요실금이 있는 중년여성의 일상생활불편감 및 우울에 관한 연구

김금순,이윤정,서문자,박영숙 서울대학교 간호대학 간호과학연구소 1999 간호학 논문집 Vol.13 No.1

The purpose of this study was to explore the relating factors, discomfort and depression due to urinary incontinence in middle-aged women. The subjects were 215 women in the age 35-65 years old who dewelled in community. The data were collected from August to December in 1996 with interview using structured questionaire composing of items of general characteristics, obsteric characterisitcs, disease charactteristics, situation of experiencing urinary incontinence, discomfort, and terapeutic method, and Beck's depression inventory. The data were analysed using SPSS/PC+ program; Cronbach's, frequency, percentage, Spearman's or pearson's coefficient correlation. The results of this study were as follows: 1) The mean duration of experiencing the urinary incontinence was 36.16 moths and the 60.9% of the respondents experienced a few frequency of urinary incontinence and the 77.2% was somewhat small expressed as "wetting their clothes". 2) The urinary incontinence induced situations were coughing, sneezing, hasty, and ascending abdominal pressure. 3) The ost common situations of discomforts associated with hrinary incontinence were diversional activity such as exercise, long period journey, and interpersonal relations. 4) The 80.5% of ascending abdominal pressure experienced the urinary incontinence, and the most common symptom of urinary incontinence was the frequent urine(43.3%) 5) The urinary incontinence correlated with menopause, age of menopause(p<.05) and age group(p<.01) significantly. 6) The 89.7% of urinary incontinence were not treated, but they wanted to try noninvasive methods such as the herb medicine(27.4%), pelvic muscle exercise(27.0%), and biofeeback(4.2%). 7) situation of experiencing urinary incontinence, discomfort and symptoms of depression correlated with urinary incontinence significantly(p<.05). In conclusion, we need to develop and provide various nursing interventions such as the pelvic muscle exericse, biofeedback and stress & depresion management program in middle-aged women who dewells in community in view of quality of life, health maintenance and promotion.

