http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김한성,박성혜,전영빈,장석효,김용일 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
A 80 year-old man ingested hydrochloric acid as suicidal purpose and as a result developed an epigastric fullness and pain. Marked stricture of esophagogastric junction and gastric outlet were found by endoscopic examination after 20 days of admission. A total gastrectomy and Roux-en-Y esophagojejunostomy was performed. Grossly, resected stomach revealed redness and erosion especially over antrum and pylorus. On cross section, a flat elvated lesion measuring 0.7×0.5 cm was incidentally found on high body along lesser curvature. On microscopic examination, the mass consisted of atypical epithelial glands having increased cellularity and round hyperchromatic nuclei without invasive foci. The lesion was diagnosed with ‘epithelial dysplasia, high grade’. Corrosive gastritis and submucosal epithelial heterotopia were found in surrounding mucosa also.
한국인 주요우울장애 환자에서 혈중 ACTH, Cortisol 농도와 해밀턴 우울 평가 척도의 신체증상 항목과의 상관관계
여혜빈,김린,함병주,심세훈,권영준,정희연,정한용,한상우,이민수,이화영 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2
Objectives:Hypothalamic-Pituitary-Adrenocortical(HPA) system dysregulation plays an important role in the pathophysiology of major depressive disorder. Medically unexplained somatic symptoms comprised the predominant complaints of korean patients with major depressive disorder. It might be related to dysregulation of HPA system and somatic symptoms. The aim of this study was to investigate the association between Hamilton Depression Rating Scale severity and the Plasma Adrenocorticotropic Hormone(ACTH) & Serum Cortisol level in Korean patients with major depressive disorder. Methods:Our study design was prospective. A total 111 hospitalized patients with major depressive disorder (DSM-IV) at Anam Hospital, Korea University Medical Center between Jan 2009 and May 2011 were selected. Hamilton Depression Rating Scale was measured by psychiatrist. Plasma ACTH, Serum Cortisol levels were analyzed at the time of admission. Results:There are significant correlations(p<0.05) between Hamilton Depression Rating Scale of somatic component(HAM-D 11-15 item) and Plasma ACTH and Serum Cortisol level. However, other HAM-D sub items were not significantly correlated with Plasma ACTH and Serum Cortisol level except somatic component. Conclusion:Our Study results suggest that hyperactivity of HPA axis might be correlation with somatic symptoms in korean patients with major depressive disorder.
남성 알코올 의존 환자의 삶의 질과 정신-사회-영적 특성과의 관계
최삼욱,나란희,김한오,최성빈,최영숙 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.5
Objectives : This study was designed to evaluate the relationship between quality of life (QOL) and psycho-socio-spiritual characteristics in male patients with alcohol dependence. Methods : The sample consisted of 109 men with alcohol dependence defined by DSM-IV criteria. We assessed QOL by the WHO QOL assessment instrument-BREF (WHOQOL) and SmithKline Beecham QOL (SBQOL). Sociodemographic and alcohol related data were collected, and 7 questionnaires were administered : MAST, BDI, STAI, Drinker Inventory of Consequences (DrInC), Scale of Social Support (SSS), Religious Beliefs and Behaviors (RBB) and Spiritual Well-being Scale (SWBS). The correlations between each QOL score and other variables were examined, and stepwise multiple regression analysis was performed. Results : The WHOQOL score positively correlated with education level, SSS (support) and RBB and negatively correlated with MAST, DrInC, BDI, STAI (trait) and SSS (conflict) scores. In stepwise regression analysis, the scores on the STAl and BDI contributed to the score on the WHOOOL. The SBQOL score correlated with the income level, and negatively correlated with BDI and STAI score. STAI score was a weak predictor of SBQOL score. Conclusion : The significant predictors of QOL in patients with alcohol dependence were psychological factors such as anxiety and depression.
