위 점액성 선암 수술 후 이시성으로 발생한 대장 점액성 선암

임태수,강동백,이정균,박원철 원광대학교 의과학연구소 2009 圓光醫科學 Vol.24 No.1

점액성 위암과 점액성 대장암은 각각 드물게 발생하는데 점액성 위암의 근치적 수술 후 10년이 지난 후에 복막 전이를 동반한 점액성 대장암이 발생한 증례가 있어 보고하는 바이다. Mucinous gastric and colon carcinoma is rare histopathologic type of each carcinoma. We report a case of metachronous mucinous carcinoma of colon in 74-year-old female, 10 years after curative gastric surgery. She came to hospital with pain on right upper quadrant. Abdominopelvic computed tomography showed mucinous carcinomatosis peritoni with descending colon cancer. We detected the descending colon cancer by colonoscopy and confirmed mucinous carcinoma by biopsy.

대학생 흡연자의 금연경험에 따른 건강신념차이

구정일,김민정,김동희,백정희,안현실,은가희,우혜령,이명희,이수현,김수지 이화여자대학교 간호과학대학 2003 이화간호학회지 Vol.- No.37

It has been generally known that smoking is one of the worst factor increasing disease and mortality in human health since in 1950's and nowadays. But regardless of various proofs about social or economical problems due to smoking, current smoking rate has not been decreased in our country. Until now, most of tobacco use and its addiction researches have been focused on the adolescent or adult women smokers not on the university students. Therefore, the purpose of this study was to investigate smoking cessation of university smokers and analyze the health belief-perceived sensitivity, severity, benefits and barriers- difference, then to provide basic data for effective smoking cessation strategy for university smokers. The subjects were comprised of 181 university smokers from 15 universities in Seoul. The data were collected by structured questionaires. The questionaires were designed to measure general characteristics, smoking cessation and health belief, based on Ahn(2003)'s result on the Study of Smoking attitude, Behavior and Smoking Cessation of Adult Male and Lee(1987)'s result on Relationships Between the Health Belief Model and Smoking Habits. The data were collected from May 5 to 16. The collected data were analyzed by SPSS program. The actual number, percentiles, means, standard deviation, t-test and ANOVA were done. The result of this study were as follows; 1. The general characteristics of the subjects of this study The range of age was from 18 to 34 and the averaging age was 23. The subjects of this study were 141 males and 40 females. The religions were Christianity 25.4%(46), Buddhism 12.7%(23), Catholic 23.2%(42), no religion 37.0%(67). The residential forms were living with family 59.1%(107), cooking food for oneself 28.7%(52), dormitory 5.0%(9), boarding house 1.7%(3). Smoking starting age were university 43.1 %(78), high school 29.8%(54), middle school 14.9%(27), in the army 6.1 %(11), elementary school 1.1 %(2). 2. The smoking cessation of the subjects 80% of current smokers showed quitting smoking decision and 20% have not tried. The frequency of quitting smoking decision were from 1 to above 8 and mean was 3.06. As for smoking cessation plan, 54.7%(99) current smokers answered yes, 3.9%(7) said no, 35.4%(64) had no idea and 6.1 %(11) didn't answer. As for the reason of never quitting smoking decision, 71.42%(25 among total 35) have no need to quit smoking and the others said difficulty of smoking cessation. As for the main reason of smoking cessation decision, 54.7%(99) answered for the health, 7.2%(13) family advice, 15.5%(28) girl/boy friend's advice, 1.7%(3) to save money. As for the reason to fail smoking cessation, 56.7%(68) were will-lack, 17.5%(21) stress, 15%(18) smoking mood, 10%(12) withdrawl symptom. As for the smoking cessation method, 85.0%(125) were oneself-will, 2.7%(4) way acquired by mass-media, 2%(3) doctor's prescription, 2%(3) religion's help, 0.7%(1) smoking cessation school. As for the difficulty in smoking cessation, 42.2%(62) were drinking meeting, 23.1 %(34) no alternative of stress release, 12.2%(18) withdrawl symptom, 11.6%(17) having nothing to do, 7.5%(11) friend's encouragement. As for the most difficult cigarette to quit, 67.8%(99) were all-day smoking except the first smoking in the morning, 32.2%(47) the first smoking in the morning. 3. Health belief as for general characteristics Gender - The total point in benefits showed higher in male(28.5177) than female(26.6750). There was significant difference(t=.778, p<.05). The total point in health belief showed higher in male (105.8298) than female(l00.5000). So there was significant difference(t=.345, p<.05). Age - There was significant difference in benefits between age(10's-25.83, 20's-28.39, 30's-32.00)(F=3.73, p<.05). Smoking starting age - There was significant difference in total point of sensitivity and health belief(sensitivity F=4.00, p<.Ol, health belief F=2.843, p<.05). As for sensitivity, subjects who started smoking in the army showed the highest(33.36) and ones in high school showed the lowest(26.96). The total point in health belief showed the highest in elementary school(l19.00) and the lowest in high school(100.98). 4. Health belief as for smoking cessation There was significant difference in health belief as for smoking cessation(t=0.189, p=0.OO2). Sensitivity point showed higher in smoking quitting trial smokers(29.2) than non-trial smoker (26.9). Severity point showed higher in trial smokers (30.7) than non-trial smokers(28.9). Benefit point showed higher in trial smokers(28.6) than non-trial smokers(26.2). There was no significant difference in barriers point.

