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RISS 인기검색어
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- 저자 : 양은석(Eun Seok Yang) (검색결과 81 건)
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양은석,윤영훈,노영일,문경래,Yang, Eun Seok,Yoon, Young Hun,Rho, Young Il,Moon, Kyung Rye 대한소아소화기영양학회 2004 Pediatric gastroenterology, hepatology & nutrition Vol.7 No.2
저자들은 1년 6개월간 지속적인 쌀죽의 섭취이후에 발등부터 시작하여, 전신적인 부종과 무관심, 걷지 못하는 증상을 주소로 입원한 환아가 티아민 투여 이후에 증상의 회복을 보인 beriberi 1례를 치험 하였기에 보고하는 바이다. Beriberi, which is caused by thiamin deficiency, is a rare disease in recent years. But it has been described in the Eastern literature as far back as the 17th century. Early symptoms are fatigue, apathy, irritability, drowsiness, anorexia, nausea, vomiting and abdominal pain. Signs and symptoms of progression are peripheral neuritis, paresthesia, decreased tendon reflex and congestive heart failure. Thiamin deficiency remains as an important health care issue in many world population, specially in AIDS, pregnancy women and TPN associated patients. The best diagnostic test is assessing clinical response to administration of thiamin. We have experienced a case of Beriberi caused by continuous rice-soup feeding during one and half years in a 7-year-old boy.
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소아 충수돌기염 진단에서 Alvarado Scoring System의 유용성
양은석,윤성관,김은영,노영일,박상기,박영봉,문경래,Yang, Eun Seok,Yoon, Sung Kwan,Kim, Eun Young,Rho, Young Il,Park, Sang Kee,Park, Yeong Bong,Mun, Gyeong-Rae 대한소아소화기영양학회 2004 Pediatric gastroenterology, hepatology & nutrition Vol.7 No.1
목 적: Alvarado score는 성인에서 급성 충수돌기염 환자의 조기 진단에 용이하고 오진율을 줄이는 유용한 진단법으로 알려져 있다. 저자들은 급성 복통이 주소인 소아 환아에서 급성충수돌기염 진단에 alvarado score의 유용성에 대하여 알아보고 진단의 정확성에 대하여 평가하고자 연구를 하였다. 방 법: 2002년 6월부터 2003년 5월까지 조선대학교 부속 병원 응급실을 방문한 복통을 호소하는 소아 170명 중 충수돌기염의 강하게 의심되는 122명을 대상으로 전향적으로 조사하였다. 복통을 주소로 방문한 환아의 나이, 임상증상, 임상징후, 혈액학적 검사결과를 분석하여 Alvarado score를 산출하고 진단을 위해 복부초음파 검사나 전산화 단층 촬영을 시행하고 수술을 시행한 경우 조직학적 진단을 하여 확진하였으며 수술하지 않은 군은 12시간의 추적 관찰로 확진하였다. 방사선학적 진단과 수술 결과 등을 비교하여 확진군과 오진군의 Alvarado score를 비교 분석하였다. 결 과: 응급실에 복통이 주소인 환아 중 충수돌기염이 강하게 의심되었던 환아는 122명이었다. 122명의 환아 중 남아는 67명(54.9%), 여아는 55명(45.1%)이었다. 조직검사를 통해 충수돌기염으로 진단 받은 환자는 수술한 105명 중 92명으로 87.6%에 해당하였고 충수돌기염으로 수술한 환자들의 오진율은 12.4%였다. 평균 Alvarado score는 충수돌기염 군은 $5.40{\pm}1.24$, 충수돌기염이 아닌 군은 $3.73{\pm}1.82$이었다(p<0.05). Alvarado score 6점 이상인 경우 소아 충수돌기염을 진단하는데 민감도가 86.4%, 특이도는 80.0%였다. 소아 충수돌기염을 진단하는데 복부 초음파검사나 전산화단층촬영의 진단의 민감도는 92.5%였다. 결 론: 복부초음파검사나 전산화 단층 촬영 등과 함께 Alvarado score는 소아 충수돌기염의 진단에 유용하게 이용될 수 있을 것으로 생각된다. Purpose: Alvarado scoring system was evaluated regarding its usefulness for the early diagnosis of acute appendicitis in adult and in reduction of the incidence of negative appendicectomies. To evaluate the accuracy of diagnosing appendicitis using the Alvarado score in children. Methods: Prospectively, we surveyed 122 patients (male 67, female 55) suffering from abdominal pain, who had visited to the emergency department of Chosun University Hospital from June 2002 to May 2003. The Alvarado score has been computed from the white blood cell count, neutrophil count, body temperature, resistance in the right lower quadrant, length of symptoms, nausea and vomiting. Each patient was evaluated by a pediatric resident and then by a general surgeon independently. Results: Out of 170 total children who visited to the emergency department due to abdominal pain, 122 patients were associated with appendicitis. A total of 122 patients (67 male and 55 female) were visited to the emergency room with suspected appendicitis. From 105 operated patients, 92 (87.6%) were diagnosed acute appendicitis and erronous diagnostic rate was 12.4%, pathologically. Mean alvarado score of appendicitis group was $5.40{\pm}1.24$ whereas those of non-appendicitis group was $3.73{\pm}1.82$ (p<0.05). From 6 Alvarado score high sensitivity (86.4%) and high specificity (80.0%) were observed. Sensitivity of ultrasonography or computed tomography was 92.5%. Conclusion: We found that Alvarado score system is a noninvasive, safe diagnostic method, which is simple, reliable and repeatable. Alvarado score is useful system for a first, rapid and economic evaluation for the appendicitis in children.
