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      • 통신망의 효율적 통합관리를 위한 예비비트 활용방안

        강양구,김명조,이성로,김경호 木浦大學校 應用科學硏究院 2001 應用科學硏究誌 Vol.1 No.-

        In this paper, a new method for improve the performance of was presented. This method based on the use of an idle overhead in the TCP/IP protocol that used in syhchronous network structure of TMN system. Two type of modeling methodes were executed to show the performance improvements. First, it materializes the functions of the network condition scan and the remote control login. Second, this paper shows the control of a subsystem by the convert process of protocol which uses a signal conversion.

      • 성인 급성 신부전의 원인 및 예후인자 분석

        구영선,장윤경,양종오,강민규,황평주,김종학,나기량,이강욱,신영태 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

        Acute renal failure is a frequent complication in hospitalized patients and is strongly related to the mortality. The Clinical outcome and prognostic factors of acute renal failure(ARF) have been analyzed by many authors. The present study describes the etiologic and clinical aspects, as well as other factors related to mortality. All the patients suffering from acute renal failure admitted during the period of January 1993 - August 1998 were included in the study. The average age of the patients was 52±17 years and mortality rate was 24%. The causes of acute renal failure were hemorrhagic fever with renal syndrome(HFRS), sepsis, renal hypoperfusion, urinary tract obstruction, acute tubular necrosis, etc. The etiology of ARF was a significant prognostic factor on mortality in ARF. Other significant prognostic factors were oliguria, organ failure, use of vasoconstrictors, hypotension, serum bicarbonate, premorbid conditions, sepsis, neurologic complications, gastrointestinal bleeding. On the other hands, operation, sex, anemia, thrombocytopenia, hypoalbuminemia, BUN, serum creatinine, and hyperkalemia were not significant factors for the mortality. We conclude that major prognostic factors of acute renal failure arc premorbid conditions, sepsis and multiorgan failure, and they are responsible for persistent high mortality of acute renal failure despite of advances of medical care.

      • 스트레스관리 프로그램이 만성정신분열병환자의 증상과 삶의 질에 미치는 효과

        박현경,구정완,노영만,이강숙,박정일 가톨릭대학산업의학센타 산업의학연구소 2003 韓國의 産業醫學 Vol.42 No.1

        This study examined the effects of stress-management programs on the symptoms and quality of life in the chronic schizophrenics. The subjects were the chronic schizophrenics who were registered and managed by one of the public health care centers in Seoul. The stress-management programs were provided 10 times. Positive and negative syndrome scale (PANSS) and quality of life were surveyed before and after the stress-management programs. The results were as follows. 1. The differences of positive symptoms, negative symptoms and general psychopathological symptoms before and after stress-management program were significantly different between the group which were provided with stress-management programs and the group which were not provided. 2. The differences of the quality of life before and after stress-management program were significantly different between the group which were provided with stress-management programs and the group which were not provided. These results indicate that stress-management programs have effects on relieving the symptoms and improving the quality of life of schizophrenics. Ultimately these results also suggest that stress-management programs be used as the supplementary means to treat schizophrenics.

      • 당뇨캠프에 참석한 당뇨병환아의 자기간호수행에 관한 조사연구

        한경자,최명애,강창희,구미옥 서울대학교 간호대학 간호과학연구소 1995 간호학 논문집 Vol.9 No.1

        The purpose of this study was to identify the degrees of performing self-care activities, knowledge about juvenile diabetes mellitus and symptom experience, and to investigate the performance of self-care activities by general characteristics, knowledge, symptom experience. The ultimate aim was to provide a basic data in developing nursing intervention for the children with diabetes mellitus. The subjects of this study were 42 juvenile diabetic children aged between 8 and 18 who had participated in a diabetes mellitus camp for diabetic children from July 7 to 10,1990. The subjects filled out questionnaires with knowledge about diabetes mellitus, symptom experience of diabetes mellitus, performance of self-care activities during the last 2 days of the camp. Four nursing students who had experienced with nursing care of diabetic children explained the content of the questionnaires ot the subjects. The results were as follows: 1. Mean score of performing self-care activities was 52.95, that of self-care about diet 15.68, that of self-care about blood glucose control 25.69, and that of self-care about general care 11.59. That is, 75.6% of the subjects performed self-care activities, 62.7% self-care about diet, 85.6% self-care about blood glucose control, and 77.3% self-care about general care. 2. Fifteen subjects (65.7%)scored 12 to 14, 10(23.8%) scored 10 to 11,and 7(16.7%) scored 7 to 9 in the total of 14 questions of the knowledge of diabetes mellitus. Mean score of it was 0.79 on a 0-1 point scale. 3. Of the subjects, 22 (52,4%) experienced 4 to 6 symptoms, 14 subjects 1 to 3 symptoms, and the rest 7 to 9 symptoms. Twenty-five subjects (59.5%) had no complication of diabetes mellitus, while 9(21.4%) experienced 1 complication. 4. Mean score of performing self-care about diet in diabetic children aged between 8 and 12 was significantly higher than that of those aged between 13 and 18 (P=0.0026). 5. Mean score of performing self-care about diet in primary school children was significantly greater than that of high school adolescents(P=0.003). 6. There was no significant difference in performing self-care activities, self-care activities about diet, blood glucose control, and general care by gender, religion, duration of illness, experience of hospitalization, number of participation of diabetes mellitus camp, and family history of diabetes mellitus. 7. No significant difference was observed in performing self-care activities and self-care activities about diet, blood glucose control and general care by the level of knowledge about diabetes mellitus. 8. There was no significant difference in performing self-care activities, self-care activities about diet, blood glucose control, and general care by the degree of symptom experience. These results suggest that the age is an important variable in self-care activities of diabetic children. Nursing intervention might be essential to reinforce the self-care activities for high school adolescents and to maintain the self-care activities for primary school children. And the content of existing diabetes mellitus camp program may be revised or added by the age in order to promote the practice of self-care activities of diabetic children.

