와병노인과 보행 가능한 노인의 혈압 및 혈액성상에 관한 비교 연구

김순희,이숙희,배영숙 Yong-In University 2005 自然科學硏究所論文誌 Vol.10 No.1

The purpose of this study was to comparison of bood pressure and bood constituents between bed-ridden elderly and volunteer elderly. This subjects were volunteer elderly(10) and bed-ridden elderly(10) in female that was dwelled at elderly skilled nursing home in Incheon. The measured items were bood pressure, pulse, hemoglobin, hematocrit, Iymphocyte, MCV, MCH, MCHC, albumin, total protein, ALT, AST, BUN, creatinine, TC, TG, LDL-C, HDL-C. The result of assessment in blood pressure and hematologic test, chemlstry test, lipid battery between bed-ridden elderly and volunteer elderly were as follows : 1. The ratlo of systolic blood pressure is lower in bed-ridden elderly than volunteer elderly. There was found a statistical significance(p<0.01) in blood pressure between two group. 2. The ratio of Hct(hematocrit), Lymphocyte is lower in volunteer elderly than bed-ridden elderly. There was found a statistical significance(p<0.01, p<0.05) in Hct, Lymphocyte between two group. 3. The ratio of TP(total protein), Albumin is lower in volunteer elderly than bed-ridden elderly. There was found a statistical significance(p<0.01) in TP(total protein), Albumin between two group. 4. The ratio of TC(total cholesterol), TG(triglyceride), LDL-C(LDL-cholesterol) is lower in volunteer elderly than bed-ridden elderly. There was found a statistical significance(p<0.01, p<0,05) In TC, TG, LDL-C between two group.

침수 속박 스트레스에 의한 위궤양 흰쥐에서 식이 단백질 종류가 궤양 치유, 단백질 대사 및 질소평형에 미치는 영향

김창임,김숙배 동아시아식생활학회 1997 동아시아식생활학회지 Vol.7 No.1

This study was designed to determine the effects of protein sources on the curation of gastric ulceration protein metabolism, and nitrogen balance in rats with gastric ulcer induced by restraint and water immersion stress. After the rats were fed 10% casein diet for 3 weeks, four groups of the rats were forced in 5 × 5 × 15㎝ plexiglass cage. The restraint and water immersion stress was carried at 20±2℃ for 8-hour. The other one group(control group) was not exposed to stress. After stress 4 kinds of different diets containing 20% protein were given for 5 days. The protein sources were casein, whey protein, soy protein, gluten. The control group was fed to 10% casein diet. The results were as follows : the weights of rats were not different among the diet groups During the experiment period(for 5 days). The ulcer index of rats fed 10% gluten and soy protein diet was significantly higher than those of casein and whey protein diet groups(p<0.05). The level of serum albumin was not significantly different among diet groups. But hematocrit and the level of α-amino-N, BUN and UUN of plant protein diet groups were higher than animal diet groups, The urinary hydroxyproline of soy protein group was the highest and the whey protein was the lowest. The digestibility and BV of nitrogen of gluten diet group were significantly higher than those of casein and whey protein diet groups(p<0.05). The animal proteins had more curative effects of ulcer than plant animals. The results of this study provide useful information concerning diet therapy for the patients with gastrointestinal dieases and the field of enteral diet materials.

Efficiency of ATP Synthesis and Impairment of Glucose Tolerance in the NIDDM-Prone Rat

Kim,Sook-Bae B 韓國營養學會 1997 Journal of Nutrition and Health Vol.30 No.4

한국 여성사 정립을 위한 여성인물 유형연구 Ⅳ : 1945년~1948년 The Period of United States Military Government

