장상피화생과 Helicobactor pylori와의 상관 관계에 관한 연구

이복희,김대수,이현숙,진영주,윤세진,송형근,성노현,정현용,이동호 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

In 1965 Lauren divided advanced gastric carcinoma into two main types-namely, "intestinal" and "diffuse" type carcinoma, which differ not only morphologically but also in their clinical and epidemiological characteristics. Moreover, a different histogenetic process has been postulated by many authors that intestinal type gastric carcinoma might arise from areas with intestinal metaplasia. Since Warren and Marshall reported the presence of Helicobacter pylori in the stomach in 1983, strong evidence has been obtained that there is a close relationship between Helicobacter pylori and chronic gastritis, atrophic gastritis, intestinal metaplasia, and intestinal type gastric carcinoma. To study the relationship between intestinal metaplasia and Helicobacter pylori infection, we performed gastroscopic biopsies and CLO tests taken from patients with epigastric pain. Only 87 patients with macroscopically suspected antral gastritis were included. The prevalence of intestinal metaplasia in gastric antral biopsies increased from 33.3% in the age group<30 years to 63.6% in the age group 60 years. When all patients were divided into two age groups-namely, (i)<50 years(n=41) and (ii)≥ 50 years(n-=46), intestinal metaplasia was found significantly more often in patients ≥ 50 years. ((i) 39.2%, (ii) 54.3%, p<0.0001). The prevalence of Helicobacter pylori in gastric antral biopsies decreased from 66.7% in the age group<30 years to 62.5%, in the age group in the age group 50 to 59 years. When all patients were divided into the same two age groups-namely(i)<50 years and (ii)≥50 years, the prevalence of Helicobacter pylori did not differ between two groups in a statistically significant way. The mean age of intestinal metaplasia positive patients who were also Helicobacter pylori positive was 48±11.0(mean±S.D.)years, whereas the mean age of intestinal metaplasia positive patients who were Helicobacter pylori negative was 52±9.7(mean±S.D.)years. In conclusion. although our data do not prove a causal relationship between Helicobacter pylori infection and the histogenesis of intestinal metaplasia, we suggest that Helicobacter pylori plays an important role in the development of intestinal metaplasia in the gastric mucosa. Whether Helicobacter pylori has to be present at all times during this process or is only necessary as a 'trigger', needs further research.

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

식사 대용식을 사용한 단기간의 체중 조절 : 한국인 비만 성인 여성에서 식사 대용식에 대한 연구 Meal replacements trial in Korean Obese women