젊은 주부들의 식품구매 행동에 관한 연구 : High - Educated Young Mothers

김금숙,최봉순 대구효성가톨릭대학교 응용과학연구소 1995 응용과학연구논문집 Vol.4 No.-

본 연구에서는 대구지역 고학력 젊은주부들의 식품 구매행동과 식품사용에 대해 2개 유치원 원아 어머니 268명을 대상으로 조사 분석한 결과는 다음과 같다. 1. 식품 구매행동 (1) 식단계획 : 식단을 계획하여 생활하는 주부는(44.9%) 정도로 그 다음이 「가끔 정한다(40.5%)」, 「정하지 않는다(14.7%)」순으로 나타났으며, 취업 주부보다 비취업 주부가 식단계획을 하는 비율이 높게 나타났다(p<0.01). (2) 식품 구입 : 식품 구매에 영향을 미치는 인자를 보면, 「가족의 기호(43.97%)」로 가장 높았고 그 다음으로 「아버지 기호(32.70%)」순 이었다. (3) 외식빈도 : 가족이 함께하는 외식빈도는 「한달에 2-3번(34.2%)」이 가장 많았고, 그 다음이 「한달에 1번(25.0%)」, 「일주일에 1번(19.1%)」순이었다. 주부의 교육수준이 높을수록 월 총수입과 식생활비가 많을수록 외식빈도가 높게 나타났다. 2. 조리, 영양에 대한 관심도 (1) 조리할 때 중점 두는 것 : 조리할 때 중점두는 것으로는 「가족의 기호(53.7%)」, 「맛(26.3%)」, 「영양(19.2%)」순으로 나타났다. (2) 식사준비시 가족의 영양에 대한 고려도 : 가족의 영양에 대한 고려도는 대체로 고려하는 편이다.(80.8%)로 가장 높았고, 그 다음으로 매우 고려한다(13.4%)순이었다. 3. 식품 사용빈도 및 기호도 (1) 식품 사용빈도 : 하루 평균 식품 사용횟수로 첫째, 곡류 및 감자류(2.82±0.06), 둘째, 우유 및 유제품(1.82±0.06), 세째, 과일류(1.58±0.05)순이었다. (2) 식품 기호도 : 어머니가 매우 좋아하는 식품으로는 과일류(53.8%), 야채(31.1%), 해조류(21.7%) 순이었고, 싫어하는 식품으로는 Cheese(40.5%), ham·bacon(32.9%), 참치캔(22.0%), 돼지고기(20.9%) 순이었다. 어린이가 매우 좋아하는 식품으로는 과일류(44.8%), 닭고기(31.1%), 우유(29.4%) 순이었고, 싫어하는 식품으로는 콩류(32.5%), 버섯류(30.6%), 야채(25.7%), 조개류(25.7%) 순이었다. This study showed food-purchase behavior and extend of food usage of highly educated young women, residing in Tae-gu Area. The results are as follows : 1) Food Purchase Behavior Meal planning : 44.9% of study women always planned their meals, whereas 40.5% and 14.7% of them did sometimes and never, respectively. Working women planned meals more regulary than full time housewifes. Food Purchase : Family members' preference(43.97%) influenced most on their food pur-chase. Father's preference(32.70%) was the enxt strongest factor for it. Frequency of outside meals : 34% of families dined outside 2 - 3 times a month, 25% once a month and 19% once a week. 2. Interests of cooking and nutrition Factors considered during cooking : Families' perference(53.7%), taste(26.8%) and nutri-tion(19.2%) were the important factors in cooking. Extent of consideration on families' health during preparin the meals : most women(80.0%) answered they considered families' health moderately, while only 13.4% of them consid-ered it highly. 3. Frequency of food usage and food preference Frequency of food usage : They used grains and potatoes most frequently(2.82±0.06) per day. Usage of milk products was 1.82±0.06 per day and fruits was 1.58±0.05 Food preference : Food - like of the study mothers were in the order of fruits(58.3%), vegetables(31.1%) and seaweed(21.3%) and food-dislikes of them were cheese(40.5%), ham and bacon(32.9%), can of tuna(22.0%) and pork(20.9%). Children's preferred foods were in the order of fruits(44.8%), chicken(31.1%) and milk(29.4%), non-preferred foods were various beans(32.5%), mushrooms(30.6%), veget ables(25.7%) and shellfishes(25.7%).

음악요법이 정신질환자의 우울과 정신병적 행동에 미치는 영향

박영숙,김금순 서울대학교 간호대학 간호과학연구소 1996 간호학 논문집 Vol.10 No.1

The purpose of this study was to identify the effects of singing & listening of music therapy for the inpatients with depressive mood and psychiatric behavior. Music therapy was programmed of listening and singing using rhythmic instruments systemmatically. The study was designed with nonequivalent control group repeated measures design. The subjects were selected from the 2 neuropsychiatric wards of Seoul National University Hospital. They were composed of 44 patients: 22 patients were assigned to the experimental group in the one ward and the rests of them to control group in the other ward. The experimental group was received the music therapy for 35-45 minutes 8 times during 2 weeks. On the other hand, the control group had the tea time instead of music therapy. The tools of this study were Brief Psychiatric Rating Scale(BPRS), Depressive Adjective Mood Scale, Music Preference Questionnaire and Music Therapy Evaluation Questionnaire. BPRS consists of 18 items, including 4 factors: anxious depression behavior, withdrawal-retardation behavior, hostile suspiciousness behavior and thinking disturbance behavior. The data were collected from December, 26, 1994 to January, 17, 1995. The data were analyzed using the SPSS/PC+ program: Chi-Square Test and t-test were used to test the homogeneity of the general characteristics, extraneous variable, depressive mood and psychiatric behavior before intervention between the two group ; Chronbach's (-model was used to test reliability of BPRS and between the raters; ANCOVA, t-test and paired t-test were used to test the homogeneity of the depressive mood and psychiatric behavior after intervention between the two groups. The results of the study were as follows: There was no significant difference in the general characteristics, extraneous variable, depressive mood and psychiatric behavior before intervention between the experimental and the control group except anxious depression behavior. There was significant difference in depressive mood and some psychiatric behavior after intervention between the two groups. That is, there was significant difference in withdrawalretardation behavior, hostile suspiciousness behavior and thinking disturbance behavior at 8th session. And there was significant difference in depressive mood at only 1st session between the two groups and the therapeutic effects maintained. Experimental group had more anxious depression behavior than control group at 2nd and 4th sessions temporarily. But we should remember one point that there was no significant difference after that time. In conclusion, the finding of this study showed that group music therapy, systematically programmed of listening and singing using rhythmic instruments, had therapeutic effects for the inpatients with depressive mood and psychiatric behavior. The data in this study suggest that music therapy requires at least 8 sessions and is good nursing intervention of neuropsychiatric inpatient. Finally, I suggest that further researches for the effects of music therapy in contrast to other therapeutic activities should be followed.

