일 도농복합지역 저소득층 노인의 건강문제 분석 : 보건소 방문간호사업 대상자 중심으로

고일선,,이태화,이경자,이정렬,임미혜,천의영,주윤미,이계철 노인간호학회 2005 노인간호학회지 Vol.7 No.2

Purpose: The purpose of this study was to analyze the health problems of low-income aged with chronic illness living in urban-rural composite area. Method: The sample consisted of 440 aged who were receiving home care services from a public health center. MDS-HC was applied to analyze the health problems of the aged. Data were collected through a face- to-face interview by six trained interviewers from June 28 to July 15, 2004. Result: Subjects had average number of 8 health problems in both urban and rural area. Lack of preventive health care measure, pain, and visual function were the most frequent health problem. The rural aged had more pain, bowel management problems, compared to the urban aged having more urinary incontinence and indwelling catheter. There were many health problems related to falls and pressure ulcers with middle-old aged in urban, and old-old aged in rural area. Conclusion: The results of this study showed strategies for care intervention of low-income elderly to put in practice. Therefore, tailored-service for each subject should be provided.

일 간호대학의 간호환경시스템 통합실습방안 적용 : 간호관리학과 지역사회간호학의 통합

김광숙,이경자,김의숙,이정렬,김인숙,이태화,조윤희,정제인,이현정,배선형,김은현 대한간호학회 간호행정학회 2008 간호행정학회지 Vol.14 No.1

Purpose: Integrated curriculum has been considered as a desirable method in health related school course. The present study was conducted to develop practice curriculum which integrates nursing management and community health nursing and measure the education effect. Method: Literature review and scores of professional meeting were carried out to generate main educational goals, contents, operating principle, and evaluation item. Student evaluation was done by survey and in-dept interview in right after practicum and three months respectively. Results: Six concepts were derived as main component of the integrated curriculum. From 2 to 3 sub-categories were matched to each main component as well. Subsequently, practice contents were suggested on the basis of sub-categories. Attainment of practicum goal scores ranged from 2.82 to 3.54 in four points index. Students expressed that they found nursing manager's role in the community setting. Conclusion: This new approach encouraged students to ascertain relationship between hospital oriented and community based practice. Additionally, they can be prepared to comprehend diverse health care environment.

의과대학생의 자연최면경험과 최면유도점수의 상관관계

이정태,최윤정,전양환,성양숙,박원명,김광수,유태열 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.5

목 적 : 저자들은 자연최면경험과 최면감수성간의 관계를 알아보기 위하여 자연최면점수와 최면유도 척도로 얻은 최면유도점수 및 유도점수와의 관계를 알아보고, MBTI(Myers-Briggs Type Inventory)의 성격유형과 이들의 상호관련성을 알아보려고 하였다. 방 법 : 가톨릭대학교 의과대학에 재학중인 63명의 의대생들을 대상으로 하여 자연최면경험에 대한 설문지와 MBTI를 작성하게 하고 최면유도척도로 최면을 유도하면서 최면유도점수와 유도점수를 얻었다. 결 과 : 1) 자연최면점수와 유도점수 사이에서 양의 상관관계가 있었고, 최면유도점수와 유도점수 사이에도 양의 상관관계가 있었다. 2) 자연최면점수와 최면유도점수 사이에서는 통계적으로 유의한 상관관계가 없었다. 3) MBTI의 각 성격유형들은 최면유도점수와 유도점수 사이에서 양의 상관관계가 있는 것으로 나타났다. 4) 외향형과 사고형의 성격유형은 자연최면점수와 최면유도점수에서 각각 양의 상관관계가 있었고, 자연최면점수와 유도점수 사이에서도 양의 상관관계가 있었다. 5) 직관형과 판단형은 자연최면점수와 유도점수 사이에서 각각 양의 상관관계를 보였다. 결 론 : 자연최면점수는 유도점수와 상관관계가 있었다. MBTI의 외향형과 사고형에서는 자연최면경험이 많을수록 최면유도가 잘 된다는 것을 시사하였다. Objective : We attempted to investigate the relation between naturally occurring hypnotic experiences and hypnotizability. We examined the correlations among hypnotic induction profile scores, natural hypnotic scores, induction scores and MBTI personality types. Methods : Sixty-three medical students completed NHQ(natural hypnotic questionnaire) developed from a list of naturally occuring hypnotic-like experiences and MBTI(Myers-Briggs Type Inventory). HIP(Hypnotic Induction Profile) was also administered to all the subjects. HIP score and IND(induction score) were obtained. Results : 1) The NHS(natural hypnotic score) was significantly correlated with IND in all the subjects. The IND also showed significant correlation with HIP score. 2) There was no significant correlation between NHS and HIP scores. 3) HIP scores were positively correlated with induction scores in all types of MBTI. 4) Natural hypnotic scores were positively correlated with HIP scores and induction scores in introvert and thinking types. 5) There were positive correlations between natural hypnotic scores and induction scores in intuition and judgment types. Conclusion : The natural hypnotic scores were correlated with induction scores. It is suggested that the more the naturally-occurring hypnotic experience is experienced, the better the hypnotic induction is induced in introvert and thinking types of MBTI personality types.

