전,후기 노인의 건강행위, 건강상태와 건강관련 삶의 질

정영해 ( Young Hae Chung ),조유향 ( Yoo Hyang Cho ) 대한보건협회 2014 대한보건연구 Vol.40 No.1

연구목적 : 본 연구는 노년 전기와 후기 노인의 건강행위, 건강상태와 건강관련 삶의 질 수준을 파악하고, 관련요인을 파악 하고자 한 것이다. 연구방법 : 2010년 국민건강영양조사 제5기 1차년도 원자료를 사용하여 65세 이상 노인 1,339명을 대상으로 교육, 경제수준, 운동, 흡연, 음주, 만성질병, 성별, 거주지역, 동거인, 주관적건강상태, BMI 및 EQ-5D를 건강설문-검진조사가중치를 사례 수에 맞추어 활용하였으며 SPSS 20.0을 이용하여 분석하였다. 노년전기군(<75세)과 노년후기군(≥75세)을 카이제곱검정과 t-검정으로 비교하였으며, 후진제거방식 회귀분석으로 두 군의 건강관련 삶의 질 관련요인을 비교하였다. 연구결과 : 여성노인이 58.4%로 많았으며, 교육수준은 초졸 이하가 3/4으로, 노년후기군은 여성노인과 초졸 이하가 더 많았고, 노년전기군에는 중졸, 고졸, 대졸이상 노인과 배우자와 함께하는 비율이 많았다. 흡연율 13.3%, 음주율 46.9%, 운동실천율 47.8%, 만성질환율 80.3%이었는데, 노년전기군의 경우 음주와 운동실천율 및 비만이 높았고, 노년후기군은 저체중, 우울증상, 자살을 생각해본 적과 주관적인 건강상태가 유의하게 높았다. 노년전기군의 삶의 질은 노년후기군에 비해 유의하게 높았으며, 삶의 질을 구성한 각 항목은 모두 노년전기군에서 유의하게 낮아 노년후기군보다 삶의 질이 더 좋았다. 노년전기군의 삶의 질 관련요인은 성별, 주관적 건강상태, BMI로 나타났고, 노년후기군에서는 경제수준, 만성질환 유무와 주관적 건강상태가 삶의 질과 관련되었다. 결론 : 노인의 삶의 질을 높이기 위하여, 노년 전기에는 체중관리에 초점을 맞추고 성별에 따라 차별화된 서비스를 제공하며 노년 후기에는 경제상태와 교육수준에 따른 서비스를 제공하고, 전·후기 노인 모두 만성질관관리, 건강관리, 및 일상생활능력 향상을 위한 서비스를 제공되어야 함을 제안한다. Objectives: The purpose of this study was to investigate the difference in quality of life and related factors among the elderly by the young and the old-old. Methods: Elderly data of 1,339 case from National Health and Nutrition Examination Survey (Korea Center for Disease Control, 2010) were analyzed with SPSS 20.0, using complex survey data analysis methods. Most of the instruments were used according to the original survey while some were re-categorized. Gender, education, living area, income status, factors considered to be related to quality of life such as exercise, smoking and drinking habits, existence of chronic diseases, perceived health, and BMI were explored for their relationship with quality of life. Significance level was set to .05. Results: In this study, 58.4% of the subject were female, and approximately 3/4 had education below elementary school. However, there were more female, more elementary school education, and fewer living with significant others among the old-old. Underweight, depression, and suicidal thoughts were more prevalent among the old-old. The old-old perceived their health worse. Quality of life scores were lower for the old-old. In terms of health behaviors, there were more drinking, exercising, and overweight among the young-old. Factors related to quality of life turned out to be gender, perceived health and BMI among the young-old and education, economic status, and perceived health among the old-old. Conclusion: We recommend differentiated health policy and health programs for the young- and the old-old.

단크론항체를 이용한 소 로타바이러스 감염증 치료시험

최해연 ( Hae Yean Choi ),박재명 ( Jae Myong Park ),이은정 ( Un Jeong Lee ),조우영 ( Woo Young Cho ),이종인 ( Jong In Lee ),조부제 ( Bu Jae Cho ),정운선 ( Un Sun Chung ) 한국가축위생학회 1999 韓國家畜衛生學會誌 Vol.21 No.2

To study the efficacy monoclonal antibody(MAb) against bovine rotavirus(BCV) in treatment of calf diarrhea, the MAb was fed to 166 calves with diarrhea from Chung-buk area. The results were summarized as follows. 1. Among the 1,049 calves investigated, 166(16%) calves were infected with BCV. 2. The monthly rate of BCV infection were higher in October to December compared with other months of the year. 3. Among the 166 calves with diarrhea, 137(83%) calves were recovered. 4. Young calves within 7-day-old were more effective in treatment than other ages and the rate of treatment was 86%. 5. Most effective period for treatment of rotavirus was at the first stage of infection.

