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라섹 수술 후 통증에 대한 비스테로이드성 항염증 점안액의 선행 진통 효과
김세경,홍진표,남상민,서경률.Se Kyung Kim. MD. Jin Pyo Hong. MD. Sang Min Nam. MD. Kyoung Yul Seo. MD. PhD 대한안과학회 2011 대한안과학회지 Vol.52 No.12
Purpose: To assess the preemptive analgesic effect of topical NSAIDs (0.5% ketorolac tromethamine, Acular) as postoperative pain relief in patients undergoing LASEK. Methods: A prospective, randomized, placebo-controlled, paired eye study was performed. Patients undergoing LASEK were randomized to receive 0.5% ketorolac in one eye and 0.3% ofloxacin (placebo) in the contralateral eye at 30 minutes, 20 minutes, or ten minutes prior to LASEK. Pain was assessed using a visual analog scale of 0 to 10 in each eye 6, 12, 24, 36, 48 and 72 hours after surgery. Patients were also asked to assess the levels of glare, tearing and irritation using a visual analog scale from 0 to 10. Results: A total of 62 eyes from 31 patients were enrolled in the present study. The mean postoperative pain score in the NSAID group was significantly lower than that in the placebo group at postoperative hours 6 (2.35 versus 4.97), 12 (2.52 versus 5.16), and 24 (3.84 versus 4.94) (p < 0.05). The mean postoperative pain score after 36 and 48hours was also lower in the NSAID group than in the placebo group, but the differences were not statistically significant (p > 0.05). Patients reported significantly less tearing and irritation in the NSAID-administered eye compared to those in the placebo eye after LASEK (p < 0.05). Conclusions: Preemptive administration of topical NSAIDs before LASEK was effective in reducing acute postoperative pain. Preemptive analgesia with topical NSAIDs may be a valuable treatment option for controlling postoperative pain following ocular surgery. J Korean Ophthalmol Soc 2011;52(12):1414-1418
지역특산음식 선택속성이 고객만족과 행동의도에 미치는 영향
김세경(Se-Kyoung Kim),윤덕인(Deok-Ihn Yoon),김형일(Hyeong-Il Kim) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.7
본 연구는 지역특산음식 선택속성이 고객만족과 행동의도에 어떠한 영향을 미치는가에 대한 문제를 고찰하여 지역특산음식을 이용하는 소비자를 대상으로 지역특산음식 선택속성과 고객만족, 행동의도 간의 영향관계를 분석하고자 하였다. 이를 위해 각 변수들의 개념을 파악하고 이들 변수들이 구조적으로 어떠한 관계가 있는지를 문헌연구를 통하여 고찰하였고 강릉의 지역특산음식마을과 지역축제를 통하여 특산음식을 이용해본 소비자를 대상으로 249부의 설문조사를 실시하였다. 자료분석은 SPSS 20.0의 통계프로그램을 사용하여 빈도분석, 탐색적요인분석, 신뢰도분석, 상관관계분석, 회귀분석을 실시하였다. 이를 통하여 지역특산음식을 선택하는 요인을 규명하고 지역특산음식을 통한 관광객 증가와 지역경제 활성화를 위한 기초자료로 제공하고, 지역특산음식의 음식관광 발전과 지역특산물 상품화를 위한 기초자료 활용방안으로써 효과적인 마케팅 전략을 제시하고자 한다. 특히 지역특산음식을 이용해본 소비자는 꼭 다시 찾아 고객만족을 극대화 할 수 있는 마케팅 전략을 구상하고 음식에 대한 맛과 품질, 최상의 서비스 등 활성화 방안이 필요하다고 할 수 있겠다. The purpose of this study was to investigate the effect of local food selection attributes on customer satisfaction and behavioral intention. The purpose of this study was to investigate the effect of local food selection attributes, customer satisfaction, Respectively. The purpose of this study is to investigate the relationship between the variables and the structure of each variable through literature review. The questionnaire survey was conducted on 249 consumers who used specialty food through local food restaurants and local festivals in Gangneung. Respectively. Data were analyzed by frequency, exploratory factor analysis, reliability analysis, correlation analysis, and regression analysis using SPSS 20.0 statistical program. The purpose of this study is to identify the factors that select local specialty foods and to provide them as basic data for increasing the number of tourists through local specialty foods and revitalizing the local economy. I would like to present a marketing strategy. In particular, consumers who have used local specialty foods must come up with a marketing strategy that will maximize customer satisfaction, and it is necessary to revitalize the taste, quality, and best service of food.
초등학교 과학과 이산화탄소 발생실험의 개선에 관한 연구
고영신 ( Young Shin Ko ),김세경 ( Se Kyong Kim ),이혜경 ( Hye Kyoung Lee ) 한국초등과학교육학회 2004 초등과학교육 Vol.23 No.2
The purpose of this study was to find the difficulties and problems in the carbon dioxide production experiment and to suggest the device for the improvement. Many students have misconciption ofr the smell of carbon dioxide. I found that the smell of carbon dioxide of producting through the experiment didn`t concern with the quantity of calcium carbonate. I certificated that the smell of carbon dioxide was related with the concentration of hydrochlioric acid. I built two trap applicaing suction in the gas production device to exclude fully the smell of carbon dioxide. So the smell of carbon dioxide was not present by passing the two trap. To find the ideal experimental conditions I perform the experiment step by step. As the result enough carbon dioxide to use for the property experiment was collected under the condition that is 60 mL of 3 molarity hydrochloric acid and 30 g calcium carbonate. I certificated to mesuring of the property of carbon dioxide, I proposed the experiment device regarding as spreading of the gas and children`s interest. To improve the problem of gas production experiment, I proposed the gas certification device using a thread.