계면활성제의 체인길이에 따른 구형 MCM-41의 합성

이두형,최병열,장원철,서길수,이태진 영남대학교 공업기술연구소 1999 工業技術硏究所論文集 Vol.27 No.1

Mesoporous MCM-41 exibits a hexagonal arrangement of uniform mesopores whose dimensions may be engineered in the range of ∼20Å to greater than 100Å. The MCM-41 typically have high surface areas above 1000m2/g, and then capacities of MCM-41 to accommodate the larger hydrocarbon is still higher than the general molecular sieve. At the present, many surfactants as organic templates have been proposed for various formations of these MCM-41. In this study, we synthesized mesoporous MCM-41 which has a spherically hexagonal structure. Also, the pore size of MCM-41 could be changed by the control of alkyl chain length of surfactants.

대체연료로서의 메탄올 연소특성에 관한 연구

이태원,이상석,하종률 동아대학교 공과대학 부설 한국자원개발연구소 1993 硏究報告 Vol.17 No.2

It is very important to clarify the ignition and flame propagation processes of methanol fuel in the Spark-ignition engine. High speed Schlieren photography and pressure trace analyses were used to study on combustion characteristics of methanol fuel in a constant volume chamber. Methanol-air mixtures equivalence ratios from lean limit to 1.4 were ignited at initial pressure(0.065, 0.294, 0.49MPa), temperature(313, 343, 373K) and charging energy(19, 216mJ). As the result of this study, we verified the characteristics such as ignition delay, effective thermal efficiency. flame propagation velocity, jean limit, ignitability and combustion duration. Obatained results are as follows; 1. The time to reach 10% of maximum pressure was 40~50% of the total combustion duration for this experimental condition hardly affected by equivalence ratio. 2. The Effective thermal efficiency, as calculated from maximum pressure was the highest when the mixture was slightly lean(Φ 0.8~0.9) and maximum pressure was the highest when the the mixture was slightly rich (Φ 1.1~1.2).

만성 정신분열증 음성증상에 대한 Mianserin 효과

이정태,서상원,유태열,박원명,김광수,전양환 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.2

This study was designed to examine the mianserin effects on the negative symptoms of chronic schizophrenia. The chronic schizophrenics(N=14) diagnosed by DSM-Ⅲ-R, who were treated at the Catholic University St. Mary Hospital from March 1, 1993 to August 31, 1995, were divided into two groups. One group was composed of 7 patients who were treated with a single classical antipsychotic agent(monotherapy group, MG), and another was composed of 7 patients treated with combined medications(combined therapy group, CG), including classical antipsychotics plus fixed dose of mianserin 30 ㎎/day at bed time. Symptoms were evaluated by BPRS(Brief Psychiatric Rating Scale) and PANSS(Positive and Negatve Syndome Scale) biweekly for 6 weeks, i.e., total 4 times(at baseline, at 2 weeks, at 4 weeks, and at 6 weeks). The results were as follows : 1) Assessed by PANSS, the negative symptoms of CG were statistically significantly improved more than those of MG at 2 weeks, at 4 weeks, and at 6 weeks. 2) Assessed by PANSS, the positive symptoms of CG were not statistically different from those of MG. In both of CG and MG, there was no difference of the positive symptoms across time intervals. 3) Assessed by PANSS, the total symptoms of CG were statistically significantly improved more than those of MG at 2 weeks, at 4 weeks, and at 6 weeks. But, assessed by BPRS, the total symptoms of CG were not statistically different from those of MG. 4) Assessed by PANSS, the general psychopathology symptoms of CG were not statistically different from those of MG. In CG, the general psychopathology stmptoms at 6 weeks were statistically significantly improved more than those of baseline. In summary, mianserin, when combined with classical antipsychotic agent, appears to be effective in diminishing negative symptoms of chronic schizophrenic patients. However, it did not influence positive symptoms.