순천향대학교 사회과학대 학생의 진로인식 및 진로지도개선에 관한 연구
심영수,차석빈,김용하,최한준 순천향대학교사회과학연구소 2003 순천향 사회과학연구 Vol.9 No.1
This study conducted an empirical research to find ways to guide the career of college students in the social science at Soonchunhyang university. Research findings are as follows. 1) About 42% respondents answered that they did job-seeking efforts. 2) With regard to job preparing efforts, students spent their time on improving their English ability, major classes, computer ability, and license obtaining. 3) Job-related information sources in the school were not fully utilized by the students. 4) In the future, students hope that our school strengthen its PR efforts, open more English-related classes, improve its school image as a local university, and provide more job-related information The study concludes with implications of the study results and suggestions for career guidance of students.
AUTO-GUIDING SYSTEM FOR CQUEAN (CAMERA FOR QUASARS IN EARLY UNIVERSE)
Kim, Eun-Bin,Park, Won-Kee,Jeong, Hyeon-Ju,Kim, Jin-Young,Kuehne, John,Kim, Dong-Han,Kim, Han-Geun,Odoms, Peter S.,Chang, Seung-Hyuk,Im, Myung-Shin,Pak, Soo-Jong The Korean Astronomical Society 2011 Journal of The Korean Astronomical Society Vol.44 No.4
To perform imaging observations of optically red objects such as high redshift quasars and brown dwarfs, the Center for the Exploration of the Origin of the Universe (CEOU) recently developed an optical CCD camera, Camera for QUasars in EArly uNiverse (CQUEAN), which is sensitive at 0.7-1.1 ${\mu}m$. To enable observations with long exposures, we develop an auto-guiding system for CQUEAN. This system consists of an off-axis mirror, a baffle, a CCD camera, a motor and a differential decelerator. To increase the number of available guiding stars, we design a rotating mechanism for the off-axis guiding camera. The guiding field can be scanned along the 10 arcmin ring offset from the optical axis of the telescope. Combined with the auto-guiding software of the McDonald Observatory, we confirm that a stable image can be obtained with an exposure time as long as 1200 seconds.
우리나라 지역사회 거주 정상 노년층에서 관찰되는 삼킴 곤란 주호소
김한결(Han Kyeol Kim),김자영(Ja Young Kim),김수민(Soomin Kim),김가영(Ga-Young Kim),조남빈(Nam-Bin Cho),남석인(Seok-In Nam),유희천(Heecheon You),김향희(HyangHee Kim) 한국언어청각임상학회 2021 Communication Sciences and Disorders Vol.26 No.2
배경 및 목적: 정상 노년층은 노인성 삼킴 곤란(presbyphagia)을 경험할 수 있다. 본 연구는 삼킴 평가 프로토콜(Swallowing Monitoring & Assessment Protocol, SMAP)의 ‘삼킴 기능 자가보고’ 18문항(5점 척도: 0, 1, 2, 3, 4)을 활용하여 특정 질환이 없는 정상 노년층이 호소하는 주요 삼킴 문제를 확인하고, 노화로 인한 삼킴 곤란 특색을 알아보았다. 방법: 신경학적 질환자, 삼킴 연관 질환자, 인지 문제가 있는 자를 제외한 만 65세 이상의 정상 노인 총 822명(평균 연령=76.88±5.60세; 남:여=277:545)을 대상으로 삼킴 기능 자가보고 총점을 조사한 후, 문항별 평균 점수를 기준으로 순위를 알아보았다. 연령집단 간 순위를 Spearman 순위상관분석으로 비교하고, 연령집단에 따른 총점의 차이를 Mann-Whitney 검정으로 살펴보았다. 결과: 정상 노년층의 18문항 자가보고 설문 평균 총점은 7.81±7.63점(범위 0-58점)으로 나타났다. 문항 순위를 살펴본 결과, ‘구강건조’, ‘식사량 및 시간’, ‘사레’에 관한 문제들이 주호소로 조사되었다. 연령집단별로는 만 65-74세 집단과 만 75세 이상 집단의 문항 순위 간 유의한 정적 상관관계가 있었다. 평균 총점은 만 75세 이상의 집단이 만 65-74세 집단보다 유의하게 높은 점수를 보였다. 논의 및 결론: 정상 노년층이 보고하는 삼킴 관련 주호소는 노화에 따른 삼킴 문제로 간주할 수 있다. 정상 노화로 인해 발생하는 삼킴 문제를 파악하여 노인성 삼킴 곤란에 대한 조기 탐지 및 중재에 힘쓸 필요가 있다. Objectives: Normal older persons often experience presbyphagia due to aging. This study utilized the 18-item self-reported questionnaire of the Swallowing Monitoring & Assessment Protocol (SMAP) to identify swallowing difficulties that might appear during natural aging. Methods: After excluding those with neurological disorders, dysphagia-related disorders, and/or cognitive problems, a total of 822 healthy older adults aged 65 or older (mean age=76.88±5.60; men:women=277:545) were surveyed by the self-reported swallowing