Cystic Medullary Thyroid Carcinoma: A Case of Undergoing Endoscopic Thyroid Lobectomy

Dong Hae Chung,Jae Yeon Seok,Yoo Seung Chung1,Eun Mee Oh1,Jung Won Ryu1,Young Don Lee1 대한갑상선-내분비외과학회 2015 The Koreran journal of Endocrine Surgery Vol.15 No.1

On ultrasonography, medullary thyroid carcinoma (MTC) shows hypoechogenicity, an irregular margin, a predominantly solid composition, and microcalcifications, similar to those observed in papillary thyroid carcinoma (PTC). MTC presenting as a cystic lesion is rare, and endoscopic thyroidectomy can be performed for benign thyroid masses and early stage PTC, however it is inappropriate for MTC regardless of cystic change. The authors report a case of cystic MTC found after endoscopic thyroid lobectomy and provide a review of the literature on this topic.

자발성 뇌내출혈 환자의 비위관 제거시기에 관한 연구

김명희,김영희,김영미,주영희,이윤미,정은혜 성인간호학회 2001 성인간호학회지 Vol.13 No.1

Dysphagia is common and serious problem in intracerebral hemorrhage patients. Nasogastric-tube incubation is an important method for dysphagic patients who have an intracerebral hemorrhage. But many discomforts develope in patients with a nasogastric-tube. Therefore, it is necessary to decide when to remove the tube and as early as possible. The purpose of this study is to decide the applying time of training program to facilitate deglution for dysphagic patients who have intracerebral hemorrhage. Among the 343 patients with intracerebral hemorrhage who had been admitted to P-university hospital from April, 1994 to December, 1998, the medical record of the 110 patients with nasogastric tube were reviewed retrospectively. Results from the study were as follows : 1.Nasogastric tube insert duration of improved patients was a mean of 23.2 days 2.When a L-tube was inserted and removed, the L.O.C. of improved patients was 2.6±0.8(in the midst of stupor or a semicoma). 1.9±0.5(close to drowsy), respectively This was signifcantly different(p=0.000). 3.When a L-tube was inserted and removed, GCS of improved patients was 9.3±2.9. 12.1±2.2 respectively This was significantly different (p=0.000). 4.The duration of nasogastric tube insertion was the longest when in a stupor(L.O.C), 6 ∼8 points(GCS).

드라마 기법을 통한 영어 말하기·듣기 능력 향상

정승영,박해선 경남대학교 교육문제연구소 2003 敎育理論과 實踐 Vol.12 No.3

Nowadays developing communicative competence is regarded as the objective of language teaching and learning. But although the students have been studying English for several years, they can't speak it freely. So this paper deals with An application of drama techniques in teaching English. The drama technique is considered as one of the most effective teaching methods in EFL learners, especially for improving the competence of speaking and listening. Experimental group students made scripts using the dialogue pares and reading parts, practiced and performed from lesson 1 to lesson 6. The results are follows: First, their listening ability has been improved to a great extent. The listening test score of the experimental group students was higher than that of comparative group students. Second, they speak and read more confidently and proficiently without shyness. Third, they became closer with one another while they interact in class activities and practice for drama performance. In conclusion, an application of drama techniques in teaching English encourage the learners to be more active in class and make them enjoy it.

거대 난소 종양의 염전 1예

김미영,이해혁,유애리,박정희,이임순,정수호,고은석,레앙소팥,배동한,김태희,이권해 순천향의학연구소 2008 Journal of Soonchunhyang Medical Science Vol.14 No.1

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무용창작의 구성방법에 관한 연구

정은혜,권영옥 忠南大學校體育科學硏究所 1996 體育科學硏究誌 Vol.14 No.1

The creation of dance contains a variety of complexed factors. Space and time, the balancement of human body and the eventual harmony in space from the movement, the dynamic energy and the expression of the movement will form a creative dance. This study aims to find out a scientific method o composition in choreography by the theoritical evaluation of the concept of dance creation and by analyzing the esthentic definition of the dance; -Creating the dance will not merely 'making the dance', since the dance would have the mission of expression and conveying a theme. -A superb dancing art will commonly consist of the esthentic definition of unity, variety, repetition, contrast, transition, sequence, climax, balance and harmony. -Firm theme will be accompanied by spacial factor, tempo and dynamic energy. A correspondence will exist between the creator and the spectator provided the formality and definition of the composition is dissolved in creating work of dancing art.

