노래부르기 음악프로그램이 정신질환자의 자아존중감과 대인관계에 미치는 영향

홍상희,윤지원,이재금,김지연 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The objective of this study was to verify the effects of the Singing program for psychiatric patients on their self-esteem and interpersonal relationship, and to provide data for the nursing intervention that is necessary for making their life better. Method: The subjects were 10 in-patients with psychotic disorders at C university hospital in Seoul, from july 3 to September 18 im 2005, and the methodology was one group pre experimental- post experimantal design. The instrument for the measurement of self-esteem is Rosenberg Self-Esteem Scale(1973), which was translated by Chun Byung Jae(1974) and the measurement of interpersoral relationship is Schleim & Guerney Relationship Change Scale(1971) which was translated by Mun Seok Mo(1980) and revised by Chun Seok Gyun(1994). SPSS program was used for the analysis of the collected data, which were analyzed by the paired t-test and one-way ANOVA. Result: Singing therapy had an effect on improvement of the self-esteem, and seemed to be more effective as the frequency of the program increased. Singing therapy had an effect on improvement of the interpersonal relatinship, and seemed to ne more effecive as the frequency of the program increased. Comclusion: Singing therapy is found out to be effective program affecting the improvement of both the self-esteem and interpersonal relationship of the psychiatric patients. Therefore the nurses can use the Singing therapy as the nursing intervention for imtrovement of the self-esteem and interpersonal relationship of the psychiatric patients in clinical practice.

미성숙영구치의 복합항생제 적용에 의한 변색의 처치: 증례보고

박소연,김영재,김정욱,장기택,이상훈,김종철,한세현,현홍근 大韓小兒齒科學會 2012 大韓小兒齒科學會誌 Vol.39 No.1

The concept of revascularization of necrotic pulps regained interest and became an alternative conservative treatment option for young permanent teeth with immature roots. Revascularization of immature teeth with apical periodontitis depends mainly on disinfection of the canal. Since the infection of the root canal system is considered to be polymicrobial, a combination of drugs would be needed to treat the diverse flora. A triple antibiotic mixture of metronidazole, ciprofloxacin, and minocycline was used as an intracanal medicament. However, discoloration was developed after applying the triple antibiotic mixture. It is believed that the marked discoloration is related to the use of minocycline. The aim of this article was to present cases of coronal discoloration after triple antibiotic therapy in immature tooth and was treated with bleaching technique to control coronal discoloration. In conclusion, revascularization by using triple antibiotics promotes a paradigm shift in treating endodontically involved permanent teeth. However, we should understand that triple antibiotics containing minocycline induces tooth discoloration. Further research to prevent coronal discoloration should be investigated and suggested for the safe use of triple antibiotics. 괴사된 미성숙영구치의 치수치료에 있어서 치수의 재혈관화를 통해 치근단 발육 및 치근형성을 지속하려는 개념이 소개됨 으로써 현재 미성숙영구치의 치수치료의 대안으로 제시되고 있다. 이러한 치근단 염증을 가진 미성숙 영구치의 재혈관화를 위해서는 가장 중요한 것이 근관내 감염된 부분을 확실히 제거하는 살균(disinfection)이다. 근관 내 감염은 여러 세균의 복 합작용으로 일어나기 때문에 철저한 살균에 사용되는 약제의 조합은 다양한 범위의 균주를 모두 제거 가능해야한다. Metronidazole(MN), ciprofloxacin(CF), minocycline(MC)의 세 가지 복합항생제가 약제로 사용되고 있으나 이 복합항생 제 적용 후 치관변색을 일으키는 사례가 보고되고 있다. 이러한 치관변색은 항생제의 성분 중 MC에 의한 것으로 여겨지고 있으며, 본 증례에서는 복합항생제 적용에 의해 야기된 치관변색의 증례를 소개하고 이를 표백술로 처치하여 최종 수복한 증 례를 보고하였다. 복합항생제 적용을 통해 미성숙영구치의 치수치료에 새로운 패러다임을 제시한 것은 분명하지만 치관변색 등의 부작용이 있음을 인지하고 치관변색을 사전에 예방하고 최소화하기 위해 다양한 방법이 강구되어야 할 것이다.