교정력 부하시기에 따른 교정용 미니 임플란트의 안정성

이승연,차정열,윤태민,박영철 대한치과교정학회 2008 대한치과교정학회지 Vol.38 No.3

본 연구는 미니 임플란트 식립 후 교정력 부하시기와 관련하여 임플란트 주위골의 치유과정을 조사하였다. 성견8마리의 하악 협측골에 교정용 미니 임플란트(ORLUS, Ortholution CO, Korea) 48개를 식립한 후 교정력을 주지 않은 대조군과 식립 후 즉시 교정력을 준 즉시 부하군, 그리고 식립 후 3주간의 치유기간을 두고 교정력을 준 지연 부하군으로 나누어 각각의 군에 대해 3주, 6주, 12주가 경과된 시점에 임플란트 주위골의 변화를 조직 계측학적으로 관찰하였다. 골 접촉률은 즉시 부하군에서 시기에 따른 유의한 변화가 없었으며 지연 부하군은 3주에 비해 12주에서 유의하게 증가하였다 (p < 0.05). 각 시점에서 군 간의 골 접촉률을 비교했을 때 12주째 지연 부하군이 즉시 부하군보다 유의하게 높았다 (p < 0.05). 골 면적비율은 즉시 부하군의 경우, 시기에 따른 유의한 변화가 없었으며, 지연 부하군과 대조군은 6주에 비해 12주째 유의한 증가를 보였으며 (p < 0.05), 12주째 실험군 간에 유의한 차이는 관찰되지 않았다 (p > 0.05). 동요도는 12주째 즉시 부하군과 지연 부하군 간에 유의한 차이는 없었다 (p > 0.05). 위의 결과에서 즉시 부하가 self drilling형 미니 임플란트 주위골의 안정성에 부정적인 영향을 주지 않았으므로 식립 즉시 교정력을 부여하여 사용하는 데 임상적으로 문제가 없을 것으로 판단된다. Objective: The purpose of this study was to investigate the stability of mini-implants in relation to loading time. Methods: A total of 48 mini-implants (ORLUS, Ortholution, Korea) were placed into the buccal alveolar bone of the mandible in 8 male beagle dogs. Orthodontic force (200 - 250 gm) was applied immediately for the immediate loading group while force application was delayed for 3 weeks in the delayed loading group. For the subsequent loading periods (3, 6, 12 weeks), BIC (bone implant contact) and BV/TV (bone volume/total volume) and mobility test were carried out. Results: The immediate loading group showed no changes in BIC from 3 to 12 weeks, while the delayed loading group showed a significant increase in BIC between 3 and 12 weeks (p < 0.05). The BV/TV of the delayed loading group significantly increased from 6 to 12 weeks of loading (p < 0.05), while the BV/TV of the immediate loading group decreased from 3 to 12 weeks of loading. However, there was no significant difference in BV/TV between experimental groups. The mobility of the immediate loading group was not significantly different from that of the delayed loading group after 12 weeks of loading (p < 0.05). Conclusions: These results showed that immediate loading does not have a negative effect on the stability of mini-implants compared to the early loading method in both the clinical and histomorphometric point of view.

수종의 표피종양에서 p53단백발현에 관한 면역조직화학적 연구

이성열,부태성,이종석,김의한 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

This study was carried out to evaluate the aberrant expression of P 53 protein using immunohistochemical method in 28 basal cell carcinoma, 24 squamous cell carcinoma, 7 keratoacanthoma, and 4 Bowen's disease. Eighteen out of 28(64.3%) and twenty one out of 24(87.5%) showed positive reaction in the nucleus of basal cell carcinoma and squamous cell carcinoma, respectively. Five out of 7(71.4%) and three out of 4(75%) showed positive reaction in the nucleus of keratoacanthoma and Bowen's disease. In conclusion, our results suggest that the aberrant expression of P53 protein is a common and an important part of the pathogenetic sequence in a majority of cases of epidermal neoplasms.

