요로 결석의 체외 충격파 쇄석술 : 단순 복부 사진을 이용한 성공률 예측의 효율성 Efficacy of the KUB in Predicting the Success Rate

이연희,김유미 단국대학교 1998 論文集 Vol.33 No.-

Background: To evaluate the efficacy of KUB according to size, location, shape of urinary stones in ESWL. Methods: In 149patients with urinary stones, we retrospectively reviewed KUB findings of stone size, location, shape and analyzed success rate of ESWL. Results: The overall success rate of ESWL in 149 cases was 89.9%. And the sucess rates of renal and ureter stones were 81.4% & 93.4% respectively. It was more successfully treated by ESWL when stone showed size below 2㎝, round shape and ureteropelvic junction(UVJ) location. Conclusions: The KUB is a useful imaging modality in evaluating the efficacy of ESWL of urinary stone.

장병들의 정신건강 증진을 위한 군 정신보건 조직 네트워크 모형 개발

이연미 ( Yeon Me Lee ),안은경 ( Eun Gyung Ann ),현혜순 ( Hye Soon Hyun ) 국군의무사령부 2009 대한군진의학학술지 Vol.40 No.1

objective: Mental health problem is one of the major and rising issues in military. Considering Republic of Korea's compulsory military service system and the stressful living condition of soldiers, the soldiers are put at great risk of developing mental health problems. Despite the increasing need for mental health service in military personnel, the military mental health system does not seem to deliver required service effectively. Thus, this study aimed 1)to analyse the military mental health service and identify problems with the service, 2)to develop a network model for the military mental health service, and 3)to propose strategies to facilitate the mental health service network. Method: This descriptive study drew on a consultation with 33 mental health providers including psychiatrists, psych/mental health nurse officers, and military basic-human-right counsellors(MBHRC). Based on the interview with several mental health providers and exclusive literature review regarding mental health service networking, a survey questionnaire was developed and distributed to the subjects. The questionnaire consisted of ten items related to demographic data and six open-end question to investigate the status of military mental health service, mental health workforce, perception about the collaboration and cooperation among each party, difficulties they're facing, and etc. 33 out of 43 were returned and the return rate was 76.6%. Demographic data of the subjects were analyzed with SPSS WIN 12.0 and the answers for open question were proceed with content analysis. Results: Psychiatrists and Psych/mental health nurse officers in military hospitals, Psychiatrists and Public health & health promotion nurse officers in division health care units, and MBHRC were identified as major mental health service provider. The obstacles to providing effective mental health services included a shortage of professional mental health workforce, conflicts with leaderships, and the lack of understanding and sharing information among the service providing parties. Consisting of military hospital, division medical unit, and MBHRC's office, the proposed mental health service network emphasize soldiers' need and collaboration and cooperation among each party. We recommend several strategies to facilitate the network including training and continuing education for service provider, developing and utilizing mental health promotion programs, promoting teamwork of network components, determining assessment tools and documentation forms to maximize the efficacy of the network, including the performance of each service network into unit evaluation criteria, and utilizing mental healthcare resources in civilian sectors.

사회복지학 전공 대학생의 재난관련 대처능력, 준비도, 위험인식 및 경험에 관한 탐색적 연구

이연주 ( Lee Yeon-ju ),이기영 ( Lee Ki-young ),김다미 ( Kim Da-me ) 아시아문화학술원 2017 인문사회 21 Vol.8 No.5

