여성 간질 환자에서 항경련제 복용에 따른 대사 및 생리주기의 변화

김지영,이진화,김숙희,이향운 이화여자대학교 의과대학 2005 EMJ (Ewha medical journal) Vol.28 No.2

Background & Objectives : Women with epilepsy(WWE) are at risk for reproductive and metabolic disorders. This study was performed to investifate whether WWE are more likely to have menstual or metabolic abnormalities, and whether some antiepileptic drugs(AEDs) more likely provoke those problems. Methods : WWW aged 15-50 years old, taking one or more AEDs for at least 6 months, were recruited. Subjucts checked their oral temperature each morning. Body mass index(BMI : kg/㎡) and waist to hip (W/H) ratio were calculated as obesity markers. Hirsutism index, as a marker of polycystic ovary syndrome, was calculated by Ferriman-Gallwey score(hirsutism if score>8). Serum tests ofr gonadotrophins, steroid hormones, sex hormone binding globulins (SHBG), lipid profiles, insulin were performed on menstrual cycle days 3 to 5. Results : Among 54 patients, 18 women were diagnosed as primary generalized epilepsy(PGE) and the other 36 were localoization-related epilepsy(LRE). Also, 21 women(38.9%) were treated with carbamazepine(CBZ), 14 women(25.9%) with valproate(VPA), and 19(35.2%) with lamotrigine(LTG) or topiramate(TPM). Menstrual disturbance was found in 60.0% of PGE versus 30.6% of LRE patients(p=0.050), while 64.3% of VPA and 28.6% of CBZ-treated patients(p=0.036). The W/H ratio and BMI were higher in VPA, than in CBZ-treated patients(p=0.048 and 0.018). The total and HDL-cholesterols decreased in the VPA group compared to the CBZ group(p=0.025 and 0.009). Conclusion : WWE are more likely to experience menstrual and metabolic alterations. WWE with VPA tend to have abdominal obesity and alterations in lipid metabolism.

대구지역 성인의 식생활과 건강에 관련된 생활습관에 관한 조사

이지숙,서창순,이옥주,조성희 대구효성가톨릭대학교 응용과학연구소 1994 응용과학연구논문집 Vol.3 No.-

In this study we investigated nutritional and anthropometric status, food, exercise, smoking and drinking habits in 50 men and 186 women living in Taegu. More than 80% of subjects were college students at their twenties. Average heights were 172.5cm for men and 162.9cm for women. Average weights were 67.0kg and 51.3kg for men and women, respectively. Av-rage BMIs were 22.6 and 19.9 for men and women. More than half of men did exercise either regularly or irregularly, but 64% of women did not exercise at all. Smoking habit was sharply contrasted between men and women as 56.5% vs 0.5%, while drinking habit was not very dif-ferent between them as 59.4% vs 50.8%. Twelve percent of drinkers was heavy habitual ones as five times per week. Food habits of subjects were generally not good. More than 40% of subjects had food habit score with no higher than 21. Analysis of 240hour recall reveals that fat, calcium intakes were higher but vitamins A and C and dietary fiber intakes were lower than Korean RDA and average Korean adult intakes shown in national nutrition survey for 1990. It is concluded that effective education programs for good food habit and exercise are needed as well as for correction of smoking and drinking habits.

뇌실외 배액술 관리에 대한 이해 및 업무수행 실태

김정숙,윤미선,송소이,이지은,문경선,고지운,임분남,김경희,박경숙 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

