한 대학한방병원에 입원한 뇌졸중환자의 입원경로를 중심으로 한 기술역학적 고찰

김송,박종,김기순,이철갑,류소연,정영 조선대학교 부설 의학연구소 1998 The Medical Journal of Chosun University Vol.23 No.2

To find the characteristics of stroke patients and the relation between the pathway of admission and characteristics, of the patients including general characteristics, progression of disease and subjective complaints, an analysis was made from the medical record of 291 inpatients due to stroke admitted to a oriental medicine university hospital in 1997. 1. Diagnosis categories of analyzed Patients were 50 cerebral hemorrhage and cerebral infarction. 2. Sex distribution of patients showed 125 male and 165 female and age distribution showed peak 33.7% at 60-69 year old group, 26.5% at 70-79 year old group in descending order(p<05). 3. Thirty four percent of stroke patients had family history of stroke and male showed significantly higher rate of family history of than female(p<05). 4. The type of physical constitution was classified as Tea-Eum-In(太陰人) 43,6%, So-Eum-In(少陰人) 29.9%, So-Yang-In(少陽人) 26.1%, Tea-Yang-In(太陽人) 0.3% in descending order of frequency. 5. Hypertension was the preceding condition for 36.4% of cerebral hemorrhage and 42.7% of cerebral infarction. 6. Sixty nine point four percent of the patients of the patients suffered from the stroke for the first time and 25.4% for the recurred stroke. Major subjective complaints of the patients were motor disturbance, speech difficulty and headache in descending order. 7. As the institution for medical care to this admission, 138 person(47.4%) used western type hospital or clinics, 137 persons(47.1%) passed oriental medicine clinics or hospitals, 6 persons(2.1%) used both type of western medicine and oriental medicine and 10 person(3.4%) used pharmacy folk medicine. 8. As pathway of medical care for cerebral hemorrhage 71.2% of patients used western type hospital or clinic and 26.9% used oriental type of care where as for cerebral infarction 42.3% used western type and 51.5% used oriental type. 9. While admitted to this hospital within one day after occurrence of the disease used oriental type by 87.5% and western type by 14.3%, patient admitted in one week after occurrence of the disease used western type by 66.9% and oriental type by 27.1%. The above results showed that the pathway of medical care for the stroke patients was complicated and make many problems due to delay in the arrival to medical care. So effective health care delivery system for the stroke patients must be made for more efficient medical care.

사철나무 알칼로이드, Euojaponine의 NMR스펙트럼의 분석

柳載夏,李沼映,李叔淵,韓秉勳 숙명여자대학교 약학연구소 1994 약학논문집-숙명여자대학교 Vol.10 No.-

The strutures of euojaponines, alkaloidal components from Euonymus japonica are composed of β-agarofuran type sesquiterpene and pyridic dibasic acid, and they are linked via cyclodiester bonds. The structures of these compounds were elucidated by the application of various two dimensional NMR methods. From the results of complete interpretation of NMR spectra, several correlating aspects between structure and spectral pattern of sesquiterpene moiety were found, which can be utilized for the structural determination of the same family compounds.

일부 의과대학생의 음주 실태와 관련 요인

류소연,윤혜은,김기순,박종,강명근,박계남 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.2

Objectives : This study was performed to investigate the drinking status and the related factors with problem drinking in some medical students. Methods : The study subjects were 345 premedical students (freshmen and sophomore) and medical students (sophomore) in a medical school who replied to the self-administered questionnaire survey during March 2002. The questionnaire was composed of general characteristics, drinking status, social value about drinking, health status, satisfaction of life and alcohol use disorders identification test (AUDIT) . Results : The experience rate of drinking was 88.8% in male and 88.3% in female and it was tended to increase with going up the grade. Prevalence of hazardous, dependence, harmful and problem drinking classified by AUDIT score criteria were 66.2%, 3.0%, 7.0% and 5.1% in male and 34.9%, 0.9%, 1.9%, 1.9% in female. In male, the statistically significant related factors to Al JDIT scores were grade, religion, maternal drinking status, social value about drinking, affectionate feelings of those around one and satisfaction of life. Only social value about drinking was statistically significant correlated factor with AUDIT scores in female. As a result of multiple regression analysis, the related factors with AUDIT scores were sex, maternal drinking status, satisfaction of life and social value a bout drinking. Conclusion : The experience rate of drinking in medical students was higher than that in other college students. Grade, family drinking history, negative psychological feelings, social value about drinking were risk factors to problem drinking.