이배용,김정선,이승희,김점숙,김수자 이화여자대학교 한국여성연구원 1996 여성학논집 Vol.13 No.-

The target period of this study was the "Period of United States Military Government". This was the brief period from the declaration of military government by the U.S. Force stationed in the southern part of the Korean peninsula, with tile unconditional surrender of the Imperial Japanese Army until the establishment of the Republic of Korea as an independent entity on August 15, 1948. Despite its brevity, this period has been recognized as important, during which basic frameworks of capitalist economy and national authority were founded. This study explores women's lives and activities during the period and examines how the period restricted and reflected women's lives and activities. The content of the study is summarized as follows: The major trends that are significant during the period for women are: the expansion of education and acquiring of franchise by women. These were not a result of the women's movement, but of the policy of the US military government that claimed to establish and preserve "democratic order". The crucial problem at the time was, how women should utilize the given opportunities. Under the US military government, which advocated a liberal-democratic system, many changes were generated in consciousness along with changes in life style and other patterns. In particular, "equal lights between men and women" was thought of as a public value. Therefore the realization of "equal rights" was considered as a prerequisite for democratic order. In other words, the period was recognized as one of women's liberation from oppressive bonds, coinciding with liberation from Japanese Imperial Rule. In this period, western liberal culture was rapidly influencing South Korea and women's consciousness was thus also changed. Under these influences, a new image was emerging and making an impact on family structure. This was the image of progressive couples, wherein attempts were made to promote a new relationship of understanding and love between mothers-in-law and daughters-in-law who had traditionally been in conflict in the pre-modern family. During this period women became very active participants in socia1 spheres. In politics, women's activities in creating a nation state wet¡¤e significant. This was evident in the work of organizations in the women's movement. Their activities, however, were restricted by conflict between right and left wing political groups who were in acute confrontation with each other over the issue of deciding on a future direction for a new Korean nation state. This inevitably led to women's organizations focusing their energies on the establishment of the nation state, the hot issue of the period, and consequently, they abandoned the specific goals of the women's movement. In the meantime women who had obtained the right to vote could become the subjects as well as the objects of national politics, for instance, women took an active part in policy-making and there were 18 women candidates in the May 10th election under the military government. However, there were several harriers in women's be coming active agents in politics, for example, traditional concepts of "politics is a man's Job", a distrust of women's abilities and so on. The May 10th election was a memorable moment, when women used their votes for the first time in Korea and realized the aforementioned problems once again. While women failed to advance to the forefront of politics, yet this was a good opportunity for them to grapple with ways and means for reducing the barriers hindering women's political participation, while they Critically reviewed their past activities. In economic sectors, women were active participants. The change in their economic situation during the period was two-fold and can be characterized as follows: First, there was a quantitative increase of women workers, as till then occupations open to women had been limited for a few "new (modern) women" and subsequently became open to the general (ordinary) women. Second, women's employment opportunities were extended to include what were traditionally "men's occupations". In particular, women's participation in professional jobs was enlarged. This was closely linked to the expansion of educational opportunities, which in turn, accelerated their economic participation. Women's greater social participation was, however, only possible on the condition that they do not perform their new roles at the expense of their familial duties. In the circumstances, the traditional notion of "women's place is at home" was not over come ; household chores and child rearing were still women's burden. These were recognized as factors crucial for enhancing women's social activities, and various attempts were made to solve the problem at societal levels, but not in personal or private spheres. Thus these were limited and remained ineffective. In conclusion, the period of US military government in Korea encouraged women to improve their status and change their roles within the new social environment of Liberation and the influx of western culture. This can also to called transitional period, during which traditional patriarchal ideology still dominated over women's life. Although women's enhanced social participation was understood as a "new direction of social progress", it had to be compatible with family life and the ideology of "hyon-mo yang-ch'o" (wise mother and good wife). The latter ideology was maintained as defining the image of the good woman. Thus the period of US military government can be depicted as one of transition, in which traditional values about women altered and new ones emerged.

독해력 향상을 위한 속독 훈련 방안과 효과

이준엽,김숙희,배경수 대구대학교 인문과학 예술문화연구소 2002 人文科學硏究 Vol.23 No.-

각종 간 병변에 대한 양전자 방출 단층촬영(PET) 영상 소견 분석

손현배,한철주,김병일,김진,정숙향,김유철,이진오,최창운,임상무 대한간학회 2002 Clinical and Molecular Hepatology(대한간학회지) Vol.8 No.4