function questionnaire of the SMAP. The total score of the 18-item questionnaire (5-point Likert scale: 0, 1, 2, 3, 4) was extracted and the ranking was determined based on the mean score of each item. Ranking among two age groups (aged 65-74 and aged 75≤) was compared with a Spearman rank correlation, and the difference in total scores by age group was examined with the Mann-Whitney test. Results: The mean total score was 7.81±7.63 (range 0-58). Swallowing problems related to ‘dry mouth’, ‘meal volume’, ‘mealtime’, and ‘choking on water or liquid’ were regarded as chief complaints. There was a significant correlation between the ranking of questions by age group. The mean total score was significantly higher for groups aged 75 or older (n=494; mean age=80.46±3.98) than those aged 65 to 74 (n=328; mean age=71.49±2.51) (p<.01). Conclusion: The chief complaints for swallowing reported by older adults can be considered as main swallowing problems caused by aging. By identifying precise swallowing difficulties that appear during normal aging, we should be able to alleviate presbyphagia via early detection and intervention.
S-613 Potential usefulness of direct rapid antibiotic susceptibility testing in blood culture
( Jeong Han Kim ),( Taek Soo Kim ),( Sang Hoon Song ),( Dong Young Kim ),( Sunghoon Kwon ),( Kyoung-ho Song ),( Pyoeng Gyn Choe ),( Ji Hwan Bang ),( Eu Suk Kim ),( Sang Won Park ),( Hong Bin Kim ),( N 대한내과학회 2016 대한내과학회 추계학술발표논문집 Vol.2016 No.1
Background:?Antibiotic susceptibility testing (AST) is essential for choosing an accurate treatment of bacterial infections. Current AST requires at least 48h when a first blood culture (BC) is positive on direct smear examination (DSE). Thus, initial empirical antibiotic treatment is often inadequate, increasing rates of ineffective treatment or unnecessary broad spectrum antibiotic use. Direct rapid antibiotic susceptibility testing (dRAST) based on analyzing change of single bacterial cell under antibiotic condition detects antibiotic resistance in 4-6h after unveiling of DSE results and is expected to help more accurate selection of antibiotic.?Objective:?To assess accuracy of dRAST and evaluate its potential usefulness to improve selection of adequate antibiotic in clinical practice settings.?Material and Methods:?Among patients admitted to Seoul National University Hospital from June 2015 to December 2015, 141 patients with bacteremia were included for analysis. BC bottles from these patients were processed by both current AST method and dRAST. Prescribed antibiotics were recorded. In comparison with current AST, we evaluated whether the faster availability of dRAST results could have led to the initiation of optimal treatments without error. The efficacy of antibiotic treatment was classified as non-, sub-, optimal treatment according to antibiotic susceptibility to isolate.?Results:?Among 141 patients with bacteremia, 37 received non-optimal treatments and 4 had sub-optimal treatments after DSE results were reported. After the full results were known, 66% (27/41) changed non-, sub-optimal treatment into optimal treatment. For 98% (138/141), antibiotics prescribed supposedly in accordance with dRAST results were same with antibiotics prescribed in accordance with current methods. In at least 59% (24/41) patients, adequate treatment could have been done earlier with dRAST results. Unnecessary carbapenem treatments could have been avoided in 64% (9/14) of patients receiving carbapenem.?Conclusions: This study suggests that introduction of dRAST would increase treatment effectiveness and reduce unnecessary broad spectrum antibiotic use in early period of bacteremia.