저용량 Droperodol 의 지속적 정맥내 주사가 방사선 치료로 유발된 구토에 대한 효과 : As a Substitution for Granisetron for the Treatment of Gastrointestinal Symptoms from Palliative Radiation Therapy

문성록,박수경,정영표,김태요,최유선 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.2

Background: Radiation therapy in palliative cancer management leads mainly to nausea, vomiting, dyspepsia and anorexia. Several agents have been used to treat above symptoms and sings. We assessed the usefulness of continuous intravenous infusion of low-dose droperidol, compared to granisetron for the control of gastrointestinal symptoms due to radiation therapy. Method: We devided 30 patients who developed gastrointestinal symptoms after undergoing palliative radiation therapy due to metastatic bone pain in two groups. In group G(n=15), the patients were injected granisetron(3㎎) and then injected it, 3㎎ per day. In group D(n=15), the patients were injected low-dose droperidol(0.25㎎) and then infused continuously at low-dose(1㎎/day) by the disposable continuous infusion pump. Result: There were no significant differences in the patient's satisfaction, improvement of appetite and incidences of side effects between two groups. Conclusion: The continuous intravenous infusion of low-dose droperidol can substitute for serotonin-receptor antagonist for the treatment of gastrointestinal symptoms during radiation therapy for cancer patients.

自我槪念과 衣生活 패턴과의 相關關係의 硏究 : with am emphasis on the senior high school boys and girls 男·女 高等學生을 中心으로

박일록,김영숙 圓光大學校 1987 論文集 Vol.21 No.2

本 硏究의 目的은 男·女高等學生들에 대한 自我槪念과 衣生活 패턴과의 關係를 硏究하였다. 自我槪念이 衣生活 形態에 어떻게 반영되고 있는가를 알아 봄으로써 男·女高等學生들의 衣生活 패턴을 알 수 있다. 本 硏究를 위해 사용되어진 검사지는 정원식의 自我槪念 檢査誌를 사용했다. 내용으로는 身體的 自我, 道德的 自我, 性格的 自我, 家庭的 自我, 社會的 自我를 묻는 검사지를 사용하였다. 衣生活 패턴 檢査誌의 내용은 流行性, 同調性, 自己表現性, 安樂感, 經濟性으로 구분되어진 검사지를 사용하였다. 표집대상은 裡里市內에 所在한 男·女高等學生 268 名 (男學生 109 名, 女學生 159 名) 을 선정하여 自我槪念과 衣生活 패턴과의 관계를 ??검증, F검증, T-test에 의해 분석하였다. 結果는 다음과 같다. 1. 自身에 대해 부정적인 학생은 同調性, 經濟性과는 負的相關關係로 나타나고, 流行性, 自己表現性, 安樂感에서는 正的相關으로 나타났다. 2. 男·女別로 구분 해볼때 男學生은 流行性, 自己表現性, 安樂感, 經濟性에서 正的相關關係를 보이고, 同調性에서는 負的相關을 보였다. 女學生은 流行性, 自己表現性에서 正的相關關係를 보이고 同調性, 安樂感, 經濟性에서는 負的相關을 나타냈다. 3. 전체학생의 上, 中, 下집단에 따른 점수차에서 自我槪念은 流行性, 自己表現性에서 의미있는 차를 나타냈다. 4. 男·女別 上, 中, 下집단의 점수에서 男學生은 經濟性에서 의미있게 나타났으며 女學生은 流行性에서 의미있게 나타났다. The purpose of this study was to invesigate the relation between self-concept and Clothing pattern of senior high school boys and girls. We knew their clothing pattern as investigating how self-concept should be reflected on the clothing behaviors of individual. We selected a set of questionaire designed by Cheong Won-Sik to more effective study, and used a sheet of inspection which asked physical self, moral self, personal self, family self, social self in contents. We divided contents of questionaire of clothing pattern into fashion, concordance, self-expression, economy and comfortness. The respondents were 268 senior high school boys and girls (A sample of 109 man and 159 woman) in Iri, and We examined the relation between self-concept and clothing pattern according to the whole and a sex. Management of deta was analyzed by F-vertification, T-test, X?- vertification. The results of this study was appeared as fellows 1. Those who have negative self showed negative relation in concordance, economy but showed positive relaction in self-expression, comfortness, fashion. 2. Male-students showed positive relaction in fashion, self-expression, comfortness, economy but showed negative relaction in concordance. Female-students showed positive relaction in fashion, self-expression, but showed negative relaction in concordance, comfortness, economy. 3. Their self-concept according to difference of the result to high, middle, law group in all the students showed significance in fashion and self-expression. 4. Male-students showed significance to economy in marks of high, middle, law group, whereas female-students showed significance to fashion.