본 연구는 영남의 4개 지역 7개 대학 사회복지학 전공학생들에게 설문조사를 실시하여, 재난관련 요인들이 재난대처능력에 미치는 영향의 정도를 분석하고자 하였다. 분석결과, 재난위험민감도의 평균이 3.58점으로 가장 높았고, 다음으로 재난대처능력(2.71)-재난준비도(2.57)-정부신뢰(1.55) 순으로 조사되었다. 또한, 재난경험 중에서는 교육경험(.45)이 가장 많았고, 피해(.34)-활동(.03) 순이었다. 재난대처능력을 종속변수로 설정하여 영향을 미치는 요인을 분석한 결과, 재난준비도와 성별만이 유의미하였다. 이러한 연구결과는 현재 사회복지가 재난 관련 교육과정 및 자격제도 개발을 위한 기초자료로 활용될 수 있을 것으로 사료된다. In this study, We conducted a survey of students majoring in social welfare from seven universities in four areas in Yeongnam, and analyzed the factor of the Effect on the disaster response ability. As a result, the average disaster risk perception was the highest at 3.58, followed by disaster response ability(2.71), disaster preparedness(2.57), and government trust(1.55). Among the disaster experience, education experience(.45) was the most, followed by damage(.34) - activity(.03). As a result of analyzing the factors affecting the disaster preparedness ability as a dependent variable, only disaster preparedness and sex were significant. These results are considered to be the current social welfare can be used as a basis for disaster-related courses and qualifications development.

데스모이드 종양에 대한 조기 방사선치료의 필요성

이미연(Me Yeon Lee),장아람(Ah Ram Chang),김학재(Hak Jae Kim),김규보(Kyubo Kim),김진호(Jin Ho Kim),박찬일(Charn Il Park),하성환(Sung Whan Ha),우홍균(Hong-Gyun Wu),김일한(Il Han Kim) 대한방사선종양학회 2007 Radiation Oncology Journal Vol.25 No.4

목 적: 데스모이드 종양의 수술 후 방사선치료 성적을 분석하고 예후인자를 평가하기 위하여 후향적 연구를 진행 하였다. 대상 및 방법: 1984년 6월부터 2005년 10월까지 서울대학교병원에서 데스모이드 종양으로 수술 후 방사선치료를 시행 받은 환자 27명에 대한 의무기록을 분석하였다. 남자 13예, 여자 14예였으며 연령은 3∼79세였다(중앙값, 28 세). 종양은 복부 외(21예), 복벽(6예)에 위치하였고 종양의 크기는 장경 기준 2.5∼25 cm (중앙값, 7.5 cm)였다. 첫 수술 후 방사선치료를 받은 환자가 13예, 국소 재발 종양에 대한 반복 수술 후 방사선치료를 받은 환자가 14예 였다. 방사선치료는 분할 선량 1.8∼2.0 Gy로 총 45∼66 Gy (중앙값, 59.4 Gy)를 조사하였다. 결 과: 추적관찰 기간의 중앙값은 61개월(범위, 12∼203개월)이었다. 병변의 국소 진행은 2예에서, 국소 재발은 6예에서 관찰되었다. 5년 무병생존율과 5년 무진행생존율은 각각 61%와 70%였다. 다변량 분석 결과 광범위절제술을 시행한 경우 용적축소수술을 시행한 경우보다 무병생존율이 높았고(p=0.028), 첫 수술 후 방사선치료를 시행하는 경우와(p=0.046) 방사선 선량이 60 Gy 이상인 경우에(p=0.049) 무진행생존율이 높았다. 첫 수술 후 방사선치료를 시행한 경우 최종 관찰까지 수술 횟수가 중앙값 1회(범위, 1∼3회)였으나 첫 수술 후 방사선치료를 시행하지 않은 경우 수술 횟수가 중앙값 3.5회(범위, 2∼6회)였다(p<0.001). 결 론: 처음 진단 시 수술 후 방사선치료를 시행한 경우 국소 제어율은 높았고 총 수술 횟수는 적었다. 따라서 재발의 위험도가 높은 용적축소수술을 받은 환자 등에서는 수술 후 조기 방사선치료의 시행이 바람직하다. Purpose: This retrospective study was conducted to assess outcome and to determine the prognostic factors in patients with a desmoid tumor treated with postoperative radiotherapy. Materials and Methods: Twenty-seven patients with a desmoid tumor who were treated with postoperative radiotherapy between June 1984 and October 2005 were analyzed. There were 13 male and 14 female patients. The age of the patients ranged from 3 to 79 years (median age, 28 years). Tumors were located in an extra-abdominal area (21 cases), and in the abdominal walls (6 cases). The tumor size ranged from 2.5 to 25 cm (median size, 7.5 cm) in the largest linear dimension. Thirteen cases received radiotherapy after initial surgery, and 14 recurrent cases received radiotherapy after additional surgery. The total radiation dose given was 45∼66 Gy (median dose, 59.4 Gy), and the fraction size was 1.8∼2.0 Gy. Results: The median follow-up period was 61 months (range, 12∼203 months). Two patients developed local progression and six patients experienced local recurrence. The 5-year disease-free survival rate and the 5-year progression-free survival rate were 61% and 70%, respectively. Wide local excision was associated with better disease free survival with statistical significance (p=0.028). Radiotherapy after initial surgery (p=0.046) and a higher radiation dose of more than 60 Gy (p=0.049) were associated with better progression free survival with statistical significance. At the time of the last follow-up, the number of additional surgeries was higher in patients that received radiotherapy after reoperation (p<0.001). Conclusion: Radiotherapy after the initial operation improved local control and decreased the number of subsequent operations. Thus, postoperative radiotherapy after an initial operation is recommended in patients with a high risk of recurrence for a desmoid tumor.