이복기,이규래,박미현 대한비만학회 2002 The Korean journal of obesity Vol.11 No.2

연구배경 : 최근의 비만 인구의 증가와 체중 조절에 대한 관심이 증가하면서 식사 대용식의 사용이 많아지고 있다. 그러나 이러한 제품들이 실제적인 효과 면에서 문제가 되고 있음이 많이 보고되고 있고, 무분별한 사용으로 경제적인 측면에서 많은 손실이 초래되고 있음이 현실이다. 이에 본 논문은 비만 여성에 대한 식사 대용식에 대한 연구를 함으로써 국내에서 시판되는 식사 대용식의 효능과 안전성에 대해 알아보고자 하였다. 방법 : 대중 매체 및 인터넷 사이트를 통하여 자원한 여성들 중 체질량 지수 25kg/㎡ 이상의 25 ~ 35세의 여성 54명을 선별하여 6주간의 연구가 진행되었다. 참여한 54명을 2군으로 분류하여 식사 대용식 사용군 (A군)은 식사 대용식을 아침과 저녁 식사에 사용하였고 대조군 (B군)의 경우는 식사와 운동에 대한 교육만을 시행하였다. 모든 연구 대상자에 대해서 초기 방문과 3주 째, 그리고 6주 째에 신체 계측 치들과 체 성분, 그리고 대사적인 변수들을 측정하고 6주간의 식사일기를 분석하였다. 결과 : 54명의 연구 대상자 중 42명이 6주간의 연구 기간을 마쳤고, 그 중 식사 일기의 분석이 가능한 35명을 최종 대상자로 하였다. 6주의 연구 동안 A군은 1042.61±179.73kcal/day를 섭취하였고 B군은 1313.49±308.07 kcal/day를 섭취하여 두 군간의 통계적으로 의미있는 차이가 있었다. 신체 계측치와 체 성분에 미치는 영향은 A군에서 체중 (-3.84±1.97 kg), 체지방률 (-1.42±2.20%), 허리 둘레, 둔부 둘레에서 의미 있는 감소를 보였고, B군에서는 체중 (-3.39±2.25 kg), 허리 둘레, 둔부 둘레에서 의미 있는 감소를 보였다. A군에서는 수축기, 이완기 혈압, LDL 콜레스테롤에서 의미있는 감소를 보였고, B군에서는 수축기 혈압, 총 콜레스테롤 , LDL 콜레스테롤에서 의미 있는 감소를 보였다. 양군간의 체중과 체지방률의 변화량의 비교에서는 유의한 차이를 보이지 못했다. 결론 : 이 결과는 한국의 성인 여성에서 6주 동안 하루 2번의 식사 대용식을 사용할 때, 섭취량을 줄이고 체중과 체지방률을 줄이는 데 효과적인 방법임을 시사한다. 그렇지만 대조군과의 비교를 위해서는 좀 더 장기간의 연구가 필요하다. Background : Among the obese and those interested in weight reduction, the use of meal replacements recently has gained popularity. The efficacy and safety of meal replacements, however, has been questioned. In addition, the imprudent use of meal replacements lead to significant economic costs. Therefore, this study will investigate the efficacy and safety of meal replacements by examining obese women who take meal replacements. Methods: This experiment was conducted with subjects who volunteered through the internet and the mass media. The duration of the experiment was six weeks. The subjects consisted of 54 obese women (BMI>25) whose ages ranged from 25 to 35.54 subjects were divided into two groups : Group A, the experimental group, took meal replacements for breakfast and dinner. Group B, the control group, received instruction concerning exercises and diets. anthropometric measurement, body composition and metabolic variations were evaluated the first day, the third week and the sixth week; in addition, the subjects' diet diaries were analyzed. Results : 42 out of 54 finished the six weeks experiments. 35 out of the 42 completed diet diaries. The results are based on the 35 subjects' diet diaries. Group A took 1042.61±179.73 kcal/day, and group B took 1313.49±308.07 kcal/day for six weeks. This is a statistically significant difference between two groups. Group A showed a significant reduction in weight (-3.84±1.97 kg), the percentage of body fat (-1.42±2.20%), and in waist and hip circumference. Group B also showed a significant reduction in weight (-3.39±2.25 kg) and in waist and the hip circumference. In group A, there was a significant reduction in the LDL cholesterol and in systolic and diastolic blood pressure. In group B, there was a significant reduction in total cholesterol, LDL cholesterol and in systolic blood pressure. There was no significant difference in changes of weight and body fat between the two groups. Conclusion : From these results, Korean women who took meal replacements twice a day for six weeks reduced their oral intake, weight and body fat. However, long-term studies are needed to clarify the comparison between two groups.

라후어(Lahu)의 언어학적 연구 : 형태론 및 통사론적 분석

이현복 서울대학교 인문학연구소 2000 人文論叢 Vol.44 No.-

The aim of this paper is to analyze and describe the morphological and syntactic structure of the Lahu language spoken in Chiang Rai area, Thailand. Lahu is one of the hill tribe languages spoken in Thailand, Myanmar, China and Laes, and has been olassified as belonging to the Lole-Burmese branch of the Sino-Tibetan language family. Four Lahu speakers, two men and two women, speaking black Lahu, served as informants far this study in a series of field works conducted by the author in 1995-97. It was found necessary to set up seven parts of speech in Lahu, i.e. Noun, Verb, Particle, Classifier, Adverb, Conjunction and Interjection, on the basis of the syntactic function of words and morphemes. An Nominal and Verbal phrases and clauses are also fecund to operate as important syntactic units in the Lahu sentences, and three different types of sentences are distinguished on the basis of the syntactic complexity of the sentence structure, i.e., Simple, Compound and Complex. Finally it is interesting to note that Lahu and Korean ale strikingly similar net only in sentence structure but also in phonetic and phonological systems despite the fact that they are taken to belong to two different language families.