노인 외상 환자의 중증도 분류 시 Triage-revised Trauma Score의 의의

양영모,하영록,정성필,김승환,유인술 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Backgrouds: The mortality of geriatric trauma patients is higher than that of other age groups. However, little research has been done the methods or criteria of triage for geriatric trauma patients. This study evaluated a clinical significance of the triage-revised trauma score(t-RTS) for triage of geriatric trauma patients. Methods: We retrospectively analyzed clinical data on 528 trauma patients over 65 years of age who were treated from Jan 1999 to Dec 2000. The t-RTS was calculated utilizing the RR(respiratory rate), SBP(systolic BP), and GCS scores and the ISS was abstracted from the final diagnosis. The obtained t-RTS and ISS were evaluated using the measures of sensitivity, specificity, accuracy, and AUC curve. Results: The overall mortality rate was 9%, and there was no significant differences between the survival group and the mortality group according to age and sex. The mean scores of SBP, RR and GCS of the survival group were significantly higher than those of mortality group(p=0.001). The mean of t-RTS and RTS of the survival group were also significantly higher(p=0.001), but the ISS was significantly higher in the mortality group(p=0.001). The t-RTS, RTS, and ISS showed good prediction rates on the ROC curve(p=0.001), and the AUC value was higher in the ISS than in the t-RTS and the RTS. The sensitivity and the accuracy were high in the t-RTS and the RTS, and the specificity was high in the ISS. The t-RTS is less than 10 for a survival probability of 50% or less Conclusions: Implementation of the t-RTS in the triage of geriatric trauma patients in the field and in emergency room would be very useful. The probability of death in geriatric trauma patients is high when the t-RTS is less than 10.

응급의학과 의사가 시행한 상복부 초음파의 정확성

하영록,김훈,유승,정성필,김승환,유인술 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4

Purpose: The purpose of this study is to determine for upper abdominal pain, the accuracy of emergency abdominal ultrasonography (EAU) performed by emergency physicians with limited training. Methods: Two PGY-3 emergency physicians, who had received 2 hours of hands-on training, including the normal anatomy of a biliary system, liver, kindney, spleen, and pancreas, and who had studied the pathologic findings for another month were the subjects of this study. They used a Sonosite 180? to perform EAU on patients with upper abdominal pain within 2 months after training. We determined the agreement between the radiologist’s abdominal ultrasonography(RAU) and EAU by using Kappa statistics. Results: A total of 59 patients were enrolled. The agreement between the EAU and the RAU findings was 0.97, 0.88, 0.79, 0.73, 0.62, and 0.57 for gall bladder (GB) distension, cholelithiasis, GB wall thickening, duct dilatation, choledocholithiasis, and pericholecystic fluid, respectively (p<0.05). Conclusion: The results of EAU, performed by emergency physician with limited training on patients suffering from upper abdominal pain had a significant agreement with the RAU. However, more educations and cautions are warranted for diagnosing pericholecystic fluid and choledocholithiasis.

Best Practice 구현에 의한 신발 제조 자원관리 시스템

류영근,이태문,서승록,김행렬 한국의사결정학회 2000 경영과학연구 Vol.9 No.-

Presented in this paper is a development of ERP systems for footwear manufacturing. Final goal of the system development is to construct ERP system covering all works from order to make, shipment, accounting. And the objective of this paper is to introduce to completed 6 sub-systems of developing total 13 sub-system for production resource planning. In this study, introduce analysis of existing business flow and design of standard business process for development of systems. Also describe input and output of the standard business process for production resource management and basic structure, design of the total system flow, configuration of completed 6 sub-systems are presented. Finally, function of software modules and principal algorithms and basic data structuring techniques on the 6 sub-systems are explained.

정신지체아의 기초체력 특성에 다른 프로그램 적용 효과

정재권,김영록 한국특수교육문제연구소 2002 특수교육저널 : 이론과 실천 Vol.3 No.4

본 연구는 정신지체아의 기초체력 프로그램의 효과를 알아보기 위하여 정신지체아 5명을 대상으로 한국체육 연구원과 공동으로 개발한 최신 IC카드 방식의 체력시스템을 사용하여 기초체역 특성을 알아보고, 기초체력 프로그램을 주 3회, 1일 50분씩 16주 동안에 42회에 걸쳐 적용한 결과 정신지체아의 기초체력은 일반아동에 비해 부족하게 나타났으며, 기초체력 프로그램의 적용이 정신지체아의 체력을 향상시켰다. The purpose of this study was to determine the effect of the basic physical strengh program on mentally retarded children who were using a general welfare agency for the disabled in the city of Kwangju. The instrument used in this study was the up-to-date Physical Education Research Institute. The basic Physical strength program was conducted 42 times for 16 weeks, three times a week, 50 minutes each. The finding of this study were as below:

전자선치료시 유효 선원 피부간 거리 결정에 관한 연구

이병구,이상록,정덕양,권영호,김유현 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.2

Under the various clinical circumstances, there is a condition to change source to skin distance(SSD). It is possible to correct photon beam by well-known inverse square law. On the other hand, the electron beam is not exact location of source, that's why it is difficult to apply as it is. In case of electron beam, we should correct the difference of SSD by measure effective SSD . There are many ways to measure effective SSD. In this study, Faiz Khan's method was used. The measurement energy is 6,9,12,16,20 MeV and field size is set standard applicator 6×6, 10×10, 15×15, 20×20, 25x25㎠. From the bottom of the standard applicator to skin distance is set to 5㎝. So we measured dose at the gap to 0∼20㎝. According to a production company of linear accelerator, or even though same production company, the qualities of electron beam can be different. So, effective SSD can be different every several accelerator. Therefore, it is desirable to use the effective SSD measured at every electron beam energy and field size actually.