일본 커뮤니티센터 디자인 특성에 관한 연구

이지연(Lee, Ji-Yeon),박예완(Park, Ye-Wan),김미라(Jin, Me-Luo),이연숙(Lee, Yeun-Sook) 한국실내디자인학회 2011 한국실내디자인학회 학술대회논문집 Vol.13 No.1

Community centers in Japan function as concrete space that independently satisfies such various needs of the residents as welfare, culture and education. Community centers in Japan have locality in their design, diversity in their characters according to their locality, comprehensiveness comprising all the lifestyles of the residents and the tasks of their community, and autonomy on the principle of residents’ participation and residents’ autonomous administration, and the outstanding functions of these centers have been developed well so far in comparison with those centers in other countries. This study aims not only to identify the key points that can be applied to the community centers in Korea by researching the design characteristics of Japanese community centers which have much diversity and better developed than Korean ones, but also to back up both theoretically and practically the planning, management and operation of domestic community centers in the process of planning their design. In order to find out the design characteristics of Japanese community centers, this study carried out literature study on related documents, theses and papers, and analyzed the data to identify the design characteristics. The result of this study that was obtained through studying and analyzing the design characteristics of Japanese community centers would provide ideas for setting up design characteristics of Korean community centers and would be able to be used as basic data in planning community centers.

심뇌혈관질환 고위험군의 교육정보센터 영양실습 교육프로그램 효과

남행미(Hang Me Nam),우승희(Seung Hee Woo),조영지(Young Ji Cho),최윤정(Yun Jung Choi),백수연(Su Yeon Back),윤소연(So Yeon Yoon),이진영(Jin Young Lee),이중정(Jung Jeung Lee),이혜진(Hye Jin Lee) 대한지역사회영양학회 2011 대한지역사회영양학회지 Vol.16 No.5

This research was performed to investigate the effects of NEP (Nutritional Education Practice) program developed by KHyDDI (Korea Hypertension Diabetes Daegu Initiative) for hypertension and diabetes patients. The subjects were 116 patients (hypertension 70, diabetes 46) who had completed basic education program at the education information center and four-session program was implemented for them. Nutrient intake was analyzed and compared before and after the program by 24-hr recall method and evaluate weight, waist circumference, body fat, blood pressure and eating habits in terms of nutrition knowledge, eating behavior, salty taste assessment. The improved results after the program were observed in weight, waist circumference, body fat ratio, blood pressure, slightly salty taste in salty taste assessment, nutrition knowledge, eating behavior, sodium, energy, carbohydrate and protein intake ratio to total energy (p < 0.001). Therefore, this program is effective in the improvement of weight, waist circumference and eating behavior, and the continued management would lead to the prevention of cardio-cerebrovascular diseases in the community. (Korean J Community Nutr 16(5) : 580~591, 2011)

Pain, disability, and MRI changes in lumbar disc herniation patients treated with integrative medicine: Ten-year results of an observational study

