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      • 뇌경색증의 급성기에 발생한 변비에 대한 연구

        최윤이,김소이,김성은,정혜경,김태헌 이화여자대학교 의과학연구소 2015 EMJ (Ewha medical journal) Vol.38 No.1

        Objectives: The prevalence of constipation is high after stroke. Multiple factors such as long-term bed-ridden status, comorbidity, medical illnesses are combined in this condition. However, the change of bowel movement during the early stage of stroke remainsuncertain. Methods: Patients with first stroke who admitted in a single institute from 2008 to 2009 were reviewed retrospectively and 36 patients were enrolled. As a control group, 47 consecutive orthopedic patients needing bed rest without surgery in the same period were enrolled. Data of stroke associated factors, frequency of BM (bowel movement) during 5 weeks, use of gastrointestinal medications, and outcomes were collected from the medical records. Results: The cumulative incidence of decreased (<3/week) and severely decreased BM (<1/week) were 80.6% and 69.4% in stroke patients and 53.2% and 14.9% in control group (P<0.05). The cumulative incidence of increased BM (>3/day) was 38.9% in stroke and 14.9% in control group. In acute stroke, 58% of patient showed severely decreased BM in first week, and the proportion was rapidly decreased below 15% from second week. However, laxative use increased with hospital days. The occurrence of severely decreased BM in stroke patients was associated with National Institutes of Health Stroke Scale (NIHSS; P=0.004). Severely decreased BM was not associated with poor outcomes including death, morbidity, and stroke recurrence. Conclusion: Decreased BM is common in acute stroke. The occurrence of severely decreased BM is associated with NIHSS. However, the severe manifestation occurred mainly in the first week, and considered to be well controlled by laxatives.

      • KCI등재

        치과용 콤포머의 방사선 불투과성에 관한 연구

        윤숙진,김은경 대한치과기재학회 1999 대한치과재료학회지 Vol.26 No.1

        The Objective of this study is to measure and compare the radiopacities of dental compomers with those of resin-reinforced glass ionomer and dental composite resin and to compare radiographic densitometry with indirect digital image analysis. Disks of two different dental compomers(DR and CG) as the experimental group, one resin-reinforced glass ionomer(FL) and one composite resin(ZH) as the control group, 10mm in diameter and 2mm thick, were radiographed with intact human teeth and aluminum stepwedge standard. Radiopacity was evaluated by transmission densitometry and with an image analysis program following the digitization of the radiographs using a flatbed scanner with transparency unit. All material and tooth structure showed the significant difference except FL and DR, CG and ZH(p<0.005) by the densitometric evaluation. And all material and tooth structure also showed the significant difference except FL and DR, CG and ZH(p<0.005) by indirect digital image analysis. Two evaluation methods didn't show the difference among the materials, but showed the difference between enamel radiopacities and between dentin radiopacities.

      • Hydroxycitrate, Carnitine 및 Capsaicin을 함유한 식이 보조제(3D-Relax Diet)의 체중 감량 효과

        정은영,정경희,김미자,배윤정,장은재 동덕여자대학교 2004 생활과학연구 Vol.9 No.-

        The aim of this study was to evaluate the effects of 3D-Relax Diet; a proprietary formation containing hydroxycitrate(233mg/g), carnitine(150mg/g); and capsaicin (150mg/g); on body weight, % body fat, fat mass, lean body mass, Resting Metabolic Rate(RMR), body circumference, skinfold thickness, serum glucose and lipid level. Nineteen female college students participated in this 4 weeks weight control program. All subjects were randomly assigned to the Sang sik(S) group or Sang sik & 3D-Relax(3D) group. Mean energy intake of 3D group was l,523.1±300.2 ㎉(carbohydrate: 66.3%, protein: 18.7%, fat: 15.0%) and S group consumed 1,464.8±142.1 ㎉(carbohydrate: 65.1%, protein: 19.0%, fat: 15.9%) during program. The 3D group lost 3.1±1.3 kg of body weight, 2.5±l.4 kg of fat mass, 0.6±1.2 kg of lean body mass and 16.8±183.3 ㎉/d of RMR and the S group lost 1.8±1.0 kg of body weight, 1.1±1.1 kg of fat mass, 0.8±0.3 kg of lean body mass and 19.1±181.9 ㎉/d of RMR. There was no significant differences in the loss of lean body mass and RMR between two groups, however, the total body weight and the fat mass were significantly decreased in the 3D group compared to the S group(p<0.05). The 3D group experienced a significant reduced hip size, total-cholesterol and HDL-cholesterol, however, the change of these between groups were not significantly different. There were no differences in the change of body circumference, skinfold thickness, serum glucose and lipid. These results suggest that the intake of 3D-Relax Diet(hydroxycitrate, carnitine, and capsaicin) during the weight control program decreased energy intake, fat intake and total body weight especially fat mass and those effects are presumably linked to the prevention of RMR decline and the inhibitory effects on lipogenesis.