정맥주입 전문간호사가 삽입한 말초삽입형 중심정맥관(PICC) 사용 결과에 대한 후향적 분석

박정윤,박광옥,백미경,김세라,권혜리,양수진 대한기초간호자연과학회 2004 Journal of korean biological nursing science Vol.6 No.1

Background : Intravenous(Ⅳ) access is becoming an increasingly important part of health care today. The current drive for clinical effectiveness and cost-effective health care serves to increase the need for reliable vascular access. Venous access devices were developed to overcome problems associated with limited peripheral access and frequent venipuncture in patients with long-term therapy. Although the peripherally inserted central catheter(PICC) have become popular during recent years in USA, its procedure is rare in Korea. Purpose : The goal of this study was to analyze the PICC inserted patient data by Ⅳ CNS intervention. Method : A Total of 62 PICCs were inserted into 51 patients by the Ⅳ CNS during a 10-month period form November, 14, 2002, to October 2, 2W2. Data was obtained retrospectively through chart review. Result : The patient population included 34(54.8%) men and 28(45.2%) women, with a mean age 50.6 years. The main indication for PICC placement was to access vein in poor peripheral venous status(40.3%). The mean served interval for PICC insertions was 16.7 days(range, 2~61 days). The reasons for removal were completed therapy in 18 cases(29.0%), patient death in 13 cases(21.0%), and mechanical or functional PICC problem in 10cases(16.1%). The three PICCs removed for presumed infection, and one had only positive tip cultures(0.2%). Conclusion : PICCs are rapidly growing popularity and required an extended course of Ⅳ therapy.

급성 림프구성 백혈병 환자에서 아스페르길루스 감염을 동반한 호중구감소성 소장결장염에 의한 작은창자 천공

강동백,임태수,박원철,윤기중,이정균 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.2

저자들은 급성 림프구성 백혈병 치료 도중 아스페르길루스 감염을 동반한 호중구감소성 소장결장염에 의한 작은창자 천공을 경험하였다. 급성 림프구성 백혈병의 항암화학치료 중 발생 할 수 있는 호중구감소성 소장결장염은 다양한 위장관 증상을 보일 수 있으며, 이에 대한 발생 가능성을 고려하여 적극적인 조 기진단과 이에 대한 적극적 치료가 필요하며, 면역기능의 저하로 아스페르길루스 등의 진균 감염이 발생할 수 있으므로 호중구감소성 소장결장염의 치료에 증상의 호전이 없을 때 항진균제를 포함한 광범위한 치료가 고려되어야 한다. Though advancesin imumosuppressive therapy or chemotherapy which have lead to increased survival of leukemia and transplant patient, but the risk of infectious complication has been increasing. Neutropenic enterocolitis is a life threatening complication of chemotherapy for malignancies such as leukemia or lymphoma. Symptoms of neutropenic enterocolitis are nonspecific and it may rapidly lead to intestinal peforation. Aspergilus infection could involve the gastrointestinal tract as a result of neutropenia and mucosal injury after imumosuppressive therapy, chemoetherapy, or antibiotics use, but rarely reported a small bowel perforation combined aspergillus and neutropenic enterocolitis. We present a rare case of ileal perforation caused by neutropenic enterocolitis combined with aspergillus infection during chemotherapy for acute lymphocytic leukemia with a review of the literature.