초등학교 과학과 "간이 소화기 만들기" 실험의 개선에 관한 연구
고영신 ( Young Sin Ko ),김선경 ( Sun Kyoung Kim ),김세경 ( Se Kyong Kim ),고인자 ( In Ja Ko ) 서울교육대학교 초등교육연구원 2005 한국초등교육 Vol.15 No.2
초등학교 과학과 "간이 소화기 만들기" 실험의 개선에 관한 연구 A Study about Improvement of Experiment of "Making Portable Fire Extinguishers" on Elementary School Science Textbooks
정시경,유은영,오동렬,이환,최경호,김영민,이운정,김세경 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.1
Background : Flood is the most common natural disaster in our country. Lots of victims occurred during the period of flood in the northem territory of Kyoungkido on August 5, 1998. We tried to describe the characteristics of the flood-related injury and illness, management and medical requirements. Methods : We interviewed the patients admitted to 8 hospitals in Ujungbu and reviewed medical records from Aug 5 to Aug 14, 1998. Results : There were total 102 patients, male were 52% and women were 48%. Most of Patients were between 30's and 60's. Most of them were minor, and less than 3% of them needed critical care. The diagnosis were laceration(39.2%), contusion (22.5%), fracture(13.7%), infectious disease(7.8%), ligament rupture(7.8%), aggrevation of chronic illness(5.9%), dermatitis(2.0%) and traumatic hyphema(1.0%), The laceration occured in the foot(37.9%), lower leg(27.0%), thigh(16.2%), hand(10.8%) and head(8.1%). The location of ligament injury were achilless tendon(62.5%), hand(25%) and knee(12.5%). The 67.5% of flood-related laceration patients progressed to cellulitis, especially in sutured wound and a typical tetanic patient was developed. Of hospitalized patients, 2 patients showed evidence of post-traumatic stress disorder(PTSD). Conclusion : During flood, civils have better to be educated about prevention of injury, such as wearing of shoes and clothes. Although laceration was minor, lacerated wounds should be thoroughly irrigated, debrided the margin and considered delayed closure, tetanus immunization. Reportedly, there is an increased prevalance of PTSD and depression after disasters. Therefore mental health care will be required in the future.
김영민,오동렬,이원재,김형국,황두영,이환,최경호,정시경,김세경,김영옥 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4
Rhabdomyolysis is a biochemical and clinical syndrome caused by lysis of skeletal muscle cell and release of muscle cell contents into the circulation. In addition to traumatic cause, various nontraumatic causes have been reported. Rhabdomyolysis has frequently been associated with seamy aspects of life and society: alcoholic abuse, drug addiction, sadistic drill exercise, war events and attempted suicide. The abuse of alcohol causes many hazards in many organs. One of these is acute alcoholic myopathy that may present as a fulminent syndrome of muscle pain and tenderness associated with rhabdomyolysis and acute renal failure. Because the prognosis of adequately treated rhabdomyolysis is excellent, early recognition and prompt management are essential in emergency situation. We experienced two typical cases of alcohol-induced rhabdomyolysis with acute renal failure and report these cases with literature review.
최경호,오동렬,이원재,박규남,박승현,황두영,김형국,정시경,김영민,김세경 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4
To evaluate appropriate diagnostic studies for renal infartion in emergency medical center, we analysed 33 patients of renal infarction treated in this hospital for last 8 years. Eleven patients, 4 trauma associated and 7 aortic disease associated patients were excluded. They are 11 males and 11 females with a mean age of 51 years. Fourteen came to the emergency medical center and seven came to the outpatient department, in the other one patient renal infarction was developed during hospitalization with other disease. On their past history they had hypertension in 9, valvular heart disease in 5, and diabetic mellitus in 4 patients. Abdominal or flank pain was noted in 17 of 22(77%). The other symptoms were vomiting, nausea, fever and so on. On microscopic examination of initial urine in hospital, 5 patients showed more than 10 red blood cells by high power field examination. The mean lactic dehydrogenase level was 1,239 I.U/L(normal range 218-472 I.U/L), while the mean aspartate aminotransferase and mean alanine aminotransferase were 51 I.U/L(normal range 13-36 I.U/L) and 44 I.U/L(normal range 5-33 I.U/L). Abdominal ultrasonography showed positive findings in 5 of 16(31%), of which 3 were confirmed by Doppler ultrasonography. In 18, computed tomography was done and all those showed positive findings of renal infarction(100%). In conclusion, it is important that identify the elevated lactic dehdrogenase level in case of any suspicion about renal infarction and confirm by computed tomography.