백련(연근, 연잎, 연자, 과방)의 영양성분

신미경,김금숙 원광대학교 대학원 2007 論文集 Vol.39 No.-

The purpose of this study was to investigate the component and quality characteristics of White Lotus Roots(LR), Leaves(LL), Seeds(LS) and Bunch(LB). Four kinds of LR, LL, LS, LB evaluated the component of moisture, ash, crude lipid and crude protein. The contents of thiamin, α-tocopherol, β-carotene and total flavonoid in LR, LL, LS, LB were evaluated. Also the contents Amino acids and mineral in LR, LL, LS, LB were evaluated. The contents of moisture were 2.87~11.85% which was the highest in LB and the lowest in LS. The contents of ash were 4.89~12.38% which was the highest in LB and the lowest in LR. Crude lipid contents of LR, LL, LS, LB were 0.13~1.82% which was the highest in LS and the lowest in LL. The contents of crude protein were 3.62~20.75% which was the highest in LL and the lowest in LB. The contents of thiamin were 3.23~5.86 mg/kg which was the highest in LL. α-Tocopherol contents were 3.91~272.15 mg/kg which was the highest in LL and the lowest in LS. The contents of β-carotene were 0.22~7.68 mg/kg which was the highest in LB and the lowest in LR. Total flavonoid contents were 43.21~6,404.05 mg/kg which was the highest in LL and the lowest in LR. Total ammo acid contents of LR, LL, LS, LB were 5758.61, 2328.71, 4075.36 ppm and 981.67 ppm. Amino acid of LR showed high content of aspartic acid, followed by glutamic acid and serine. Amino acid of LL and LS showed high content of glutamic acid. Amino acid of LB showed high content of histidine, followed by serine and glutamic acid. Potassium and sodium contents of which were better in LS than LL and LR. Magnesium and calcium contents of which were better in LR than LL, LR and LB.

일부 시판세치제의 비교치아마모도 및 경과시간에 따른 유효불소농도변화에 관한 연구

장덕수,이병진,배광학,방금석,이원재,노정,백대일,김종배 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.3

The purpose of this study was to assess relative tooth abrasivity and to measure effective fluoride concentration of dentifrices selling in Korea for help consumer's selection of suitable dentifrice. Assessment of the abrasion on tooth produced by different dentifrices were carried out on bovine teeth in the laboratory and tested by radioactive dentin abrasion method. And total soluble fluoride concentrations within the dentifrices was determined using fluoride ion selective electrode with standard curve obtained from standard solutions of known fluoride concentration. 10 dentifrice samples were stored at 49t for 15 weeks and the measurements were made for each dentifrice in 1 week, 2 weeks, 3 weeks, 13 weeks and 15 weeks and 11 dentifrice samples were stored at 40.6C for 3 weeks and the measurements were made for each dentifrice in 1 week and 3 weeks. Tooth abrasivity of selling dentifrices is suitable for toothbrushing but dentifrice which recommended for patient who have tooth abrasion or erosion was somewhat high abrasivity level. Effective fluoride concentrations of selling dentifrices were maintained generally optimal level. But some dentifrices contaning CaCO_(3), as abrasive were decreased as time elapsed. It was suggested that relative tooth abrasivity must be marked on package and fluoride level should be maintained acceptable level in dentifrices for consumer's selection of suitable dentifrice.