태권도 도장 교육환경에 대한 학부모의 만족도 조사연구

윤상화,정백수 龍仁大學校 武道硏究所 2003 武道硏究所誌 Vol.14 No.1

The objective of the present study is to investigate parents' satisfaction with taekwondo halls with regard facilities, size, safety, cleanliness, the disposition of the coach (director), management and educational aspects, aiming at increasing the membership of taekwondo halls, improving the health of members, and ultimately developing taekwondo as a sound living sport contributing to education, cultivation of good personality and the improvement of school records. This study selected 8 taekwondo halls under the supervision of Gyeongsangbuk-do Taekwondo Association and run by graduates of Yongin University, all of which were in Pohang, Gyeongsangbuk-do, and sampled parents of higher grade (4^(th), 5^(th), 6^(th) year) elementary school students who were attending the taekwondo hall. The present researcher prepared the tool used in this study by modifying questionnaires used in previous researches, Evaluation of Taekwondo Halls in Seoul pun, Sang-hwa, 1998) and Comparative Analysis of the Image of Middle School Teachers Expected in Korea and Japan (Lee, Mu-sun, 1994), Current State of Educational Environment and Its Improvement &m, Ok-ju, 1997). The questionnaire consists of a total of 35 questions, 5 about background variables, 5 above size and facilities, 5 about safety and cleanliness, 10 about the disposition and specialty of the coach (director), and 15 about satisfaction with management and educational aspects. The present study was carried out for about 3 months from November 2002 to January 2003. The number of questionnaires recovered from the 8 halls was 424. Excluding insincere replies, 283 of them were used in data analysis, for which SPSS WIN 10.0 was used. Frequency analysis was performed for all items, cross analysis was for each question according to the background variables of parents' satisfaction with the educational environment of taekwondo halls, and chi-square test was for testing the significance among groups. The significance level for the analysis was 5%. From the research methods and processes presented above, this study drew the following conclusions. 1) Parents' satisfaction with size and facilities With regard to parents satisfaction with the size and facilities of taekwondo halls by the gender of trainees, 7.7% of the parents replied Not Satisfied , 42.7% Moderately Satisfied , and 51.4% Satisfied , so as a whole, parents were satisfied with the size of taekwondo halls. Parents' satisfaction with the floor condition of taekwondo halls by gender, age, academic qualification and the length of training was 32.9% as a whole, so it was urgently required to improve the facilities of taekwondo halls. 2) Parents' satisfaction with safety and cleanliness With regard to parents' satisfaction with the safety and the cleanliness of taekwondo halls by parents' age, 6.8% of parents replied Not Satisfied , 45.4% Moderately Satisfied , and 47.1% Satisfied , so as a whole, parents were satisfied with the safety and the cleanliness of taekwondo halls. Parents' satisfaction with the safety of hall bus operation by gender, age, academic qualification, and the length of training was 64.5% as a whole, so they were relatively satisfied with the safety of hall bus operation. However, with regard to parents' satisfaction with fire prevention facilities by gender, age, academic qualification, and the length of training, 62.5% of the parents replied Not satisfied , so fire prevention facilities in taekwondo halls appeared inadequate. With regard to parents satisfaction with the cleanliness of the inside of taekwondo halls by gender, age, academic qualification, and the length of training, 36.4% of the parents replied Not Satisfied , so they appeared not satisfied with the cleanliness of the indoor environment of taekwondo halls. 3) Parents' satisfaction with the disposition and specialty of coaches (directors) With regard to parents' satisfaction with the kindness of coaches by gender, age, academic qualification, and the length of training, 89% of the parents replied positively. In addition replies to questions about coaches fairness, ***, leadership, *** and service spirit showed that most parents appeared to be satisfied with the coaches of taekwondo halls in terms of these characters. 4) Parents' satisfaction with management and educational aspects According to parents' replies to the question, Are trainees' problems well managed by the hall?, by gender, age, academic qualification, and the length of training. 36.4% of the parents were not satisfied, so the level of satisfaction was somewhat low. With regard to parents' satisfaction concerning the question, Did you receive a phone call for confirmation when ***', 20.1% of the parents answered 'No', so their satisfaction appeared to be somewhat low. With regard to parents' satisfaction concerning the question, Are children properly given personality education during training?, by the length of training, 81.6% of parents answered positively. However, with regard to parents' satisfaction with health and hygienic management by academic qualification, 37.7% of the parents replied 'Unsatisfied'. These results suggest that taekwondo halls must improve their facilities, safety, cleanliness and management.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