일부 국민학교 아동의 폐기능에 영향을 미치는 요인

류소연,양은석,박종 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1

Using pulmonary function and questionnaire data for 127 primary-school-age children (62 boys and 65 girls) in Kwangju city, we analyzed spirometric data (FVC. FEV_0.5, FEV_1, FEV_3, FEF_200-1200, FEF_25-75%) to determine the factors affecting the pulmonary function in 3 primary schools. The results were as follows; 1. Boys had higher value of spirometric data than do girls. 2. Obese children were tended to lower value of spirometric data than non-obese children in both sexes. 3. FEF_200-1200 were higher for taking exercise group than for not taking exercise group in boys. 4. FEV_0.5, FEF_200-1200, FEF_25-75% in boys and FVC and FEV_3 in girls were higher for group whose sleeping hours is less than 8 hours per day than for group whose sleeping hours is more than 8 hours per day. 5. Non-smoking status was associated with higher FVC, FEV_1, FEF_200-1200 in girls. 6. Spirometric data were correlated very strongly with height, weight, age in both sexes and there was a significant correlation between sleeping hours and spirometric data except FEF_25-75% and familial smoking amount and FVC in girls. We conclude that the management and education of environmental factors may be needed to improve pulmonary functions.

대학생의 우울정도 : 간호학전공과 타전공대학생을 중심으로

김지연,류나은,이소라,이지희,정윤정,주지연,황인혜 이화여자대학교 간호과학대학 2012 이화간호학회지 Vol.- No.46

Purpose: This study was designed to investigate sample’s general characteristics and compare depression degree among sample’s general characteristics and students’ major(nursing vs. other major). Methods: The subjects consisted of 318 university students. Data was collected by self-reported questionnaires, which were constructed BDI score. Data was analyzed by the SPSS/PC WIN 19.0 program. Results: The depression of nursing students and other major students was not significantly different according to BDI score. Statistically significant difference was identified among sleeping. Conclusion: Specific study focused on the practice time should be done to confirm the depression of nursing major and other majors. Detailed support programs which specifically deal with sleeping should be developed to effectively reduce the harmful effects of individual vulnerability. Therefore, prevention and management system to reduce depression degree for university students is needed.

일부 임상간호사들의 직무스트레스와 우울과의 관련성

이미옥,류소연,변익건,박정희 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.2

Objective : This study was performed to identify the relationship between job stress and depression of nurses who work at hospitals in Gwangju city. Methods : The data were collected from October 2 to 22, 2003 using the self-administered questionnaire which was composed demographic characteristics, job-related factors, health-related factors, family-related factors, job stress, self-esteem and Korean Beck's depression inventory. The statistic methods were t-test, analysis of variance (ANOVA), Pearson's correlation analysis and multiple regression analysis. Results : 1. The score of job stress of clinical nurses was 169.23 (24.44) , and depression point was 11.37 (7.71). By the depression criteria, the prevalence of depression were 11.2% in pre-depression, 5.7% in moderate and 4.6% in severe depression. 2. It was found that the characteristics that had a statistically significant relation with depression scores were age, marital status, educational background, career, income, drinking status, satisfaction in living and self-esteem. And job stress was statistically significant positive correlation with depression scores. 3. As a result of multiple regression analysis, the job stress had not a statistically significant relation with depression with controlled other related factors. Conclusion : It is necessary to prepare the program about the control and prevention of depression In clinical nurses. Further study need to identify the relationship between depression and job-related factors in nurses working at the hospitals.

서울 단일 지역의 Helicobacter pylori 1차 제균율과 2차 제균율의 변화

김미연,심기남,김혜인,강현주,류민선,안소영,정혜경,정성애 Ewha Womans University School of Medicine 2014 EMJ (Ewha medical journal) Vol.37 No.1

Objectives: To investigate the rate of first-line eradication and the rate of second-line eradication of Helicobacter pylori (H. pylori) from 2001 to 2010 in a single institute in Seoul. Methods: Among the 2,717 patients who received H. pylori eradication treatment from 2001 to 2010 at Ewha Womans University Mokdong Hospital, the medical records of 1,466 patients who satisfied the condition of execution of upper gastrointestinal endoscopy, positive H. pylori eradication results at 6~8 weeks after eradication therapy were reviewed retrospectively. Then the first-line and second-line eradication rates and the eradication rates according to endoscopy findings were also compared. Results: The first-line eradication rate was 77% H. pylori eradication rate for the last 5 years was continuously increasing and no sign of decline was observed even for the whole 10 years. The rates of eradication related to endoscopic findings showed statistical significance (P<0.001) of 79.8% and 70.1% each for peptic ulcer and non-ulcerative gastric diseases, respectively. Conclusion: In this study, no decrease in tendency of first-line eradication rate could be found. In addition, the patients with the non-ulcerative gastric disease seemed to show significantly lower eradication rate. This finding suggests eradication treatment may be affected by the category of gastric diseases, and careful considerations should be taken assessing the effects and needs for the H. pylori eradication treatment.