The objective of this study was to investigate the managing realities of EVD and provide a descriptive survey with the attempt to obtain basic data needed for the standardization of EVD management. For that purpose, 220 questionnaire copies were distributed to those nurses who were working with intensive care units at university hospitals, general hospitals, semi-general hospitals in Seoul, Kyongki-de and local areas. Of 158 returned questionnaire copies, 139 were used for analysis. Data were collected during the term of academic seminars of Neurosurgery Nursing Committee and KICA (Korea Intensive Care Association), ranging from Oct. 26 through 27. 2000. The tools utilized a structured questionnaire form consisting of 21 questions on general characteristics, the level of understanding, the level of work performance, standard management guidelines, etc. The data collected were analysed with frequency, percentage, mean vague, chi -square test using the SPSS 10.0 program Findings were revealed, as follows: For managing the prevention of EVD infection, aseptic technique was found to be of the most importance (48.9%),'the technique should be carried out at an operation room'(92.8%), but it was actually performed at intensive care units (over 51.5%). 'The term of antibiotics use should be less than 7 days' (81.8%), while it was actually executed for less than 7 days (49.5%). 'The proper time of quittance from it should be within less than 7 days'(74.1%) but actual quittance was executed only by 51.1%. 'Set exchange is needed' by 54.0% but actual exchange was implemented merely by 28.1%. 'The subject of management should be nurses' was reflected by 40% but actually 52.0% were carried out. As a result of hating analysed the understanding of the management of EVD by general characteristics, a significant difference was found in the necessity for set exchange by hospitals, in the time of quittance of a catheter, and in ablution items by work experience. The result of hating analysed the work performance levels of EVD management by general characteristics revealed that a significant difference in administration facilities of medicine by the classification of hospitals, especially the use of antibiotics and the quitting time of a catheter by the classification of intensive care units, and in the use of antibiotics and ablution items by the standard management guidelines.

빈혈의 진단과 치료

한지숙 대한가정의학회 1986 Korean Journal of Family Medicine Vol.7 No.6

학교폭력 피해청소년의 방어기제에 관한 연구

진혜경,박영숙,신지용 대한소아ㆍ청소년정신의학회 1999 소아청소년정신의학 Vol.10 No.2

학문 분야별 감성의 적용사례 분석 연구

장지혜,이윤희,연태경,강혜은,이연숙 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1

The purpose of this study was to analyze application cases of human sensibility in various fields. Nowadays in various fields human sensibility and ergonomic have been studied using variety of methods. Studies on human sensibility have been widely carried in various field such as design and making instruments, selling products and marketing skills even if environmental design fields and human interface by computers. The results have been well applied in of industry. Therefore, understanding rationality. Through this study, ways of creating and measuring environment to improve our living quality, and living places can be developed. From such a viewpoint, this study did the following; First, it reviewed the literatures of studies and results of the tests for application of human sensibility in various field, and organized contents of studies and measurement tools which were used in the studies or tests. Second, it summarized the measurement methods of human sensibility according to three parts; physiological measurement, psychological measurement, and physical measurement. This study was expected to braden the sight on research methodologies and relevant applicable areas.

멸균품의 오염 상태에 관한 연구

안지영,윤난숙 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3

Background: The shelf life policies for central supply department (CSD) sterilized items and other device should be determined by the healthcare facility's infection control program. We investigated effect of the sterile integrity by the CSD sterilized packs by wrapping-materials, storage period and environment to modify and extend current shelf-life. Methods: The first phase study was from September in 2002 and the second phase study was from June in 2003. Eight hundred and fifty four packs containing small guaze with five wrapping materials were stored on the shelves or closed cabinets and storage durations from 1 to 12 weeks. The test packs were collected weekly and cultured in the laboratory. The temperature and relative humidity was monitored whenever the pack was collected. Results: The guaze in the test packs were not contaminated until four weeks in the first study phase, and until three weeks in the second phase study, respectively. The temperature and relative humidity of storage locations were 21.6℃ and 40.3% int the first study and 27.9℃ and 53.3% in the second phase study, respectively. Conclusion: There was contamination in the sterility integrity of the test packs with different wrapping materials storage locations, environments and durations. It was carefully considered to extecd shelf-life from two weeks to four weeks in the study hospital.

