http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
혈액투석 ( HD ) 과 복막투석 ( CAPD ) 환자에서 임상경과의 비교 관찰
김중경(Joong Kyung Kim),김창석,윤대현(Dae Hyun Yun),박용기(Yong Ki Park),신용훈(Yong Hoon Shin),감복규(Bok Gyu Gam),허동,장익득(Ik Deuk Jang),김미선(Mi Sun Kim),이시래(Shi Rae Lee) 대한내과학회 1998 대한내과학회지 Vol.55 No.3
N/A Objective: The selection of dialysis modalities for end-stage renal disease patient is often a complex decision process involving considerations of efficacy in terms of life maintenance, quality of life, convenience and cost. In order to facilitate informed decisions, we have compared the clinical outcome of CAPD and HD patients. Methods: From May 1992 to May 1997, we observed the followings: patients` survival rate, the causes of death in CAPD and HD patients, the frequency of CAPD peritonitis, CAPD catheter survival rate and the causes of catheter removal. Patients were categorized in the following ways: DM and non-DM, alive or expired, above and below the age of 60 years, and treatment duration of more or less than 5 years. Six items(serum albumin, serum creatinine, hemoglobin, BMI, NFCR and KT/V) were measured, their values were evaluated and compared with each group using univariated statistics. Results: The total number of patients was 508 (369 CAPD, 139 HD). 58 of them expired during the observation period. The overall 5 year patient survival rate was 81.4% for CAPD, 80.5% for HD, and 57.8% for CAPD with DM and 25% for HD with DM using the Kaplan-Meier method. In the CAPD group, the frequency of peritonitis was 0.52/pt, yt; the 5 year technical survival of the catheter was 80.5%. 42(88%) of 48 technical failures of the catheter were removed due to peritonitis. Regardless of the modes of replacement therapy used to treat DM and non-DM groups, the DM patients had longer duration of admission, older age, lower serum albumin and serum creatinine levels, and a lower 5 year patient survival rate than the non-DM group. Death in CAPD and HD was positively correlated with a long duration of admission and old age; CAPD patients who expired had lower serum albumin, smaller BMI and mare frequent peritonitis than the surviving group. Conclusion: 1. There was no significant difference in the 5 year patient survival rate between CAPD and HD(81.4% in CAPD, 80.5% in HD). 2. DM patients had lower serum albumin, creatinine and BUN levels than non-DM patients. 3. The mortality rate was positively correlated with old age and duration of admission in CAPD and HD; frequent CAPD peritonitis, lower serum albumin and small HMI in CAPD were also positively correlated with the death rate. 4. The higher the serum albumin and NPCR, the higher the survival rate for CAPD patients. 5. The serum creatinine was lower in patients above 60 years old and in those treated more than 5 years. 6. The DM group had a higher mortality rate than the non-DM group, the DM CAPD group had a higher 5 year survival rate than the DM HD group but it was not statistically significant.
유치원의 원예체험학습 현황분석에 관한 연구 : 천안시를 중심으로
이시래,이경애,서정근 韓國植物ㆍ人間ㆍ環境學會 1999 인간식물환경학회지 Vol.2 No.4
This study was conducted out analyze the status and several points of HES(Horticultural Experience Study) program in kindergarten. Most of kindergarten was not employed professional hort-educator. The teachers had little knowledge for HES. Most kindergartens taken lesson in program or picnic, inspection and regular class. The most of HES place was weekend farm, and the state of instrument condition not equipped. Used plant-material in HES was mainly simple material of vegetables such as sweet-potato, red-pepper, several flowers and fruits. One of the HES program was sowing, harvesting, cooking and flower decoration in classroom. The most children was generally satisfied with the HES program in outside kindergarten than inside. The effect of HES programs in children was natural fellowship, achievement after harvesting and environment education. The problems of HES curriculum were that the teachers were lack of knowledge in horticultural fields. Kindergarten don't have enough to study space and financial support. It was hoped that kindergartens should provide learning place near the kindergarten, much financial support from government, train professional hort-educator, development of systematic variable programs.
이애경,이시래,서정근 한국식물인간환경학회 2000 인간식물환경학회지 Vol.3 No.2
This study was conduced to investigate the status of horticultural working of weekend farm in Seoul, Korea. Most of weekend farm user was satisfied 1 account(95%) and 1 account per 5 pyung of space in weekend farm. the motive for used weekend farm was 'withing a family'(37%) and motive for managed weekend farm was 'accomplish their life goal'(57.1%). Cultivated plants in weekend farm were mainly vegetables, but user wanted Herb plants(38%), various plants and managers wanted fruit trees(33.3%). A reason for selected farm products was according to the program of farm(71%) and the method of acquiring technical skill was order to education program at farm(63%). So, It was hoped that weekend farm should development of systematic variable programs, train professional hort-educator, much financial support from governmental hort-educator.
원예치료프로그램(HTP)이 정신장애인의 자아상태, 대인관계 및 면역글로블린 IgG함량에 미치는 효과
정은경,이시래,서정근 한국식물인간환경학회 2000 인간식물환경학회지 Vol.3 No.3
The purpose of this study was to identify the effects of horticultural therapy on egostate, personal relationship and contents of immunoglobulin G in psychiatric patients. The experimental group was 16 patients, who received horticultural therapy for one hour per week for 15weeks. The control group was 16 patients, who did not received horticultural therapy. The data of subjects were collected before and after program of therapy at once for each. The result of the study were as follows: 1.The experimental group was decreased on critical patient egostate. 2.There was no significant difference on negativity to self and others of personal relationship in both groups. 3.The experimental group tended to be improved on contents of immunoglobulin G. Through above result, more concrete and scientific verification on the effects of horticultural therapy will be needed.
원예치료를 통한 여성재소자들의 사회성 및 대인관계 변화 연구
김미선,안경선,이진영,이상미,이시래,서정근 한국식물인간환경학회 2000 인간식물환경학회지 Vol.3 No.4
The purpose of this study was identify change for socialite and interpersonal relationship of female prisoner through horticultural therapy on 14 prisoners in ○○female prison located in Chung-Book. Measurement methods were used Scale of sociality, Scale of change for interpersonal relationship, Form for evaluation of horticultural therapy. The results were as follows; 1.After HTP, Sociality was increased on female prisoners. and there was statistically significant difference(p〈0.01). 2.According to low-ranking field of I-R, communication, sensitivity, openness were increased, satisfaction, confidence, a feeling of intimacy were decreased, understanding was the same after HTP. But the average was increased, and there was statistically significant difference(p〈0.01). 3.Form for evaluation of horticultural therapy showed a increase of participation, interest and assistance, verbal communication, interpersonal relationship. Through above result, horticultural therapy has positive effect far socialite and I-R on female prisoners.