일부 미용업사자의 건강증진행위 실천도와 관련요인

임진주,유선미,류소연,박종 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.1

Background and Objectives:This study identified the performance degree of health promotion behaviors of the workers who are engaged in beauty business, and related factors in order to obtain basic data for development of health promotion program and health education. Method: This study targeted 103 hair dressers and 100 skin specialists who work in Gwangju, and they were interviewed using questionnaire with short answer questions in October 2003. The data collected were analysed using the following devices: descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and multiple-regression analysis. Results: 1. Health promotion behaviors had 2.76±0.95 when total score was four, which indicated that they had a relatively good management of health promotion behaviors. When specified health promotion behaviors were examined, self-realization had the highest score(2.98±0.58), and exercise had the lowest score(2.03±0.75). 2. When health promotion behaviors of the subjects were examined, there was a statistically significant difference depending on age(P=.025), marriage (P=.000), Position(P=.027), smoking(P=.041), and dhnking(P=.006). 3. It was found that the lower occupational stress of the subjects(r=-0.22, P=.001), the higher the social support(r=0.24, P=.001), and the higher se1f-efficacy(r=0.39, P=.000), the better health promotion behaviors. 4. The predicting factors of health promotion behaviors were smoking, drinking, social support, and self-efficacy, and they explained for 38.1% of health promotion behaviors, Conclusion: Health promotion behaviors of the workers who are engaged in beauty business were affected by various factors. Therefore, in developing future health promotion programs, a careful consideration to reduce stress caused by work and behaviors harmful to health should be given. And to encourage health promotion behaviors, socio-psychological approach through enrichment of social support and self-efficacy should be applied.

체질량지수와 간기능 이상과의 관련성

윤혜은,류소연,강명근,박종,김기순 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.1

Objective: To investigate the relationship between body mass index (BMI) and liver function abnormalities in the general population in Korea. Methods: The study subjects were 5765 persons who were received questionnaire survey and health examination of national health and nutrition survey in 1998, 20-59 years in age and had no history of viral hepatitis. BMI was categorized by quartile and abnormal liver functions were defined aspartate aminotransferase (AST) >30 U/L or alanine aminotransferase (ALT) >35 U/L in serum level. In order to identify the association of BMI and abnormal liver function, chi-square test and multivariate logistic regression analysis were used. Results: The abnormality rates of AST were 35.0% in male and 13.4% in female. The abnormality rates of ALT were 35.8% in male and 11.1% in female. After controlling for the other covariates, the multivairate logistic regression analysis showed that BMI was the significant related factor of abnormal AST (male; odds ratio=1.25; 95% confidence interval=1.15-1.36, female; odds ratio=1.14; 95% confidence interval=1.02-1.26) and abnormal ALT (male; odds ratio=1.87; 95% confidence interval=1.71-2.04, female; odds ratio=1.56; 95% confidence interval=1.38-175). Conclusions: We identify that BMI was the significant risk factor of non-viral liver disease with abnormal liver functions. A large-scale investigation will be suggested in the future to demonstrate the causal-effect issue between abnormal liver function and obesity.

방사선 치료를 받는 암 환자들의 사회적 지지와 삶의 질과의 관계

정주희,류소연,윤혜은,남택근,오윤경,안현옥,박계남,이영선 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

Objective : This study was performed to investigate the relationship between social support and quality of life among cancer patients receiving radiation therapy. Matehals and Methods : The data were collected from 98 patients, who were receiving radiation therapy at two university hospitals located in GwangUJu, used by structured questionnaire. For statistical analyses of the association between quality of life and various characteristics, data were analyzed using t-test, ANOVA, Pearson 's correlation, and multiple regression analysis. Results: 1. There were 56(57.1%) males and 42(42.9%) females. Age ranged from 21 to 82 years. The primary sites of cancer were gastrointestinal tract (24.5%), lung (23.5%), breast (21.4%), and head and neck (11.2%) in order. 2. The mean scores of social, family, and medical support were 4.30 0.58, 4.49 0.78, 4.11 0.65, respectively. The score of quality of life was 5.83 1.63 (range: 1.95 ~ 9.05). 3. An analysis of the association between several factors of patients and quality of life showed that the statistically significant factors were age, the presence of distant metastasis, family support, medical support and social support. 4. As a result of the multiple regression analysis, only social support was significant (β=0.932, P=0.02) with quality of life, but age and presence of distant metastasis were not significant. Conclusion : This suggests that quality of life in cancer patients could be improved by strengthening the social support which consists of family and medical support. Further study would be necessary to evaluate separately several aspects of quality of life among cancer patients.