축구선수의 Detraining과 Retraining이 혈청지질 및 호르몬농도에 미치는 영향

정정화,박재현,채종훈,성혜련,황지인,윤미숙,노금선,윤종관,윤영학,노순덕,정경숙,박일규,김은희,박현태,박상갑 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1

The purpose of this study was to investigate the effects of detraining and retraining on serum lipid and hormones in soccer players. Subjects were seven male high-school soccer players. V˙O_2max was determined for each subjects by administering a treadmill test(initial speed: 90m/min, grade: 5%, increasing speed per 3 min: 30m/min). Serum lipid(T-C, TG, HDL-C LDL-C) and hormones(epinephrine, norepinephrine, growth hormones, cortisol) were assayed pre and post detraining in 10, 20, 30 days after retraining. The repeated ANOVA was used to determine significant differences. The 0.05 level of significance was as critical level for the study. The results of the study were as follows: 1. V˙O_2max(ml/min) were 3576.3±204.2ml/min pre detraining, 3234.1±198.9 ml/min post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/min) were 3601.4±170.9 ml/min. There were significantly(p<.05) increased in retraining periods. 2. V˙O_2max(ml/kg/min) were significantly(p<.05) decreased from 62.3±2.9 ml/kg/min to 55.9±4.7 ml/kg/min in detraining. In 10, 20, 30 days after retraining, V˙O_2max(ml/kg/min) were 62.4±3.4ml/kg/min, 62.7±2.3ml.kg/min, 67.3±7.2ml/kg/min respectively. There were significantly(p<.05) increased in retraining periods. 3. T-C were significantly (p<.05) increased from 166.6±8.5mg/dl to 175.3±10.3 mg/dl in detraining. In 10, 20, 30 days after retraining, T-C were 160.1± 3.2mg/dl, 156.7±3.7mg/dl, 140.3±9.0mg/dl. There were significantly(p<.05) decreased in retraining periods. 4. HDL-C were 61.4±6.6mg/di pre detraining, 5.3±6.6mg/dl post detraining. There are significant(p<.05) difference between pre and post detraining. In 10, 20, 30 days after retraining, HDL-C were 56.9±7.1mg/dl, 56.4±9.2mg/dl, 57.7±9.1mg/dl respectively. There were no significant difference in retraining periods. 5. The hormones(epinephrine. norepinephrine, growth hormone, cortisol) were changed as same patterns. Epinephrine were 26.0±7.0[g/ml pre detraining, 24.6±3.2pg/ml post detraining. In 10, 20, 30 days after retraining, epinephrine were 26.9±5.6pg/ml, 30.6±6.2pg/ml, 29.4±5.6pg/ml respectively. There were no significant difference in retraining periods. In conclusion, HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were decreased, T-C, LDL-C and TG were increased in detraining. But HDL-C, epinephrine, norepinephrine, growth hormone and cortisol were increased, T-C, LDL-C and TG were decreased in retraining.

육용종계 가금티프스 발생에 따른 검사방법 개선 방안

( Keum Suk Chu ),( Kyoung Taek Kim ),( Eun Jeong Yoon ),( Beom Seok Kim ) 한국동물위생학회 2014 韓國家畜衛生學會誌 Vol.37 No.1

Pullorum disease and fowl typhoid are septicemic avian diseases transmitting through egg by transovarian infections. A series of tests has been performing in breeding flocks of chickens and test plans for proper inspection have been modified by government veterinary institute to control of such diseases.To improve inspection plans, different test methods were compared using fowl typhoid positive samples from a poultry farm located in Jeonbuk state in 2012. Based on first inspection, 11 samples among total 200 samples were positive by rapid slide agglutination (RSA) test and 7 samples among RSA positive samples were finally diagnosed as Salmonella Gallinarum infection by ELISA, bacterial isolation, PCR,and histopathologic examination. In the second inspection, 20 samples among total 100 samples were positive by RSA test. Among RSA positive ones, 19 samples were positive by ELISA, S. Gallinarm were successfully isolated in 3 samples, and 16 samples were positive by PCR in the cecal tonsils where were not successful for bacterial isolation. Based on histopathologic examination, severe inflammation in the 13 cecal tonsils and infiltration of lymphocytes and heterophils in the 11 livers were observed.Therefore, we suggest that bacterial isolation, PCR, and histopathologic examination methods in the third inspection need to be further used in various tissues for correct diagnosis and for final eradication of pullorum disease and fowl typhoid in breeding flocks of chickens.