전기자극이 건의 치유에 미치는 영향에 관한 실험연구

홍성철,김덕래,김태연,정전은,박길홍 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.1

The mechanism of tendon healing has been a controversial issue. Although there seems to be a dipolarizing opinion regarding the tendon healing, it is well known to us that the tendon has both intrinsic and extrinsic healing capacity which has proved in vivo and in vitro studies. Tendon adhesion is a common sequella after tendon repair, particularly after the ling period of immobilization. This can be explained by one wound concept or extrinsic tendon healing. If we can modify the natural healing process of the tendon by augmenting the intrinsic capacity, we can reduce the period of immobilization to allow early motion for better gliding. in this study, we used the electrical stimulation technique, which has been known to have good growth stimulatory effect on the living cells, to investigate its effect on tendon healing in organic culture for 6 weeks. Total 64 flexor tendons were harvested from 8 rabbit paws and they were cultured in separate petri-dishes.: 32 tendons were used for the control group and the rest 32 were used for the electric stimulation group. Tendons through which a continuous 7 μAmp current was passed at the repair site were compared with the non stimulated controls. In reference to the histologic study with Hematoxylin ?? Eosin stain and van Gieson stain, the following results were obtained. 1. There was found no necrosis in the specimens of the control as well as the elctrical stimulation group during 6 weeks' culture period. 2. Starting from 1 week, there was prominent increase of fibroblastic proliferation and collagen production in electrical stimulation group and these active repair processes persisted up to 6 weeks. Accordingly, I conclude that the intrinsic tendon healing capacity can be enhanced by the electrical stimulation in vitro.

원적산 봉수대 주변정비 기본계획

이상진,김기수,강영조,조승래,홍순연 東亞大學校 建設技術硏究所 2006 硏究論文集 Vol.29 No.2

문화재란 문화가치가 있는 사물로서 국가 가 종교적·세속적 근거에 따라 특별히 지정 한 재산이다. 문화재는 그것이 구현하는 정신적 가치와 시각적 음향적으로 표현하는 수단으로서 그 나라의 독특하고, 다양한 주체성을 보존하는 중요한 매체이기도 하다. 그러므로 문화재는 한나라의 민족역사와 문화로서 과거의 모습을 통해 현재 그리고 나아가 미래를 연결시키는 하나의 매개체인 것이다. 또한 문화재는 그 지역민에게 향토사적 인 자긍심 및 연대의식을 고취시키는 동시에 나아가 한 나라, 세계적인 관심사로 여겨 야 할 것이다. 원적산 봉수대는 양산군청 소재지에서 북쪽으로 약 9.2㎞, 통도사입구 마을인 신평에서 남쪽으로 8㎞지점에 있다. 이 봉수대는 경상남도 기념물 제 118호로써 원적산봉수대 보존회에 의해 복원된 문화재이다. 즉 다른 지역의 문화재와 달리 잊혀 져가는 문화재의 재생을 통해 다시 태어난 문화재인 것이다. 원적산 봉수대 주변정비 기본계획의 목적 은 지역민의 자긍심으로 복원된 봉수대와 주 변과 접근로를 체계적으로 정비를 함으로써 접근성, 전통성, 보존성을 높이고자 한다. 특히, 문화재보호를 위한 제반 법규 및 현지여건에 부합하는 정비방향을 설정하고, 전문 인력과 관련문헌을 바탕으로 문화재 주변을 역사성과 주민친화성, 기능성, 관광성을 함께 갖춘 문화공간으로서의 미래지향적 문화재정비 계획을 추구하고자 한다.

회귀분석(regression analysis)을 이용한 개인별 혈중알콜농도의 감소율 계산

홍성욱,권미아,최혜진,박용훈,인상환,김동우,정주연,우상희,박혜성 內務部 國立科學搜査硏究所 2002 國立 科學 搜査 硏究所 年報 Vol.34 No.-

임플란트 식립을 위한 상악동 점막 거상술의 결과

천상득,정보연,이승은,윤홍식,진병로 영남대학교 의과대학 2003 Yeungnam University Journal of Medicine Vol.20 No.2

Background: Although dental implantation has become widespread and acceptable treatment for dental prosthodontics, maxillary posterior jaw region is often complicated by the pneumatization of the maxillary sinus and physiological resorption of the alveolar bone. When this occurs, the residual bone between the floor of the sinus and the crestal ridge is inadequate for the placement of implants. The sinus elevation procedure provides a way to increase the amount of available bone and to allow the placement of longer implants. Materials & methods: We studied 11 patients requiring the implant placements and the maxillary sinus elevation simultaneously from 1996 to 2003 in our clinic. Nine patients were males and two patients were females, aged from 39 to 72(mean=51.6). Four patients had medical compromised states; angina pectoris, diabetes, hypertension, hepatitis. Patients didn't show any pathologic findings clinically or radiographically. We studied the success and survival rate of implants, factors increasing the osseointegrating capacity of implants. Results: The success rate of osseointegration of implants was 93%. At least 6 months after loading on implants, the survival rate of implants was 78.5%. Autogenous bone graft and adequate residual bone height(>6mm) increased survival rate of implants. Conclusion: Successful implant placement with maxillary sinus elevation mainly depends on sufficient residual bone height, healthy maxillary sinus, autogenous bone graft.