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IIIa 회장 폐쇄증 환자에서 원위부 회장루를 통한 근위부 공장루 분비물의 지속적 점적 영양 관리 1례
양은석,최윤창,김은영,문경래,장정환,Yang, Eun Seok,Choi, Yun Chang,Kim, Eun Young,Moon, Kyung Rye,Chang, Jeong Hwan 대한소아소화기영양학회 2004 Pediatric gastroenterology, hepatology & nutrition Vol.7 No.2
IIIa형 회장 폐쇄증 환자에서 수술 후 경구 수유와 원위부 회장루를 통한 지속적인 위장관 영양의 병행으로, 하부 위장관 성장을 도모하고 총 정맥 영양의 합병증 등을 감소하였으며 정상적으로 체중이 증가한 1례를 경험하여 보고하는 바이다. Short-bowel syndrome is functionally defined as a state of malabsorption following loss of small bowel, which comprises the sequelae of nutrient, fluid, and weight loss. The proximal segment of the bowel of a patient with intestinal atresia is usually grossly distended and atonic. In contrast, distal segment is smaller. For this reason, anastomosis of the proximal and the distal segment is technically difficult and may cause no propulsion even when they are anastomosed. We experienced that continuous drip ileostomy feeding with the secretions from the proximal stoma stimulated the distal bowel to accommodate and resolved many sequelae following loss of small bowel in a patient with short-bowel syndrome due to IIIa ileal atresia.
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수상캠프 프로그램이 대학생들의 자긍심 (Self - esteem) 에 미치는 영향
양은석(Eun Seok Yang),조은경(Eun Kyung Jo) 한국여가레크리에이션학회 1999 한국여가레크리에이션학회지 Vol.16 No.-
The purposes of this study were to investigate the effects of a systematically and scientifically developed college sports camp program on the enhancement of self-esteem and to provide college administration with data for communal value-oriented character education. During a summer vacation, 62 male and 71 female college students participated in a special water sports camp program which was aimed at character education. In order to test the effect of the camp program, students were asked to fill out a questionnaire consisting self-esteem scale and other measures before and after participating in the camp. The results showed that the self-esteem level of camp participants were significantly increased after the camp. And the camp program made the participants acknowledge the values of family and friends, feel achievement, discover unknown aspects of the self, and understand the meaning of communal life. This study demonstrated that it was possible to scientifically measure the effects of college sports programs. Compared to regular courses that are typically lectured in classrooms for a few months, sports camp programs could be effective in teaching many values in a short time period.
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양은석(Eun Seok Yang) 한국사회체육학회 2011 한국사회체육학회지 Vol.0 No.44
The purpose of this study was to determine the effectiveness of Han-Kang sports game participation, annual exchanging intramural games between two rural colleges, on students satisfaction level for campus life. The subjects involved in this study were asked to complete a questionnaire of campus satisfaction before and after Han-Kang games. The pretest and posttest control group design was implemented to determine the effects of intervention treatment. The descriptive statistics of increased mean scores for two groups showed that the satisfaction degree for intervention group who participated Han-Kang game was increased significantly compared to control group who did not participate the game. This results seem to approve the fact that the well organized intramural sports participation has a great potential for increasing the students satisfaction level of their campus life in a rural Korean college.
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양은석(Eun Seok Yang),김명화(Myung Wha Kim) 한국여가레크리에이션학회 1994 한국여가레크리에이션학회지 Vol.11 No.-
To Assess the physical work capacity of middle-aged men, recreational aerobic activities carried out prior to and following (after 3 months) among 70 healthy middle aged men 30 to 59 years. Treadmill maximal exercise test was done according to Bruce protocol strictly until symptom limited level. Expired airflow CO₂ and O₂ tensions at appropriate mixing chamber were continuously monitored with rapidly responding gas analyzers. These measurements were recorded directly as well as processed by micro-computer, on-line to give maximal oxygen uptake and ventilation volume. Resting and peak heart rate, exercise tinge monitored continuously by ECG. The results obtained were as follows. 1. Body weight decreased 2.8㎏ of the 4th decade and 3.2㎏ of the 5th decade, 3.1㎏ of the 6th decade. 5th decade and 6th decade showed significant differences.(p<0.05) 2. Resting heart rate decreased 0.9 bs/min of the 4th decade and 3.7bs/min of the 5th decade, 2.6 bs/min of the 6th decade. 5th decade showed significant differences. (p<0.05) 3. Maximal heart rate increased 21 bs/min of the 4th decade and 11 bs/min of the 5th decade, 10bs/min of the 6th decade. All decades showed significant differences.(p<0.01, p<0.05) 4. Total exercise duration increased 38 secs. of the 4th decade and 48 secs. of the 5th decade, 42 sets of the 6th decade. 4th decade showed significant differences.(p<0.05) 5. Maximal oxygen uptake increased 4.8㎖/㎏/min of the 4th decade and 5.2㎖/㎏/min of the 5th decade, 3.0㎖/㎏/min of the 6th decade. 4th decade showed significant differences.(p<0.05) 6. Maximal Ventilation volume increased 16.2L/min of the 4th decade and 13.4 L/min of the 5th decade, 5.8 L/min of the 6th decade. 4th decade and 5th decade showed significant differences.(p<0.01. p<0.05)
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