三斜晶系와 單斜晶系의 空間群에 對한 論解

徐日煥,李正秀,李珍昊,秋錦洪,成百石,林星秀,柳保盈 충남대학교 자연과학연구소 1992 忠南科學硏究誌 Vol.19 No.2

三斜晶系에는 2個의 空間群이 있고 單斜晶系에는 13個의 空間群이 있다. 本 論解에서는 이 空間群들을 誘導한후 各 空間群에 屬한 一般位置, 原點移動, 特殊座標 및 反射條件들을 說明 하였다. There are two and thirteen space groups in triclinic and monoclinic systems respectively. After derivation of the space groups, the general coordinates, the special coordinates and the reflection conditions of each space group have been discussed and change of origin of certain space groups is also shown.

Reciprocal Lattice Explorer의 原理와 使用法

徐日煥,李珍昊,秋錦洪,林星秀,柳保盈,朴晶蘭,金文執,趙素羅,金憲俊,李正秀,成百石 충남대학교 자연과학연구소 1993 忠南科學硏究誌 Vol.20 No.2

Reciprocal lattice explorer는 de Jong-Bouman camera와 Buerger precession camera를 合친것이다. 이 explorer를 使用하면 goniometer에 한번 固定한 試料를 使用하여 그 試料의 空間群을 決定하는데 必要한 모든 寫眞을 撮影할 수 있으며 그들은 찌그러지지 않은 逆格子面의 寫眞들이다. 本 論文에서는 de Jong-Bouman 과 Buerger precession 寫眞術의 原理와 使用法을 記述 하였고 또한 de Jong-Bouman의 振動寫眞과 zeroth layer 寫眞으로부터 11個 Laue群의 識別方法도 提示하였다. The reciprocal lattice explorer is an instrument which incorporates the principles of both the Buerger precession and the de Jong-Bouman methods. On the explorer all photographs which are necessary for a space group determination can be taken with a single setting of a crystal and the photographs show undistorted pictures of the reciprocal lattice planes. In this paper, the principles and the usages of the de Jong-Bouman and the Buerger precession photography are described, and a method of 11 Laue group identification using the de Jong-Bouman oscillation and zeroth layer photographs is shown.

粉末法을 爲한 多重度 因子

徐日煥,秋錦洪,李珍昊,林星秀,柳保盈,朴晶蘭,金憲俊,成百石,李正秀,金文執 충남대학교 자연과학연구소 1993 忠南科學硏究誌 Vol.20 No.1

The multiplicity factor, which may be defined as the number of different planes in a form having identical interplanar spacing and identical intensity, is tabulated here for eleven Laue groups on the basis of their symmetries.

結晶學에 關한 論題(Ⅳ)

徐日煥,李珍昊,秋錦洪,李正秀,成百石,林星秀,柳保盈,朴晶蘭 충남대학교 자연과학연구소 1993 忠南科學硏究誌 Vol.20 No.1