돼지에서 창상치유에 대한 키토산의 영향

변홍섭,김명진,이재연,조성환,박창식,김명철 충남대학교 형질전환복제돼지연구센터 2007 논문집 Vol. No.10

The objective of this study was to investigate the effects of implanted chitosan applied to surgically created wound in pigs. Six healthy 2∼3 months old Landrace and Yorkshire mixed breeds of both genders were used. A 2 cm straight skin incision was made and undermined skin (2×2cm) over on the each pig's both sides of dorsal midline at 0, 7. 14 and 18 days. One wound (left side) was implanted 0.4 mg of cotton type chitosan and other wound was treated saline (3ml). Each wound was closed with two interrupted suture of 2-0 sutures. The wounds created at 18. 14.7 and 0 days were named post-wounding day (PWD) 3, 7, 14 and 21, respectively. At 21 days after initial wounding, each wound was taken for histological observations. Reepithelialization tended to be greater in the chitosan group than in the control group at PWD 3 and 14. Granulation tissue formation did not show especial differences in two groups. Number of inflammatory cells was lesser statistically in level in the chitosan group than those in the control group at 21 days after wounding (p<0.05). Fibroblasts and neovasculature tended to be greater in the chitosan group than in the control group at PWD 3 and 7, and tended to be lesser in the chitosan group than in the control group at PWD 14 and 21. Collagen and fibrin were observed to be evenly distributed around the wound in the chitosan group. But collagen and fibrin were observed to be converged along the wound in the control group.

항암화학요법 중 호중구감소증이 발생한 저위험군 발열 환자들을 대상으로 한 경구 항균제 요법의 임상적 유용성 및 안정성에 대한 연구

김연숙,이혁,기현균,김춘관,김신우,김성민,백경란,김원석,윤성수,이홍기,강원기,박찬형,박근칠,송재훈 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.1

목적 : 항암화학요법 중 호중구감소증을 동반한 발열이 발생하는 암환자들을 치료하기 위한 다양한 항균제와 여러 가지 방법들이 시도되고 있는 가운데, 합병증과 사망률의 발생가능성이 적은 저위험군 환자들을 대상으로 초기 72시간동안 정주 항균제를 투여한 이후 경구 항균제로 전환하는 요법의 유용성과 안정성을 평가해보고자 본 연구를 시행하였다. 방법 : 1998년 2월부터 1999년 9월까지 본원에서 항암화학요법 중 호중구감소증과 발열이 발생한 환자들 가운데 기저 암질환이 고형암이거나 림프종이고, 입원당시 패혈증의 증후가 없으며 입원 72시간이내에 해열되고 백혈구수치가 증가 추세인 환자들을 대상으로 하여 72시간 동안 정주 항균제를 투여한 이후 경우 ciprofloxacin 750㎎을 하루 2회씩 투여하여 총 4일간 투여하였다. 모든 환자들은 열이 떨어지고 호중구감소증이 회복될 때까지 입원하도록 하였다. 결과 : 총 38명 환자의 40예가 등록이 되었고, 환자들의 기저암 질환은 고형함이 72.5%, 림프종이 27.5%였다. 입원당시 평균 호중구치수는 156/㎕였고, 호중구수치가 100/㎕미만인 경우는 65%였으며, 호중구감소증이 지속된 기간의 평균은 2.4일이었다. 40예 중 39예가 항균제의 변형이나 추가 없이 호중구감소증과 발열로부터 회복이 되어 97.5%의 성공율(95% 신뢰구간: 86.8-99.9%)을 보였다. 부작용으로 피부발진이 있었던 경우가 한 예 있었는데, 증상이 경하여 경구 항균제를 지속할 수 있었다. 심와부의 동통으로 복용을 지속할 수 없어서 대상에서 제외된 예가 또 한 예 있었다. 결론 : 항암요법 중 호중구감소증과 발열을 동반한 환자들 가운데 저위험군 환자들에서 항균제 72시간정주 이후 경구 항균제로의 전환요법은 효과적이고도 안전한 치료방법이라고 할 수 있다. Background : Oral antibiotic therapy following empirical intravenous antibiotics may be effective and safe for febrile neutropenic patients with lowrisk for complications. Methods : We conducted a prospective clinical trial of oral antibiotic therapy in the patients with neutropenia and fever during chemotherapy for cancer. Underlying malignancies were solid tumor or lymphoma with short duration of neurtropenia and the patients had no evidence of clinically or microbiologically documented infections. Oral ciprofloxacin was given to the patients who lacked signs of sepsis on admission, had a rising tendency of neutrophil count (ANC >100 /㎕ ) at 72 hours, and were afebrile at 72 hours. All patients were hospitalized until neutropenia and fever resolved. Results : A total of 40 episodes of 38 patients were enrolled from February 1998 to September 1999. The mean neutrophil counts on admission were 156/㎕ and the mean duration of neutropenia was 2.4 days. The episodes which had neutrophil count below 100 /㎕ were 26 (65%). Treatment was successful in 39 of 40 episodes (97.5% : 95 % confidence interval, 86.8% to 99.9%). Adverse reactions of oral ciprofloxacin were skin rash and epigastric soreness in two cases, respectively. There were no deaths during the study. Conclusions : For low-risk febrile patients with neutropenia during cancer chemotherapy, switch therapy to oral ciprofloxacin at 72 hours following intravenous broad-spectrum antibiotics is effective and safe,

