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      • 복강경하 대장절제술을 시행 받는 환자에서 라모세트론과 온단세트론외 술 후 오심 및 구토 예방 효과 비교

        김효중;어전영;어근무;어정한;엄세훈;조광래;김명훈 인제대학교 2011 仁濟醫學 Vol.32 No.-

        Objectives : We evaluated the efficacy of ramosetron and ondansetron for preventing postoperative nausea and vomiting (PONV) in laparoscopic colectomy. Methods and Materials : Eighty patients who received laparoscopic colectomy were randomly divided into two groups: R group (ramosetron 0.1mg PO) and O group (ondansetron 4mg twice IV). Injection or oral medication was administered before the induction of anesthesia in each group. Injection was administered at the end of surgery in O group. General anesthesia was induced using propofol and rocuronium, and maintained with sevoflurane, remifentanil and air (FiO2 0.5), We investigated the incidences of PONV in each group by the Rhodes index of nausea, vomiting and retching (RINVR) at postoperative 6 and 24 hours. Results : The incidence of PONV was not different between group at each time points after surgery (at postoperative 6 hours: 20% in group R, 17.5% in group 0, at postoperative 24 hours; 12.5% in group R, 7.5% in group 0). There was no difference in the severity of PONV, satisfaction, rescue drug usage. Conclusion : Prophylactic therapy with ramosetron is as effective as conventional prophylactic therapy with ondansetron for preventing PONV in general anesthesia for laparoscopic colectomy.

      • KCI등재후보

        체간안정화 훈련이 만성 뇌졸중 환자의 호흡기능에 미치는 효과

        이경진(Kyeong-Jin Lee),정주현(Ju-Hyeoun Jeong),조명래(Myeong-Rae Jo),김세윤(Se-Yoon Kim),김난수(Nan-Soo Kim) 대한심장호흡물리치료학회 2019 대한심장호흡물리치료학회지 Vol.7 No.1

        Purpose : The purpose of this study is to examine the effects of trunk stability training on improving trunk control, respiratory function, and respiratory muscle activation in stroke patients. Methods : The subjects were assigned to two groups: the intervention group (n=15) and the control group (n=15). Both groups participated in a conventional stroke rehabilitation program, but the intervention group also received trunk stability training for 30 minutes a day, 3 times a week, for 6 weeks. The main trunk stability exercise consisted of the dead bug exercise. Trunk control was assessed using a trunk impairment scale, and respiratory function (pulmonary function and respiratory muscle function) was assessed using spirometry. The data were analyzed using the Pearson correlation, independent t-test, and paired t-test. Results : Trunk control was significantly positively correlated with pulmonary function and respiratory muscle strength. Both groups showed a significant increase in trunk control and respiratory function. Conclusion : This study demonstrated that a conventional stroke rehabilitation program and trunk stability training have positive effects on respiratory function and respiratory muscle activation in stroke patients.

      • Rocuronium의 애별투여방법이 모지내전근의 이완에 미치는 영향

        최영균,김승수,이원진,조광래,이상은,김영환,임세훈,이정한,이근무,정순호,김영재,신치만 인제대학교 2009 仁濟醫學 Vol.30 No.-

        Objective : There are controversies in pnmmg technique of rocuronium whether it can or can't shorten the onset time. We want to compare the effects of two different priming doses and intervals of rocuronium. Materials and Methods : After giving propofol, 50 patients were randomly assigned to 5 groups. Group I received a placebo, followed 3 min later by rocuronium 0.6 mg/kg. Priming doses and intervals of Group II, Ill, N, V were 0.06 rng/kg and 2 min, 0.12 mg/kg and 2 min, 0.06 rug/kg and 3 min, 0.12 mg/kg and 3 min, respectively. Total dose of rocuronium was 0.6mg/kg. Train of four (TOF) count or ratio and 1st twitch height of TOF (T1) were monitored with 15 secondsintervals. TOF ratio of each groups just before bolus injection, duration for TOF count to reach zero and duration for Tl to reach 95% depression after bolus injection were compared. Results : Duration for TOF count to reach zero and duration for Tl to reach 95% depression after bolus injection were decreased in priming groups compared to Group 1 (P < 0.01) In group V, significant depression of TOF ratio just before bolus injection was seen (P < 0.05). Conclusion : Priming technique with rocuronium is effective method to shorten the onset of neuromuscular block. But priming dose of rocuronium itself could cause hypoxia and aspiration in awake patients and should be used carefully. Priming dose of rocuronium 0.06 mg/kg and 2 minutes interval maybe relatively safe method.

      • Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

        Chang, Oliver,Choi, Eun-Kyung,Kim, Im-Ryung,Nam, Seok-Jin,Lee, Jeong Eon,Lee, Se Kyung,Im, Young-Hyuck,Park, Yeon Hee,Cho, Juhee Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

        Background: Breast cancer patients experience a variety of altered appearance - such as loss or disfigurement of breasts, discolored skin, and hair loss - which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

      • 다공성 여재를 이용한 축산폐수의 영양물질 제거에 관한 연구

        이영훈,김세정,홍태기,이영신 한서대학교 산학협력연구원 부설 환경연구소 2000 환경연구소 논문집 Vol.3 No.-

        The fixed bio-reactor with the porous media was used to remove the nutrients in livestock wastewater. The dilution ratio and the reaction time for the removal efficiency of the nutrients in livestock wastewater were made a thorough investigation. The removal efficiency of total nitrogen(T-N) and total phosphorus(T-P) was 25 to 57% and 19 to 41% for treatment of 3 to 6 hour respectively, and >84.9% and >61.9% for treatment of 12 hour respectively. Therefore the reaction time for the effective removal of the nutrients in livestock wastewater must be more than 12 hour. Also the removal efficiency of total nitrogen(T-N) and total phosphorus(T-P) depends on the dilution ratio. As the dilution ratio increases, the reaction rate for the removal of nutrients also increases. By using the fixed bio-reactor with the porous media, it is possible to remove the nutrients in livestock waste water effectively and successively.

      • 인간의 혈장아포지단백 A-I에 특이성을 지닌 단일클론항체 A-I30의 light chain의 가변부위를 coding하는 cDNA의 클로님

        이상한,우기민,조만희,장예진,김창세,김정경 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

        I prepared a monoclonal antibody (mAb) A-l30 to HDL apolipoprotein A-l with the ultimate goals of expressing the valuable immunodiagnostic single-chain Fv (scFv) in Escherichia coli. The binding specificity of mAb A-l30 was determined by Western blot analysis. From the hybridoma cell line secreting mAb A-l30, poly(A)+ RNA was prepared and used as a template for cDNA synthesis and cloning. The nucleotide sequence analyses revealed that the variable regions of the heavy and light chains were members of mouse heavy chain subgroup ⅡA and κ light chain subgroup Ⅱ, respectively. Comparison of the nucleotide sequences with mouse immunoglobulin genes listed in the GenBank data base showed that the cDNAs have not been previously reported.

      • 사각 밀폐공간내에서 팬 위치가 가열 및 냉각에 미치는 영향

        李雲,徐正世 慶尙大學校生産技術硏究所 1995 生産技術硏究所論文集 Vol.11 No.-

        In this study, numerical simulation is made for the cooling and heating process, by the fan installed within a rectangular enclosure. It is investigated from numerical analysis that the interaction between the natural convection and the forced convection affects the flow and temperature fields. Results are obtained from the variation of Reynolds number and the fan locations. Results show that for the lower value of Re the fan position has a great effect on the behaviors of flow and temperature fields due to the dominant natural convection. The cooling process becomes more rapid with the increasing of Re for the fan located below the middle side-wall of rectangular enclosure, while the heating process becomes more rapid with the increasing of Re for the fan located above the middle side-wall of rectangular enclosure.

      • 쿠폰에 대한 사용실태 및 소비자선호도

        이은화,양세정 상명대학교 사회과학연구소 2002 社會科學硏究 Vol.15 No.-

        본 연구에서는 쿠폰 사용이 활발하게 이루어지고 있다고 판단되는 대형 패스트푸드점을 대상으로 대학생 소비자의 쿠폰사용실태와 선호정도, 쿠폰유형에 따른 선호도를 알아보고 이를 통해서 통해서 쿠폰에 대한 소비자 반응을 할 인방법에 따른 선호도로 파악하여 그것을 바탕으로 기업에 유용한 정보를 제공하여 쿠폰이 나아가야 할 바람직한 방향과 개선점을 제시하고자 한다. 연구 결과 대학생들은 평균 1주일에 1번이상 패스트푸드점을 방문하고 있었으며, 쿠폰성향은 성별에 따라서 차이가 있었으며 여자가 쿠폰사용을 더 즐기는 것으로 나타났다. 소비자에게 경제적 이익을 가장 많이 주는 쿠폰은 무료제공쿠폰으로 나타났고, 사용하는데 있어서 가장 편리하다고 생각하는 쿠폰 역시 무료제공쿠폰이었다. 가정 선호하는 쿠폰은 무료제공 쿠폰이었으며 가장 싫어하는 쿠폰으로는 현상공모쿠폰이었다. 쿠폰을 사용하는데 있어서 편리성보다는 경제적 이익을 더 고려하는 것으로 나타났다.

      • KCI등재

        역사적 도심지구내 거주동향에 관한 조사연구 : 청주시 성안동, 중앙동의 사례에서 In Case Seongan-dong and Jungang-dong in Cheongju City

        정세림,원세용,이훈,김태영 대한건축학회 2003 대한건축학회논문집 Vol.19 No.1

        This study aims to find out detailed status goes on movement of residents in traditional urban area focused the case of Seongan-dong, Juangang-dong in Cheongju City of Korea. As the result, the summaries of finding are as follows : 1. The short-term households usually inhabit in traditional urban area for a short while of less than 4 years. Approximately half(45%) of them are single persons. 2. The long-term households usually inhabit in the same area at here for a long while such as ten or twenty years and have become considerable portion in the district which could not be disregarded as family type. 3. The short-term households of more than 5 year's residence can be regarded as family type. How to improve residential context and housing type is demanded absolutely for households to promote the habitat in traditional residential urban area.

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