기(氣)수련이 스트레스 반응에 미치는 영향

박미숙,이명수,정영자,김혜정,문성록,김용규 한국스포츠심리학회 2003 한국스포츠심리학회지 Vol.14 No.3

본 연구는 스트레스 반응을 측정하는 스트레스 반응 척도 설문지(Symptoms of Stress: SOS)를 이용한 횡단적 연구로서 심신수련의 하나인 기수련이 스트레스 반응에 미치는 효과를 살펴보았다. 72명의 건강한 정상인과 180명의 기수련자를 대상으로 하여 조사하였으며, 기수련자들은 수련기간에 따라 초급군(1-4개월; 64명), 중급군(5-12개월; 50명), 고급군(1년 이상; 66명)로 나누었다. 실험결과 1년 이상 수련한 기수련자들이 말초혈관 증상군, 심폐 증상군, 중추신경계 증상군, 위장계증상군, 습관적 행동 형태군, 우울 증상군, 불안증상군등의 스트레스 반응 하위척도에서 대조군에 비해 통계적으로 유의하게 감소하였다. 전체 스트레스 값은 대조군에 비해 기수련자 집단이 아주 낮았으며 수련기간이 길수록 감소하였다. 이러한 결과는 기수련이 스트레스 중재와 스트레스 증상을 줄이는데 효과가 있음을 나타낸다. We examined the effects of Qi-training, one of Korean traditional psychosomatic training, on stress coping ability by cross-sectional investigation with inventory of symptoms of stress (SOS). Four types of groups- normal healthy (n-74), three groups of Qi-trainees (group primary level: subjects with Qi-training for 1-4months, n=64; middle level: 5-12 months, n=50; high level: more than 12 months, n=66) participated in this study, Qi-trainees with over 1 year training had significantly lower scores in all SOS subscales compared to controls. Total stress scores of Qi-trainee groups were substantially lower than controls and further reduction with larger training periods. These results suggest Qi-training is effective in stress management and decreasing symptoms of stress

응급실에서의 확산강조 자기공명 영상

정성필,이석우,양영모,하영록,김승환,유인술 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: This study was designed to review the cases of patients who had undergone diffusion-weighted magnetic resonance imaging(DWI) in the emergency department(ED), and to investigate its clinical usefulness and current indications. Methods: We analyzed the cases of 152 consecutive patients who underwent DWI in the ED from Jan to Mar 2001. DWI was obtained with the use of a multislice, single-shot, spin-echo plana imaging technique(GE SignaR). Imaging time was less than one minute. The medical records, the DWI films and the computed topography results were reviewed. We investigated the chief complaint, initial findings of physical examination, final diagnosis, decision-making department, interval from admission to imaging, and DWI findings. Results: DWI showed positive findings of high signal intensity in 84 patients(55.3%). Among the 68 patients who yielded a negative result, false negative occurred with 12 patients(17.6%): 10 lacunar infarctions, a pons infarction, and a brainstem infarction. Eleven patients were determined as having a cerebral hemorrhage, all of whom showed the abnormal finding of a mixed signal in DWI. The sensitivity and the specificity of DWI to rule out stroke were 85.5% and 98%, respectively. Current indications for DWI in our ED are age older than 60, alert mental status, and one of the symptoms or signs among lateralyzing sign, language disturbance, and dizziness/vertigo. Conclusion: DWI was highly specific to rule out stroke, so emergency care professionals should be familiar with this new technology. Further prospective study is required to determine the proper indications and clinical usefulness of DWI in the ED.

식도이완 불능증 환자에서 발생한 폐농양 1예

김영호,김남훈,김규식,김영관,김진범,이명기,곽재영,조연희,이영록 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.4

Esophagea1 achalasia is a disease of unkown etiology characterized by abscenee of peristalsis in the body of the esophagus and failure of the lower esaphageal sphincter to relax in response to swallow. The cause has been suggested by the lack or abscence of ganglion cell in Auerbach's plexus. About 10% of patients with achalasis develop pulmonary complication such as aspiration pnuemonia, pulmonary fibrosis, pulmonary tuberculosis, culosis, bronchiectasis, lung abscess and bronchial asthma. Although aspiration pneumonia is the most common pulmonary complication in patients with achalasia, lung abscess is the extremely rare complication. A 48 years old female, who has experienced dysphagia and regurgitation for several years, is hospitalized because of high fever, cough and sputurn for 2 weeks. Lung abscess in apicoposterior segment of left upper lobe is observed in X-ray and chest CT. The findings of esophagogram, esophagogastroscopy and esophageal manometry are consistent with achalasia. We report a case of lung abscess associated with achalasia.