직업적 관현악 연주자의 근골격계 증상 유병률과 관련요인

김성수,박종,류소연,강명근,홍강식 朝鮮大學校 統計硏究所 2007 統計硏究所論文誌 Vol.9 No.1

Objectives: This study was performed to find out the prevalence and factors that are related to the musculoskeletal disorders. Methods:Questionnaire were distributed from September 15th to 30th. 2000 to 156 musicians in two orchestras in Gwangju and Chonnam areas. Results: Considering a symptom prevalence of the musculoskeletal system, 97 (92.4%) string musicians. 17 (56.7%) woodwind musical instruments, and (100.0%) brass musicians have symptoms. The result of stepwise multiple logistic regression analysis. those who stretch before practice have 0.09 times (95% confidence interval : 0.01-0.66) less risk of symptoms than those who do not. Those who practice daily for three hours have 0.08 times (95% confidence interval : 0.01-0.71) less risk of symptoms than those who practice for two hours a day. Those who has stress at work have 2.66 times (95% confidence interval : 1.36-119.83) as many symptoms as those who has little stress. Those who have much stress at work has 64.19 times (95% confidence interval : 6.22-598.73) as many symptoms as those who have little stress at work. Those who answered that they would join the company again have 0.06 times (95% confidence interval : 0.02-0.17) less risk of symptoms than those who answered that they do not want to join the company again. Conclusion: The various factors have an effect on symptoms of the musculoskeletal systems among musicians of professional orchestras. It is considered that job-related factors such as stretching before practice, personal practice hours and satisfaction and stress at work are the related factors of systems.

말기 위암 외래 환자에게 제공된 통증관리의 염려 및 주저정도에 미치는 효과

공성화,이상홍,정자현,김지영,이수연,김순애 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: This study was designed to evaluate the effect of cancer pain-management-education on the concerns and hesitancy of pain-management in out-patient of terminal gastric cancer. Method: 24 terminal gastric cancer patients who had not surgery, were assigned to the control group and 24 were assigned to the experimental group receiving pain-management-education. As Measurement-instrument of concern on pain-management and questionnaire on degrees of hesitancy were used the questionnaire developed by Ward( 1993) and translated by Kim Hong-Soo(1998). Data were analyzed per descriptive analysis, x²-test and t-test with the SPSS 10.0 program. Result: Degrees of concern of cancer-patient on pain-management between experimental-group and control-group showed significant difference: Experimental-group changed from 2.52 to 1.13 point(maximum 5 point) and control-group from 2.59 to 2.40 point(p=.000). Degrees of hesitancy of cancer-patient on pain-management between two groups showed significant difference. Experimental-group changed from 2.33 to 1.35 point and control-group from 2.77 to 2.52 point(p=.000). Conclusion: Above findings showed that pain-management-education reduces the concern and hesitancy on pain-management in out-patient of terminal gastric cancer. We conclude that the pain-management-education in this study was identified the effective nursing program.