경연 대회를 통한 초ㆍ중고생의 창의력 신장 효과에 관한 연구

이희복,육근철,류해일,김현섭,김희수,박달원,유병환,김선효,김여상,서광수,변두원,서명석,배성효,박종석,심규철,이성희 공주대학교 과학교육연구소 2001 과학교육연구 Vol.32 No.1

미래 사회를 대비하기 위한 개인의 개성을 존중과 창의적인 능력을 지닌 인간을 양성을 목적으로 충청남도 지역의 초 ㆍ 중고등학생들을 대상으로 한 창의력 경연대회가 공주대학교 과학교육연구소에서 개최되었다. 충청남도 초 ㆍ중 ㆍ 고등학생들을 대상으로 실시한 창의력 경연대회는 창조적 아이디어를 내어 스스로 문제를 해결해 나갈 수 있는 교육 프로그램을 제공하는 좋은 기회였음이 확인되었으나, 일부의 팀에서만 참신하고 재미있는 아이디어들이 제안되었다. 여학생의 참가자 수가 상당히 증가하였으며, 대체적으로 입상권의 학생들의 상당 부분이 여학생이라는 것이 특이할만하다. 학년이 올라감에 따라서 창의적인 아이디어를 내는 양이나 질에 있어서 뒤떨어지는 것으로 분석되었으며, 토론 학습의 적응력이 미흡하고 발표력 및 청취력에 있어서도 떨어지는 것으로 나타났다. 따라서 중 ㆍ고등학교의 학교교육에서도 학생들에게 프로젝트형 탐구학습 프로그램의 적용은 물론 토론식 수습을 통한 학생들의 사고의 전환의 기회를 제공해야 할 것으로 사료된다. The creativity competition was held to foster the creativity of elementary and secondary school students in the Institute of Science Education, Kongju national University. It was found that the creativity competition effected on the improvement of inventing creative ideas and problem solving activities. But, only some competitors participated in semifinal and final contests, presented original and interesting ideas. More female students participated in competition than last year. More female participants were awarded a prize than males. Totally, participants were defective in discussion and communication, and presentation and listening ideas. Increasing grades correlated inversely with creativity and originality. There is need of inquiry project teaming programs and presenting opportunities of conversion of thinking by discussing instructions in school

金浦地方의 傳設攷

李賢馥 仁川敎育大學畿甸文化硏究所 1986 기전문화연구 Vol.15 No.-

韓國 現代隨筆文學의 形成過程과 그 發展 樣相에 관한 硏究(Ⅰ) : 韓國 現代隨筆文學觀의 變遷 樣相을 中心으로

李賢馥 仁川敎育大學校 1984 論文集 Vol.18 No.2

國語敎育學 정립을 위한 序說 : 國語敎科의 敎育領域 設定을 中心으로

李賢馥 仁川敎育大學校 初等敎育硏究所 1980 교육논총 Vol.11 No.-

만성활동성간염과 간경변에서의 고-Alpha Fetoprotein 혈증의 의의(Ⅰ)

이현영,이종선,정현용,이복희 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.2

Ten patients with chronic liver disease, whose serum levels of AFP were markedly increased, were detected from Jan. 1985 to Sep. 1990. The clinical and laboratory findings were examined and the results were as follows. 1. The objective patients were 4 males and 6 females, and their mean age was 40.2 years old. Five cases were chronic active hepatitis-B, and the other 5 cases were liver cirrhosis. 2. At the time of first examination, the mean level of serum AFP was 499ng/ml and this initial level of AFP declined to 10.4ng/ml after 5.1 monthes. 3. Initially the mean levels of serum AST, ALT and ALP were 271.7, 299.1 and 177.1 IU/L, and after 5.1 monthes these levels were changed to 61.0, 53.6 and 72.1 IU/L.

속도의 리듬에 따른 말소리의 변동

이현복 서울대학교 어학연구소 1982 語學硏究 Vol.18 No.1

The purpose of this short paper is to show by way of some concrete examples from Korean that a precise phonetic observation and analysis of actual language material is essential for any serous linguistic studies, particularly in the field of phonetics and phonology. It is very likely that phonological studies, no matter how elegant and neat they may look, may turn out to be worthless, if the underlying material used in the analysis is phonetically untenable, because an analysis based on the material which is either irrelavant or inaccurately observed, is bound to nullify the result. In Korean, it is taken for granted, for instance, that the Korean lenis plosive consonants are always voiced intervocalically. But some data from the Laryngographical experiment show that intervocalic lenis plosives are not always voiced; they become voiced only in certain contexts as conditioned by such prosodic features as stress, rhythm and tempo. It is clear, therefore, that unless such basic features have been fully accounted for on the phonetic level, not even a study of intervocalic behaviour of Korean lenis plosives can claim completion, not to mention a complete description of Korean phonology.