목적: PET은 세포의 대사를 반영하는 기능적 영상기법으로서 각종 간 병변이 PET에 어떤 영상으로 나타나며, 간 종양의 진단 및 치료에 어떻게 활용될 수 있는지를 알아보고자 하였다. 대상과 방법: 간세포암 34예, 담관세포암 8예, 간 내 전이암 25예, 간 혈관종 6예, 간 농양 7예를 대상으로 PET 영상을 얻어 SUV 및 병변과 주변 조직의 SUV 비를 조사하였다. 각각의 질환에 대해 SUV, SUV 비의 평균치 및 SUV 비의 분포를 비교하였다. 결과: 담관 세포암과 전이암은 높은 SUV를 보이며, 거의 대부분 PET에서 선명하게 나타나며, 100%의 예민도를 보였다. 간세포암도 비교적 높은 SUV를 보이나 일부는 PET에서 뚜렷이 나타나지 않으며 59%의 예민도를 보였다. 혈관종은 PET에서 뚜렷이 나타나지 않는 반면, 간 농양은 뚜렷한 영상으로 나타나 100%의 예민도를 보였다. 결론: PET은 간에 발생 하는 각종 병변의 진단 및 감별에 제한적이기는 하나 활용 가능성이 있으며, PET에 선명한 영상을 보이는 일부 종양에 대해 병기 판정, 재발 발견, 치료 반응 평가 등의 목적에 활용될 가능성이 있는 것으로 기대된다. Background/Aims: [18F]FDG-PET is a functional imaging modality reflecting cellular glucose metabolism. In most malignant cells, accumulation and trapping of [18F]FDG allows the visualization of increased uptake compared with normal cells. The aim of this study was to assess the value of PET in differentiating benign from malignant hepatic lesions and to determine in which types of hepatic tumors PET can help evaluate stage, monitor response to therapy, and detect recurrence. Methods: Eighty patients with liver lesions were enrolled (hepatocellular carcinoma 34, cholangiocarcinoma 8, metastatic liver cancer 25, hemangioma 6, liver abscess 7). Liver metastases were 22 adenocarcinoma, 2 lymphoma, 2 squamous cell carcinoma. The PET images of these patients were analyzed. SUV and lesion-to-normal liver background SUV ratio were obtained and compared among the disease groups. Results: All liver metastases and all cholangiocarcinomas had increased uptake value, with SUV ratios greater than 2. Hepatocellular carcinoma had SUV ratios greater than 2 in 20 of 34 patients (59%). All hemangiomas had poor uptake, a SUV ratio of less than 2. All liver abscesses showed definite uptake. Conclusions: The PET technique using FDG static imaging was useful in differentiating malignant from benign lesions of the liver in limited situations. Limitations included false negative results in some patients with hepatocellular carcinoma. Liver abscesses raised problems in differential diagnosis from malignant liver tumors. The findings of this study suggest that the PET technique might be applied in tumor staging and the detection of recurrence, as well as monitoring responses to therapy for all adenocarcinomas and some hepatocelluar carcinomas.(Korean J Hepatol 2002;8:472-480)

다발성 말초신경증이 동반된 불명열로 발현한 혈관내 림프종증

박병배,김갑현,손준성,기현균,정숙인,오원섭,백경란,정철원,송재훈,고영혜 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

불명열의 원인에는 감염, 신생물, 교원섬유혈관질환 등의 여러 가지 질환이 속한다. 불명열 환자를 접하게 되면 그 원인을 밝히기 위한 검사를 시행하게 되는데, 수많은 검사를 시행하고도 그 원인 질환이 진단 안 되는 경우가 5-15% 정도 된다. 불명열의 원인으로서 이전까지 진단이 어려웠던 농양이나 종양은 현대의 방사선적 영상기술 발달로 조기 진단이 가능하게 되었지만, 악성 혈액질환처럼 종괴를 형성하지 않는 질환들의 정확하고 신속한 진단은 여전히 어려운 실정이다. 혈관내림프종증은 림프절 병변을 거의 형성하지 않기 때문에 진단이 매우 어려운 질환이다. 병의 경과가 빨리 진행하여 예후가 좋지 않으므로 신속한 진단이 절실히 요구되는 질환이다. 저자들은 말초신경증이 동반된 불명열을 주소로 내원한 환자에서 흉강내시경 폐생검을 시행하여 혈관내림프종증을 조기 진단할 수 있었기에 이를 문헌 고찰과 함께 보고 하는 바이다. Fever of unknown origin (FUO) is caused by infections (30-40%), neoplasms (20-30%), collagen vascular diseases (10-20%), and numerous miscellaneous diseases (15-20%). The literatures also reveal that 5-15% of FUO cases defy diagnosis, despite extensive studies. Diagnostic advances continuously modify the spectrum of FUO-causing diseases. Modern imaging techniques (e.g., ultrasound, CT scan, MRI) enable early detection of abscesses and solid tumors that used to be difficult to diagnose. But the correct diagnosis can be delayed because the tumor, such as rare hematologic malignancy, is difficult to be detected by various imaging studies. Intravascular lymphomatosis (IVL) is a rare form of non-Hodgkin's lymphoma and generally fatal disease characterized by extensive proliferation of neoplastic mononuclear cells within the lumina of blood vessels. The prognosis is usually extremely poor, with rapid death despite chemotherapy. The diagnosis is most frequently made after biopsy of skin or brain but is often established post mortem. Most patients with IVL present with FUO and nonspecific cutaneous and neurologic manifestations. Peripheral nerve system or pulmonary involvements are not common as initial menifestations. We report a case of intravascular lymphomatosis, presenting as FUO with peripheral polyneuropathy. We made early diagnosis of IVL by video-assisted thoracoscopic lung biopsy. She is improving with good performance after the 4th cycle of chemotherapy till now.