MDS-Spiral Coil을 이용한 뇌 동맥류의 경혈관적 치료

정은철,최혜영,서대철,한문희 梨花女子大學校 醫科大學 醫科學硏究所 1995 EMJ (Ewha medical journal) Vol.18 No.4

수술적 치료가 적용되지 않았거나 수술적 접근이 어려웠던 2례의 동맥류환자에서 MDS coil을 이용하여 경헐관적 색전을 시행하였다. 후하소동맥의 동맥류의 경우는 4×80mm coil 한개를 색전한 후 후하소뇌동맥의 혈류가 일시적으로 감소하였으나 추적검사상 이상소견없이 완전한 색전을 보였다. 후교통동맥류의 예에서는 5×80mm coil세개를 성공적으로 삽입하고 3×8mm coil을 추가로 삽입하였을 때 coil의 일부가 동맥류의 경부에서 내경동맥으로 빠져 나왔다. Curved microsnare catheter를 이용하여 일부를 제거하고 일부는 동맥류와 내경동맥에 걸쳐있었다. 색전직후의 동맥조영검사상 동맥류는 성공적으로 색전되었으며 동맥조영검사상 내경동백을 폐색하지 않으므로 시술을 중지하였다. 뇌의 동맥류환자에서 수술이 불가능하거나 수술적 접근이 어려운 경우, 수술후 동맥류가 재발한 경우 또는 파열되지 않은 동맥류 등에서 MDS coil을 이용한 경혈관적색전술은 시술을 대치할 수 있는 유용한 치료법이다. 0bjectives : To report e experience of performing embolization procedure of aneurysms with mechanical detachable coils(MDC). Methods : Two patients underwent embolization of eneurysms with mechanical detachable coils. One patient who had an aneurysm in the left posterior inferior cereberllar artery(PICA) underwent the embolization procedure with one spiral coil(4mm×80mm) and another patient who had an aneurysm in the left posterior(P-comm.) communicating artery aneurysm underwent the embolization procedure with four spiral coils(three 5mm×8mm and one 3mm×80mm). Results : Immediately after coil placement in the PICA the flow of contrast in the PICA reduced significantly. It may resulted from compression of the origin of PICA by the coil-packed aneurysm. The posttreatment course was not uneventful In case of P-comm. aneursym, the last coil(3mm×80mm) which embolized in the aneurysm, escaped from the aneurysm into the left internal carotid artery. Thej retrieval of the coil in the internal carotid artery with 3F microretrieval cathter was sucesfully performed. Conclusion : This preliminary experience suggests that the embolization procedure with mechanical detachable coils is a usful modality of treatment of cerebral aneurysm in case ofinoperable cases.

Mycoplasma Pneumoniae 폐렴 환아에서의 Polymerase Chain Reaction 법과 혈청학적 검사법의 상관성에 관한 연구

정용헌,임혜경 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

A study was done on 58 cases of children with pneumonia, admitted to the pediatric department of Chungnam National University Hospital during the period of 9 months from Feb. to Sept. 1997, in age between 2 years and 12 years, to confirm the correlation between mycoplasma antibody, cold agglutinin and PCR test. The results were as followings. 1. The total numbers of PCR positive to mycoplasma pneumoniae were 30 cases and those of PCR negative 28 cases. 2. In PCR positive group, distribution of cold agglutinin values over 1:64 and below 1:32 showed 56.7% and 43.4% in early stage, those values 94.5% and 5.6% respectively in later stage. Distribution of mycoplasma antibody over 1:160 shoved 60% and below 1:80 40% in early stage, 1005 and 0% in later stage. 3. In PCR negative group, cold agglutinin values showed wide ranges of 1:2 to over 1:64, mycoplasma antibody showed mostly below 1:40. 4. In PCR positive group, mycopasma antibody values were correlated with cold agglutinin value in later stage It's concluded that PCR test in highly correlated with mycoplasma antibody test.

PC를 이용한 브러시리스 直流電動機 파라미터의 測定

鄭海德,李進,張永學 木浦大學校 工業技術硏究所 1991 工業技術硏究誌 Vol.1 No.-

This paper describes an effort to develop a microcomputer-based parameter identification system for a brushless D.C.motor driven by three phase trapezoidal current. It is found that Pasek’s equation is valid for the brushless DC motor driven by three phase trapezoidal current. Back EMF equation is derived from back EMF waveform of brushless DC motor driven by three phase trapezoidal current and it is verified that the voltage constant obtained by back EMF equation and the torque constant are equal, in the pure SI metric system. To minimize errors due to the ripple component in the measured armature current, digital averaging filter is employed. The algorithm is implemented on IBM-PC/AT using C language. In the proposed method, the measured current is in excellent agreement with the calculated current. And this close agreement conform the validity of this technique.