Lee Jin-Ho,Ha In-Hyuk,Kim Me-Riong,Cho Hyun-Woo,Seo Ji Yeon,Choi Hee-seung,Song Kwang Chan,Shin Byung-Cheul,Shin Joon-shik,Lee Yoon Jae 한국한의학연구원 2022 Integrative Medicine Research Vol.11 No.2

Background: To date, a 10-year follow-up study on complementary and alternative medical treatment of lumbar intervertebral disc herniation (LDH) has never been conducted. Therefore, we aimed to perform a prospective 10-year follow-up study on the integrated treatment of LDH in Korea. Methods: One hundred and fifty patients from the baseline study, who initially met the LDH diagnostic criteria with a chief complaint of radiating pain and received integrated treatment, were recruited for this follow-up study. The 10-year follow-up was conducted from February 2018 to March 2018 on pain, disability, satisfaction, quality of life, and changes in herniated disc, muscles, and fat through magnetic resonance imaging. Results: Sixty-five patients were included in this follow-up study. Visual analogue scale score for lower back pain and radiating leg pain were maintained at a significantly lower level than the baseline level. Significant improvements in Oswestry disability index and quality of life were consistently present. MRI confirmed that disc herniation size was reduced over the 10-year follow-up. In total, 95.38% of the patients were either “satisfied” or “extremely satisfied” with the treatment outcomes and 89.23% of the patients claimed their condition “improved” or “highly improved” at the 10-year follow-up. Conclusions: The reduced pain and improved disability was maintained over 10 years in patients with LDH who were treated with nonsurgical Korean medical treatment 10 years ago. Nonsurgical traditional Korean medical treatment for LDH produced beneficial long-term effects, but future large-scale randomized controlled trials for LDH are needed. Study registration: ClinicalTrials.gov, NCT03426215.

Sulfasalazine induces apoptosis of HBx-expressing cells in an NF-κB-independent manner

Lee, Young-Man,Kang, Moonkyung,Hwang, Jung-Me,Lee, Sukyung,Cho, Hyeseong,Kim, Yeon-Soo Springer-Verlag 2010 Virus genes Vol.40 No.1

Angular dependence of an EDGE detector in small fields in clinical settings

Kim Me Young,Yoon Jai-Woong,Cheong Kwang-Ho,Kang Sei-Kwon,구태률,Ha Boram,Lee Me Yeon,Kim Kyoung Ju,Bae Hoonsik,박소아 한국물리학회 2022 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.81 No.11

Relative output dose was evaluated while changing the gantry angle and couch angle using an EDGE diode detector in a clinical setting. An ELEKTA cone collimator used in stereotactic radiosurgery (SRS) was used for measurements. We place the edge detector at a depth of 10 cm of solid phantom (30×30×20 cm3 ) with a source to axis distance (SAD) of 100 cm. The relative output dose obtained by the EDGE detector was measured while the cone was mounted and the gantry angle was changed under the conditions of 0°, 45°, 90°, 315°, and 270°. As the distance of the passing beam increases as the gantry angle increases at table angle 0°, the intensity of the beam decreases and has a minimum value at the angle of 56.3°, 123.7°, 236.3°, and 303.7°. The sensitivity of output was highest in the anterior direction, and it showed a tendency to decrease in the posterior direction. It can be seen that the relative dose decreases around 60 and 120 degrees according to the change of the table angle, which is thought to be due to the change in beam transmittance according to the beam passing distance and the structure of the EDGE detector, and the sensitivity of the detector. It is also meaningful to report the dependence of the output dose on the angle when measuring using the phantom used in actual clinical practice.

Generation of Transgenic Bottle Guard Plants AVP1 H+-PPase

박미희(Me-Hea Park),한증술(Jeung-Sul Han),안율균(Yul-Keun Ahn),원희연(Hee-Yeon Won),김정호(Jung-Ho Kim),이혜은(Hye-Eun Lee),조명철(Myeong-Cheoul Cho) 한국원예학회 2010 한국원예학회 학술발표요지 Vol.2010 No.10