http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 오덕연 (검색결과 6 건)
- 무료
- 기관 내 무료
- 유료
-
-
무허가 불량 주거지의 현지개량 방안에 관한 연구 - 사당지역을 중심으로 -
오덕성(Duk Sung Oh),황희연(Hee Youn Hwang) 대한공업교육학회 1983 대한공업교육학회지 Vol.8 No.2
This study aims to draw up a desirable direction concerning the policy of the environmental improvement in squattered area. As s model of the case study, Sa dang dong, Dong jak koo, in Seoul was surveyed and the present policy were studied. By analyzing the relations of actual conditions and policy, the desirable direction of improvement method was taken.
-
비위관을 이용하여 섭식하는 뇌졸중 환자들의 연하장애에 대한 전기자극치료와 전통적 연하재활치료의 비교
차태현,유은영,오덕원,신숙연,우희순,오종치 대한작업치료학회 2008 대한작업치료학회지 Vol.16 No.1
목적 : 본 연구의 목적은 비위관을 한 뇌졸중환자의 연하장애 치료에 대한 전통적인 연하재활치료와 전기자극치료를 병행한 방법의 효과를 비교하는 것이다. 연구방법 : 연구의 대상은 비위관을 통하여 영양섭취를 하고 있는 뇌졸중환자 중 연하장애가 있는 3명의 환자였다. 본 연구는 개별 실험 연구방법 중 대상자 간 다중기초선을 이용한 교차 연구 설계를 사용하였다. 본 연구에서 적용된 치료는 혀 운동, 삼키기 법, 머리 및 목 자세 프로그램, 감각 자극, 음식물 조절을 포함하는 30분간의 전통적인 연하재활치료, 그리고 전통적인 치료와 VitalStim을 이용한 30분간의 전기자극치료를 병행한 방법이 었으며, 이를 무작위 순서로 오전과 오후로 나누어 하루에 각 1회씩 기초선을 포함하여 총 14 회기 시행하였다. 각 치료 회기마다 Mann연하기능척도를 사용하여 각 대상자의 연하 능력을 평가하였으며, 치료 기간 전후에 비디오 투시검사와 연하장애 결과 및 중증도 평가척도를 통해 연하기능의 향상 정도를 측정하였다. 결과 : MASA의 평균 점수는 전통적인 연하재활치료, 그리고 전통적인 방법과 전기자극치료를 병행한 경우에서 모두 기초선 과정보다 향상된 것으로 나타났으나, 두 치료 방법 간에 차이는 없었다. DOSS 점수는 치료 기간 전에 비해 치료 기간 후에 더 증가되었다. 결론 : 비위관을 한 뇌졸중 환자의 연하장애에 치료에 있어서 전통적인 연하재활치료와 전기자극치료는 연하 능력과 기능 향상에 긍정적인 효과가 있었다. 그러나 두 치료 방법 간의 효과 차이는 결론내릴 수 없었다. 향후에는 더 많은 대상자를 포함시키고 장기간의 효과를 평가할 수 있는 연구들이 계속적으로 이어져야 할 것이다. Objective : The purpose of this study is to compare the effectiveness of combined therapy (traditional therapy plus electrical stimulation) and traditional therapy only in three dysphagic stroke patients using a nasogastric tube. Methods : A single-subject, alternating-treatment design with multiple-baseline design across individuals was employed in this study. Each subject alternately participated in daily traditional rehabilitation therapy including tongue exercise, swallowing control, postural control of the head and neck, sensory stimulation, and control of food only viscosity and traditional therapy plus electrical stimulation sessions. The outcomes were measured using MASA (Mann Assessment of Swallowing Ability), which were collected during all sessions of the study, and DOSS (Dysphagia Outcome and Severity Scale), which were performed before and after the treatment phase. 14 session measurements were made during the baseline and treatment phases. Results : The mean scores of the MASA for the two methods were increased in the treatment phase over the baseline. However, there was no difference between the two methods. The score of the DOSS was increased after the treatment phase. Conclusion : The findings suggest that electrical stimulation and traditional rehabilitation therapy are beneficial in improving the swallowing function of stroke patients using a nasogastric tube. The results of this study failed to determine clearly which treatment method was more effective. More case-control studies with greater sample sizes and longer interventions are required in the future in order to determine the clinical benefits of various treatment methods for stroke patients using a nasogastric tube.
-
Cyclosporine에 혈액학적 반응을 보인 Refractory Anemia 1예
길준영,윤환중,전의건,오덕연,김삼용,김종완,박종우 大韓血液學會 1992 大韓血液學會誌 Vol.27 No.2
저자들은 refractory anemia로 진단받고 23개월간 지속적인 적혈구 수혈(매월 2units씩 총 47units)을 필요로 했던 58세 여자 환자에 cyclosporine을 투여하여 21개월간 혈액학적 반응 을 경험하였고 이 기간에는 수혈이 필요치 않았다. Refractory anemia의 발병기전은 아직 분명치 않으나 일부 환자에선 면역억제제에 반응함으로써 일부 면역기전이 작용한다고 생각된다. The myelodysplastic syndromes which encompass refractory anemia are characterized by ineffective hematopoiesis, refractory cytopenias, and an increased risk of leukemic transformation. No currently available treatment has been shown to be consistently effective in producing sustained improvement in hematopoiesis or in delaying leukemic evolution. Cyclosporine has been used for the therapy of patients with aplastic anemia. We report a case of refractory anemia who responded to cyclosporine(Sandimun®). A 58-year-old woman was admitted to the Chungnam National University Hospital for the evaluation of pancytopenia. Blood examination showed 2,600/㎣ of white blood cells, 5.9g/dL of hemoglobin, and 38,000/㎣ of platelets. Reticulocyte index was 0.2%. The levels of serum iron, iron-binding capacity, vitamin B<sub>l2</sub>, and folic acid were in normal range. Bone marrow biopsy revealed hypercellularity, dysmyelopoiesis, dyserythropoiesis, myeloid hyperplasia. The hematologic findings were compatible with the diagnosis of refractory anemia and the diagnosis of aplastic anemia could be excluded. Treatment with oxymetholone(50㎎/day) and pyridoxine(300㎎/day) was started. Packed red cells transfusions(total of 47 units) were required over a period of 23 months. An oral cyclosporine(Sandimun®) therapy was started at a dosage of 300㎎ per day. One month after cyclosporine therapy hemoglobin level began to increase and reached 11.6g/dL after 12 weeks. The dose of cyclosporine was reduced to 200㎎ per day and discontinued after total of 19 weeks of therapy. Her hemoglobin level remained stable between 13 and 15g/dL without transfusion. After a 21 months of hematological remission, she was readmitted because of progressive dyspnea after undergoing a cataract operation 2 months ago. Despite transfusion of packed red cells and plateletpheresis to which she was refractory. Her hemoglobin level was around 3g/dL and platelet count decreased progressively. Retrial of cyclosporine(900㎎/day for 2 weeks) and a trial of GM-CSF(400㎍/day for 7 days) were of no benefit. She succummed to gastrointestinal and intraperitoneal bleeding. The exact mechanism of cyclosporine in this case is uncles but it is reasonable to ascribe the striking hematologic improvement to cyclosporine. As some reports showed responses to immunosuppressive therapy in refractory anemias, in some proportion of patients with refractory anemia, immune mechanism may be involved in the pathogenesis. The role of immunosuppressive therapy in refractory anemia should be further clarified.
-
-
eArticle연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