영지(Ganoderma lucidum)균사체의 액체배양에 의한 세포외 수용성 다당류의 분획 및 항암활성

이신영,강태수,문순옥,류인덕,이명열 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

영지 균사체의 액체배양에 의하여 생산된 세포외 다당 시료를 분획하였고, 이들 각 분획에 대한 항암 활성을 균사체 유래 다당 분획들과 비교하면서 조사하였다. 배양여액으로부터 세포외 수용성 다당(BWS)을 얻었고, 이를 순차적으로 이온교환 및 겔 크로마토그라피 하여 BWS를 포함한 세포의 수용성 다당 분획, 총 5종을 얻었으며, 균사체 유래의 수용성 다당(MWS)에서도 세포외 다당과 동일한 방법으로 분획하여 총 5종의 분획을 얻어 대조구로 시용하였다. 세포외 다당 시료들의 항보체 활성(ITCH_50, %)은 15~30% 정도로 15~70%인 균사체 유래 다당 분획들의 값보다는 낮았으나, 이들 세포외 다당 분획들의 값보다는 낮았으나, 이들 세포외 다당 분획들중, BWS-DA와 BWS-DA-GI는 1000 ㎍/ml의 시료 농도에서 30% 정도의 매우 높은 활성을 나타내었다. MTT assay에서는 mouse leukemia L1210에 대하여 BWS-DN 및 MWS가 600㎍/ml의 농도에서 각각 86 및 89%의 높은 저해율을 나타내었으며, BWS-DA 및 MWS-DN의 경우는 3㎍/ml의 매우 낮은 농도에서도 32~35%의 저해율을 보였다. 또 human cell line인 COLO-205에 대해서는 BWS와 BWS-DA 및 MWS-DA가, 그리고 HL-60에 대해서는 BWS-DA와 BWS-DN 및 MWS-DN이 각각 300㎍/ml의 시료 농도에서 약 50%(IC_50)의 높은 저해능을 나타내었다. Exo-polysaccharide (BWS) obtained from submerged cultivation of Ganoderma lucidum mycelium was fractionated. Antitumor activity of their fractions was investigated in comparison with the mycelial polysaccharide fractions. Eight kinds (BWS-DN, BWS-DA, BWS-DN-GI, BWS-DA-GI, MWS-DN, MWS-DA, MWS-DN-GI and MWS-DA-GI) of polysaccharide fractions were obtained by DEAE-cellulose ion exchange chromatography and Sepharose CL-4B gel chromatography from BWS and MWS, which were isolated from culture fluid and mycelial cell, respectively. The anticomplementary activities (ITCH_50, %) of the exo-polysaccharide fractions showing 15% to 30% were lower than those of mycelial polysaccharide fractions showing 15% to 70%. The acidic fractions of BWS-DA and BWS-DA-GI fractionated from BWS, showed the highest activity of 30%. In the MTT assay, BWS-DN and MWS against mouse leukenia L1210 exhibited high inhibition ratio of 86 and 89%, respectively at the concentration of 600 ㎍/ml. High inhibition ratio of 50% (IC_50) was achieved for BWS, BWS-DA and MWS-DA fractions against human colon adenocarcinoma COLO-205 and for BWS-DN, and MWS-DN fractions against human leukemia HL-60 at the concentration of 300 ㎍/ml among the six polysaccharide fractions, respectively.

광중합기의 광원에 따른 브라켓 전단결합강도 비교

차정열,이기준,박선형,김태원,유형석 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.3

제논 플라즈마 아크 광중합기나 LED 광중합기가 치과영역에 소개된 이후로 기존의 텅스텐 할로겐 광중합기를 사용할 때에 비해 교정장치의 부착시간이 현저하게 줄어들 수 있게 되었다. 제논 플라즈마 아크 광중합기에 대한 중합시간과 전단강도에 대해서는 여러 연구가 있어왔던 반면, LED 광중합기를 이용하여 교정용장치의 부착을 위한 중합시간에 대한 연구는 미진하다. 본 연구의 목적은 LED 광중합기의 중합시간에 따른 결합강도를 플라즈마 아크 광중합기와 비교하여 적절한 브라켓의 부착강도를 얻기 위해 요구되는 중합시간을 알아보는데 있다. 120개의 발치된 사람의 소구치에 컴포짓 레진으로 브라켓을 부착시킨 후 4초, 6초, 8초 동안 플라즈마 아크 광원과 LED 광원으로 각각 중합시켰다. 그 후 결합강도를 만능시험기(Universal Testing Machine)로 계측한 결과, 플라즈마 아크 광중합기에서는 4초 이상에서, LED 광중합기에서는 8초 이상의 중합시간에서 기존의 할로겐 광원을 40초간 노출시켰을 때와 비슷한 전단결합강도를 나타내었다. 플라즈마 아크 광중합기와 LED 광중합기의 중합시간이 접착제 잔류지수(adhesive remnant index) 수치에 대해 영향을 미치지 않았다. With the introduction of the xenon plasma arc curing light and the LED curing light as orthodontic curing lights, the polymerizing time of orthodontic composites has clearly decreased. In contrast to various research cases regarding the polymerization time and bond strength of the xenon plasma arc curing light, not enough research exists on the LED curing light, including the appropriate polymerization time. The objective of this research was to compare the bond strength of the plasma curing light and the LED curing light in regards to the polymerization time. The polymerization time needed to achieve an appropriate adhesion strength of the bracket has also been studied. After applying orthodontic brackets using composite resin onto 120 human premolars, the plasma arc curing light and the LED curing light were used for polymerization for 4, 6, and 8 seconds accordingly. This research proved that the LED curing light provided appropriate bond strength for mounting orthodontic brackets even with short seconds of polymerization. The expensive cost and large size of the device limits the use of the plasma arc curing light, whereas the low cost and easy handling of the LED curing light may lead to greater use in orthodontics.