Crystal structure of xenotropic murine leukaemia virus-related virus (XMRV) ribonuclease H

Kim, Ju ,Hee,Kang, Sunghyun,Jung, Suk-Kyeong,Yu, Keum ,Ran,Chung, Sang ,J.,Chung, Bong ,Hyun,Erikson, Raymond ,L.,Kim, Bo ,Yeon,Kim, Seung ,Jun Portland Press Ltd. 2012 Bioscience reports Vol.32 No.5

<P>RNase H (retroviral ribonuclease H) cleaves the phosphate backbone of the RNA template within an RNA/DNA hybrid to complete the synthesis of double-stranded viral DNA. In the present study we have determined the complete structure of the RNase H domain from XMRV (xenotropic murine leukaemia virus-related virus) RT (reverse transcriptase). The basic protrusion motif of the XMRV RNase H domain is folded as a short helix and an adjacent highly bent loop. Structural superposition and subsequent mutagenesis experiments suggest that the basic protrusion motif plays a role in direct binding to the major groove in RNA/DNA hybrid, as well as in establishing the co-ordination among modules in RT necessary for proper function.</P>

Radiotherapy for initial clinically positive internal mammary nodes in breast cancer

Kim, Jina,Chang, Jee Suk,Choi, Seo Hee,Kim, Yong Bae,Keum, Ki Chang,Suh, Chang-Ok,Yang, Gowoon,Cho, Yeona,Kim, Jun Won,Lee, Ik Jae The Korean Society for Radiation Oncology 2019 Radiation Oncology Journal Vol.37 No.2

Purpose: Internal mammary lymph node (IMN) involvement is associated with poor prognosis in breast cancer. This study investigated the treatment outcomes of initial clinically IMN-positive breast cancer patients who received adjuvant radiotherapy (RT), including IMN irradiation, following primary breast surgery. Materials and Methods: We retrospectively reviewed data of 95 breast cancer patients with clinically detected IMNs at diagnosis treated with surgery and RT between June 2009 and December 2015. Patients received adjuvant RT to the whole breast/chest wall and regional lymph node (axillary, internal mammary, and supraclavicular) areas. Twelve patients received an additional boost to the IMN area. Results: The median follow-up was 43.2 months (range, 4.5 to 100.5 months). Among 77 patients who received neoadjuvant chemotherapy, 52 (67.5%) showed IMN normalization and 19 (24.6%) showed a partial response to IMN. There were 3 and 24 cases of IMN failure and any recurrence, respectively. The 5-year IMN failure-free survival, disease-free survival (DFS), and overall survival (OS) were 96%, 70%, and 84%, respectively. IMN failure-free survival was significantly affected by resection margin status (97.7% if negative, 87.5% for close or positive margins; p = 0.009). All three patients with IMN failure had initial IMN size ≥1 cm and did not receive IMN boost irradiation. The median age of the three patients was 31 years, and all had hormone receptor-negative tumors. Conclusion: RT provides excellent IMN control without the support of IMN surgery. Intensity-modulated radiotherapy, including IMN boost for breast cancer patients, is a safe and effective technique for regional lymph node irradiation.

Cybex 6000을 이용한 슬관절병 환자의 운동프로그램에 관한 사례연구

김명화,김철준,김상겸,김기형,유경석 고려대학교 스포츠과학연구소 1992 스포츠科學論叢 Vol.2 No.1

Isokinetic exercise programs using Cybex have been developed for clinical and fitness purposes. It has been appreciated as a distinctive exercise method from isotonic and isometric methods. Until now, among isokinetic exercises using Cybex machine, there have been no studies which operated loading speed and repetitions at the same time. In this study, an exercise protocol using Cybex 6000, recently issued, was proposed and implemented to a patella tendinitis patient who had problems during normal walking due to the inadequate muscle strength between right and left legs. After 5 weeks exercise, the results as follow: 1. Considerable increases in strength for all three exercise modes (60。 /sec, 180。 /sec, and 300。 /sec) were achieved. 2. It was found to be more favorable that the higher and lower speed exercise should be done, simultaneously, rather than, separately. 3. During exercise, the increase in involved leg strength for 60。 /sec mode was remarkable. However, the increase for 300。 /sec mode was slightly diminished after two weeks. This phenomena could not be explained well at this moment. 4. The extension of the study examine more cases, and that may produce more general test results.