      • 폐경기 여성에서 호르몬 대치 요법시 병행 투여된 프로제스토젠 투여 방법에 따른 골대사의 생화학적 지표에 미치는 영향

        이권해,강선영,임경빈,이해혁,구도형,이석민 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

        Purpose : To evaluate the impact of added progestogen on biochemical markers of the bone turnover undergoing hormone replacement therapy in the postmenopausal women. Materials and Methods : There are 71 postmentopausal women who are divided into three groups (Group I, Group II, Group III). Group I(continuous combined)is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group II(unopposed estrogen) is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 5mg, day 1-12). And there were measured serum osteocalcin, serum total alkaline phosphatase and urinary deoxypyridinoline excretion before starting hormone replacement therapy and 12 months later. Results : The serum osteocalcin, serum total alkaline phosphatase and urinary deoxypyridinoline excretion significantly decreased after hormone replacement therapy (Group, I, II, III). And there was no significance in decreases in biochemical markers of the bone turnover among three groups. Conclusions : It was concluded that the impact of added progestogen on the biochemical markers of the bone turnover undergoing hormone replaced therapy in postmenopausal women was not significant than nothing added group. Thus we concluded that progestogen was not impact on decreasing on the biochemical markers of the bone turnover in postmenopausal women undergoing hormone replacement therapy.

      • 통근교통 수단선택에 대한 연구

        임채문,권강훈,구경남 대구대학교 과학기술연구소 1999 科學技術硏究 Vol.5 No.5

        The growth of auto ownership which was resulted by a rapid growth of economy and population caused a terrible transportation problem. This problem will not be improved by the supply of transportation facility. These days, it is natural for every foreign country to give a priority to the public transportation. Namely, it is necessary that the policy for travellers to attract from auto to public transportation is needed. Therefore, the purpose of this study is to find a basic idea for attracting auto users to public transportation. This study is largely divided into 3 parts. First, a travel mode choice model was estimated by using which is all the sample. Second, the mode choice models were estimated with the market segmentation divided by residential and work location. Third, the policy analysis was performed by using the estimated model.

      • KCI등재

        심초음파로 결정된 응급 심낭천자술의 천자부위

        김성환,황성오,이강현,조준휘,강구현,문중범,이승환,윤정한,최경훈,김영식 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

        Background: The aim of this study was to determine whether the conventional subcostal approach is suitable for emergency pericardiocentesis in patients with cardiac tamponade or impending cardiac tamponade. Methods: This study was a prospective, observational study conducted at the emergency department of a tertiary hospital, Patients who had symptomatic pericardial effusion and who needed emergency pericardiocentesis in the emergency department were included in this study. We measured the epicardium-to-pericardium distance at the subcostal, parasternal, and apical area with two-dimensional echocardiography to determine the appropriate puncture site for pericardiocentesis. An epicardium-to-pericardium distance of more than 1.0 cm was considered as the primary safety factor in determining the Puncture site for pericardiocentesis. The skin-to-pericardium distance was considered as secondary safety factor. Results: Ninety-five consecutive patients(55 males and 40 females; total mean age: 53 year old) with cardiac tamponade or impending cardiac tamponade were enrolled in this study. The puncture site for pericardiocentesis, as determined by echocardiography, was the subcostal area in 43 patients(45%), the apical area in 40 patients(42%), the left parasternal area In 11 patients(12%), and the right parastemal area in one patient(1%). Pericardiocentesis failed in 2 patients(2%) with the subcostal approach and in one patient(1%) with the apical approach. The average epicardium-to-pericardium distance was 31 ±21 mm in patients with the subcostal approach and 21±8 mm in patients with other approaches. There were no differences in the amount of pericardial fluid and in the intraperical pressure among patient groups according to puncture site. There were two procedure related complications: a puncture of the right ventricle with the subcostal approach and a ventricular tachycardia with the apical approach.

      • 모 컴퓨터 회사 근로자 건강증진 사업 전개를 위한 수요조사

        임현우,안병용,최환석,박정일,김경수,이강숙,김정아,구정완 가톨릭대학산업의학쎈타 산업의학연구소 1997 韓國의 産業醫學 Vol.36 No.4

        Before conducting the health promotion program, we surveyed the health risk appraisal(HRA) of 210 workers (186 men and 24 women) in a computer company, for the need assessment, selection of target population, priority setting, and as a standard for comparision after performing the program. The smokers were 115(88.6%), and drinkers (over 1 bottle of Soju per week) were 91(44.8%) in men. Entire women and 148(78.0%) men never or irregularly exercise. Type A personality were 73(39.2%) in men, 8(33.3%) in women, and 26(14.0%) of men and 6(25.0%) of women were high stress risk group. 53(25.2%) of men and 2(8.3%) of women were obese (BMI ≥25kg/m²), and workers who consumed exess of total calory compared with recommendation were 142(76.3%) in men and 18(75%) of women. By the health risk appraisal, it was suggested that smoking cessation program, drinking counselling, exercise prescription, stress management, and weight control program should be conducted effectively for the high risk group.

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