain was measured by visual analogue scale (VAS) and rage of motion (ROM) of flexion, abduction, external rotation, internal rotation were measured by goniometer. The data was analysed by paired T-test and independent T-test. The results of this study were summarized as follow : 1. The ROM of Mulligan method group increase in after treatment in comparison with ROM in before treatment, it is significant increase. Although the VAS of MMG decrease in before than after treatment, it is significant difference. 2. There is significant difference in before and after treatment of ROM of shoulder flexion, abduction, internal rotation, external rotation between PNF method group. The VAS of PMG is decreasing in before than after treatment, it is significant difference. 3. There is significant difference in before movement and after movement ROM of flexion, abduction, internal rotation, external rotation and VAS between Mulligan method session and PNF method session then the scale which measured by Mulligan method was more increased than that of PNF method. The results showed that both Mulligan method and PNF method were effective in pain reduce and ROM increase, but Mulligan method was superior to PNF method in ROM increase and pain reduce.
교사들의 댄스스포츠 참여가 여가인지와 결혼만족에 미치는 영향
정애월,김재현 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.4
Consequently it obtains the following conclusions. First, as a result of analyzing their recognition of leisure end satisfaction with marriage life according to demographical characteristics, there was a significant difference in self-confidence in leisure among four factors of recognition of leisure by workplace and in affectionate relationship of couple among four factors of satisfaction with marriage life. There was a significant difference in desire for leisure and self-confidence in leisure among four factors of recognition of leisure by age and in two factors including affectionate marital relationship and authoritative marital relationship among four factors of satisfaction with marriage life by age. Second, as a result of analyzing relationship between participation in dance sports, recognition of leisure and satisfaction with marriage life, there was a significant difference in desire for leisure and self-confidence in leisure among four sub-variables of recognition of leisure and the recognition of leisure in general was higher in participants than in non-participants and it can be assumed that these results have affirmative influence of participation in dance sports on recognition of leisure. Satisfaction with marriage Life showed a significant difference in affectionate marital relationship, adaptation to marriage life and authoritative marital relationship among four sub-variables of satisfaction with marriage life according to participation or non-participation in dance sports, Third, as a result of verifying the relationship between degree of participation in dance sports and satisfaction with marriage life, influence of intensity of participation in dance sports (β=.246) has a significant influence on the recognition of leisure and satisfaction with marriage life has a significant correlation with frequency of participation in dance sports and frequency of participation (β=.176) has a significant influence on satisfaction with marriage life.
박현주, 손은애 대구교육대학교 초등교육연구소 2021 현장중심 초등교육연구 Vol.3 No.-
The purpose of this study is to explore the aspect of change in literacy level of preschoolers through project ‘Hangeul’. While the project <Hangeul> was implemented from October 2019 to November 2020 with the research participants, a three-year-old girl and a five-year-old boy, the data were collected through participant observation, in-depth interviews, and other references during the course of the project, and was analyzed and interpreted through a qualitative method regarding the change in literacy level of the preschoolers. The result of this research proved that the learning activities of the project ‘Hangeul’ changed the reading literacy level of the preschoolers. The project ‘Hangeul’ changed the reading behaviour of the preschoolers. Their inner motivation to read was enhanced by experiencing diverse environmental print in their daily surroundings. Also, their ability to read increased from reading a variety of kinds of literature including encyclopedias, comic books, and dictionariy. In conclusion, a positive change in the literacy level, in other words, the reading behaviors of preschoolers could be found through the project ‘Hangeul’. 본 연구의 목적은 유아들의 일상과 놀이의 장면에서 ‘한글’을 주제로 함께 탐색하고 표상하 고 문제를 해결해가는 프로젝트 활동을 통하여 유아의 읽기 문식성 변화가 어떠한지 심층적으 로 알아보는 것이다. 본 연구는 2019년 10월부터 2020년 11월까지 연구자가 만 3세 여아와 만 5세 남아와 함께 '한글' 프로젝트 활동을 실행 및 전개하면서 Spradley의 12단계 참여관찰과 심층 면접을 통해 일상에서 이루어지는 유아들의 놀이와 상호작용을 깊이 있게 관찰 및 기록 함으로써 다양한 자료를 수집하여 유아의 읽기 문식성 변화를 중심으로 분석하고 해석하였다. 연구 결과, 유아들은 ‘한글’ 프로젝트를 통하여 일상의 주변 환경에서 다양한 환경 인쇄물을 경 험함으로써 읽기에 대한 내적 동기가 향상되었으며, 이러한 유아의 내적 동기를 따라 백과사 전, 만화책, 국어사전 등 다양한 종류와 장르의 책들을 찾아보며 함께 대화를 나누고, 책 읽기 에 대한 즐거운 경험을 통해 유아의 읽기 능력이 향상되었다.