      • 대구지역 특수업태부의 성병에 대한 지각 및 지식과 검진, 이환정도

        김연화,권경남,장은희 영남이공대학 산업기술연구소 1988 産業技術硏究 Vol.2 No.-

        The objective of this study is to identify perception, knowledge, test and infection about VD for prostitutes. The subject of this study consisted of 343 prostitutes who were registered in 2 community health centers in Taegu and data was collected from January 12th to 17th, 1987. The results were as follow. 1. Mean of STD test was 22.37 and VDRL test was 1.63 during 6 months. Mean number of infection of VD was 2.82 during 6 months. 2. In the perception about VD, the majority of the subjects perceived VD as some susceptibility, low potential for mortality and often thought and discussed. Regarding public concern about VD, the majority perceived VD as non-socially acceptable disease. In the knowledge about VD, all most of the subjects had relatively high level of knowledge. 3. As the level of STD test according to the general characteristics, high group received more test than lower group in age. As the number of infection, below 1 year and alien group were higher than above 1 year in prostitution period and Korean in partener of prostitution. There were no differences in other characterristics. 4. As the level of perception according to general characteristics, high group was higher level of susceptibility than low group in age. Below middle school group was higher level of potential for recovery and mortality than above high school group in education. Also above 1 year group in duration of prostitution perceived VD as dirty but acceptable disease and alien group perceived more painful disease than Korean group in partener of prostitution. As the level of knowledge, above high school group and alien group were higher level in reason of need for regular VD test than below middle school in education and Korean group in partener of prostitution. In the VD itself and test method, below 1 year group was higher level than above 1 year group in period of prostitution. 5. As the level of perception according to STD level high group perceived VD as more painful disease, and less public concern than low group in STD test. But there were no differences in general.

      • KCI등재후보

        질적인 통합보육 프로그램 개발을 위한 일반유아교육과정의 수정전략의 개념과 실제

        조윤경,홍은주 한국영유아보육학회 2003 한국영유아보육학 Vol.0 No.32

        Adaptation of child-care program should be implemented for children with disabilities to participate meaningfully in class activities and works in general class with peers without disabilities. The reason to use the adaptation strategies is based on the principle of partial participation which meant for supporting the active participation of each child in inclusive class. This study is intended to develop the efficient and qualitative inclusive program and to find the more appropriate methods to implement. According to the results of application of adaptation of general early childhood curriculum to 30 children of disabilities for one year in Mookryun child-care center, the concepts, procedure, concrete methods, and practices of adaptation are introduced and suggested.

      • 치매방지 작업기구 사용이 항산화효소 활성에 미치는 영향

        조경혜,박정은,윤지윤,문세보,박효영,정인옥,이정원 서울여자대학교 자연과학연구소 2001 자연과학연구논문집 Vol.13 No.-

        We developed an occupational therapy tool to maintain and improve the cognitive function for the elderly who have senile dementia. 86 elderly people took a mininal mental state examination (MMSE) for the therapy to perform the occupational therapy, and divided into three groups based on avarage ages and MMSE values. The occupational therapy was treated three times per week for 10 weeks. The results showed that there were significant differences in the performing scores before and after the treatment ; the scores for the occupational therapy were increased significantly (p<0.001) and the performing time was shortened from 6-week throughout 10-week regimen. This study was to examine the effect on the activity of antioxidant enzymes by occupational therapy. The activities of antioxidant enzymes such as catalase, Glutathion-6-phosphate dehydrogenase (G6PDH), and superoxide dismutase (SOD) were increased to the normal standard by the occupational therapy for the elderly having dementia. The recovery of activities of antioxidant enzymes was obvious in severe demented elderly compared to those in normal or mild demented elderly. These results suggest that the occupational therapy had an beneficial effect on the protection against the oxidative stress especially for severe demented elderly, and the occupational tool need to be modified so as to improve the protection against the oxidative stress for normal and/or mild demented elderly.

      • 백금(Ⅳ)착체의 약리학적 연구

        박은희,임경화,신윤진,박미화 숙명여자대학교 약학연구소 1994 약학논문집-숙명여자대학교 Vol.10 No.-

        The platinum complex, PtCl₄(2-CEen), was previously synthesized and shown to have anti-tumor activity. In the present study, toxicologic profile of PtCl₄(2-CEen) and its acute anti-inflammatory activity on carrageenin edema was observed with oral administration. The ef-4feet of this agent on acetic acid-induced writhing in mice were also examined. In male and female mice given a single intragastrical dose of PtCl₄(2-CEen), we determined that LD_(50) values were over lOOOmg/kg B.W. In the method of carrageenin edema and writhing test, the PtCl₄(2-CEen), orally administered in a single dose, tended to inhibit the development of hind paw edema in rats, and the number of writhing induced by acetic acid in mice. These facts suggest that PtCl₄(2-CEen) may have weak anti-inflammatory effect.

      • KCI등재후보

        뇌혈관질환자의 가정간호 서비스 및 진료비 분석

        김은경,황정해,신숙연 대한간호행정학회 2006 간호행정학회지 Vol.12 No.2

        Purpose: The purpose of this study was to analyze the services and cost of CVA patients in hospital-based home health care and compare the differences of home health care cost by hospital types. Methods: The subjects of this study were 5,756 home care patients with cerebrovascular disease. Data were collected by using home health care medical expense claims from 127 hospitals in 2004. Results: The home care service 'indewelling catheterization' was the highest(19.28%), and then 'nasogastric tube insertion and change(16.72%)', 'bladder irrigation(15.98)', 'wound management(simp1e dressing)(10.42%)' followed. Average home health care cost per visit was 39,943 won, and the highest 46,058 won in general hospitals and the lowest 33,922 won in tertiary hospitals, so there were statistically significant among the types of hospitals(F=1112.47, p<0.0001). Conclusions: The number of home health care patients has been rapidly growing with the increase of aged population and demand for home care services is rising. So, it could be urgent to develop a reasonable cost reimbursement system for home health services and to expend scopes of the roles of home care specialist nurses. Amid the demand of more detail understanding the present status of home care, our study can be contributed to provide fundamental information of home care in Korea.

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