경기도 지역 정신보건 사업의 추진배경과 정책결정과정

이충순,윤배중,이주훈,이종국,고영,이영문,최향순,김혜숙 용인정신의학연구소 1997 용인정신의학보 Vol.4 No.2

한국 여성사 정립을 위한 인물 유형 연구 : from Ancient Times to Tae-han Che-guk(大韓帝國) 고대에서 대한제국 시대까지

정세화,최숙경,이배용,장필화,김영미,박진숙 이화여대 한국여성연구소 1988 여성학논집 Vol.5 No.-

This study is an attempt to analyse the types of women recorded in historical documents. The categories are broadly divided in three areas; political, social and familial spheres. In the political sphere, three queens in Shilla period, the only period in Korean history when a queen was the supreme ruler, and women who had a formal right to be involved in the determination of soverign successor, to assume regency, and who had various informal political influence. In the social sphere, women's economic and religeous activities were examined. Also women specialists such as medicine women, shamans and kisaeng (entertainers) are examined in this category. In the familial sphere, conjugal relationships of first (legitimate) wives and concubines, and women's status and activities are investigated. The gradual establishment of patriarchal system initiated by the state, and the conflict of women's interests in the process was analysed. As a result of this preliminary analyses, it became clear that the social position of women in Korean history was constricted with the growth of the power of the state. In the case of ancient Korea and Koryo period women's status in the family was comparatively higher and their personal activities were freer although their political and social activities were restricted. As time progressed, the establishment and reinforcement of partriarchal system of the state based on confucian ideology had crucial importance on the position of women in society. The system of family was restructured and carefully monitored, and the members of the family were closely controlled. The state sought the material and ideological bases of the power through these control. As a result, the status of women became more structurally subjugated to make heads of the family, especially after the mid Choson dynasty.

모유영양아와 인공영양아의 피하지방 및 상완위의 성장발육 상태 : 영아의 피하지방 및 상완위 발육상태

최경숙,최혜미,구재옥,임경숙,김주혜,김숙배 동아시아식생활학회 1997 동아시아식생활학회지 Vol.7 No.1

One- to three- month-old infants (n=232) were compared their upper arm cumference and skinfold thickness(triceps, subscapular) by feeding methods in cross-sectional study. There were two groups : breast-fed(BF) and formula-fed groups(FF). As reported previously^(7)), weight, length, head and chest circumferences of these infants were good, and overall growth status was not significantly different by feeding methods, but weight, weight velocity and chest circumference of formula-fed infants were higher than breast-feds at 3 month, significantly. Here, the triceps skinfold thickness of infants at 1, 2, and 3 postpartum months were 7.4, 9.5 and 10.5 ㎜, respectively. The triceps skinfold thickness of breast-fed infants were higher than formula-feds at 1 and 2 postpartum month, but at 3 month, that of formula-fed infants was greater than breast-fed infants, insignificantly. The subscapular skinfold thickness of infants were 6.4, 9.2 and 10.6 ㎜ at 1 to 3 postpartum months, respectively. The upper arm circumference of infants were 11.7, 13.4, 14.3㎝, and the arm muscle diameter were 34.5, 39.3 and 41.7㎝ at one to three postpartum months, respectively. The upper arm circumference of male infants was higher than females at 2, 3 postpartum months. Overall, there were no significant differences between feeding methods in triceps and subscapular skinfold thickness, upper arm circumference and arm muscle diameter. But 3-month-old formula-fed male infants showed bigger significantly in arm circumference than the breast-feds. From this survey, long-term survey on growth and body composition of large scales might be necessary to determine the effect of feeding methods of infants after 3 months and to set proper body composition standard for infant.