소화기암환자의 항암요법 시간 경과에 따른 피로도 측정 연구

박지원,김용순,서미숙 성인간호학회 2001 성인간호학회지 Vol.13 No.4

Fatigue is one of the most common complaints of cancer patients. In this study, we analyzed the change of fatigue level and general symptoms as time go by, so that, we could explain more on the mechanism and chance of fatigue in relation with treatment, and explore the influencing factors. Method: The subjects of this study were 50 GI cancer patients who have visited the cancer center of A hospital in Suwon. We measured fatigue by using the Revised Piper Fatigue Scale(RPFS) at the time of starting and finishing induction chemotherapy, and starting the 2nd cycle of chemotherapy. Results: 1) The fatigue score was 2.81, 3.73, and 3.82 in a 10 point scale at the time of starting and finishing induction chemotherapy, and starting the 2nd chemotherapy, respectively. This means fatigue persisted until after the treatment. 2) Fifty two percent of participants complained of some kinds of symptoms when starting the treatment, and the proportion increased up to 92% when finishing the treatment. 3) Fatigue scores were significantly high in patients with fatigue-related symptoms than for patients without those symptoms. 4) Fatigue scores showed significant differences according to patients' general characteristics such as age, educational level, economic status, occupation, diagnosis, hematocrit, weight, and amount of sleepy. Conclusion: We have to develop intervention strategies to reduce fatigue in cancer patients in the consideration of influencing factors.

義原君(1661~1722) 墓 出土織物에 관한 연구

조효숙,안지원 한국의류학회 2002 한국의류학회지 Vol.26 No.9,10

The purpose of this study is to categorize the type of fabrics and to analyze weaving method on the silk fabrics from ewongun's Tomb. The conclusions of this research are as follow. 1) Among the 26pieces of excavated clothes, 98% of them were made of silk fabric and among them 84% used high-quality non-patterned silk. I would assume, therefore, that the tomb was owned by a person who had a dignified yet humble taste of higher society. 2) The weaving methods of textiles are plain weave, twill weave, satin weave. Plain weave includes spun silk tabby, fine filament silk tabby, raw silk tabby, thine silk tabby, damask on tabby, twill weave includes twill damask with different directions, satin weave includes non-patterned satin damask, 5-end satin damask(4/1 warp faces ground, 1/4 weft faced pattern). As the result of literature survey, I settled the names of textiles as follows; tabby was called Myunju(綿紬), Saeju(細紬), Saengcho(생초), and Sookcho(숙초) according to the kind and density of silk threads used; Damask on tabby was called Hwamunju(花紋紬) Twill damask was called Hwamunnung(花紋綾); Satin damask was called Hwamundan(花紋緞) if they bear patterns by themselves or Mumundan(無紋緞) if they don't have any patterns on them.

복수과 진료 환자의 중복 처방에 대한 분석 및 평가

이지은,장혜경,오지영,유윤경,김현지,임숙인,연숙희,강진숙,최귀령 한국병원약사회 2003 병원약사회지 Vol.20 No.1

In an aging society, there is an increasing possibility of the duplication of the drugs given to patients because they take many kinds of drugs. Among the prescriptions given to the patients who was treated at multiple ambulatory clinics in St. Mary's hospital for one month of September, 2002, in which drugs that has identical or similar effects are prescribed, we analysed and evaluated them by patients' characteristics, kinds of medication, severity of side effects on a case by case basis. More, we assessed the potential additional costs. As a result of this study, the duplication rate turned out to be 6.69% and it was shown that the proportion of the elderly patients over 60 was high. The gastro-intestinal medications took up a large part and most of the cases showed that the danger caused by double taking of medicine was slight, but there were some examples in which the serious side effects were predicted. Expected additional costs were the average 11.349 won and it ranges from the minimum of 56 won to the maximum of 135,720 won. In conclusion, the management of drug histories of the patients who need the plural treatments is very important and the necessity of the individual and professional guidance of taking medicines for the elderly patients is emerged, too.