두경부 암환자의 항암화학요법에 따른 삶의 질 변화

신혜숙,박혜자,박명희,연기순,김훈교,문한림,송혜향 가톨릭대학교 가톨릭대학교 간호대학 호스피스 교육연구소 1999 호스피스논집 Vol.4 No.-

The purpose of this study was to assess the changes in quality of life wish elapse of chemotherapy in head and neck cancer patients. This study was a longitudinal descriptive design. The subjects were 9 patients who had stage III and stage IV head and neck cancer and received neoadjuvant cisplatin and 5-fluorouracil chemotherapy. Linear Analogue Self Assessment Scale (LASA) of the QOL which it includes eleven items(seven physical items appetite, nausea/vomiting, physical well-being, vigor activity, energy, sleepiness, fatigue and four mental items anger, anxiety, depression & vital power) were used to assess the quality of life eleven times(once in the prechemotherapy period and from the 1st day to 10th day postchemotherapy). The means of scores at each time were analyzed by repealed measures of ANOVA and Bonferroni multiple comparison method. The results are as follows : 1. The degree of appetites decreased significantly on the period between third and sixth day compared with that of appetites on the prechemotherapy day (p<0.001). 2. The degree of physical well-being decreased significantly on the period between first and fifth day compared with that of physical well-being on the prechemotherapy day (p<0.001). 3. The degree of nausea/vomiting decreased significantly on the period between first and fourth day compared with that of appetites on the prechemotherapy day (p<0.001). 4. The degree of anger decreased significantly on the second, fourth, eighth and ninth day after chemotherapy compared with that of anger on the prechemotherapy day(p<0.001). 5. The degree of fatigue decreased significantly on the fourth day compared with that of fatigue on the prechemotherapy day(p<0.001). 6. The increment of nausea/vomiting and poor appetite started on the 2.89th day and 3.67th day after chemotherapy, respectively. 7. The increment of sleepiness started on the 2.56th day after chemotherapy. 8. The increment of depression and anxiety started on the 2.33th day and 3.33th day after chemotherapy, respectively. 9. The lowest degrees of nausea/vomiting and poor appetite were 37.00±17.9 % and 28.64±14.94 % after chemotherapy compared with those of nausea/vomiting and poor appetite on the prechemotherapy day, respectively. 10. The lowest degrees of anger and vigor activity were 48.12±28.3 % and 39.83±24.9 % after chemotherapy compared with those of anger and vigor activity on the prechemotherapy day, respectively. 11. The recovery rates of eight items of quality of life (appetite, vigor activity, energy, fatigue, anger, anxiety, depression & vital power) were shown to reach a peak on the tenth day after chemotherapy and be reached to almost 84 % compared with those of quality of life on the prechemotherapy day. 12. The recovery rates of physical well-being and sleepiness were shown to reach to 67.75 % and 95.68 % on the 10th day after chemotherapy compared with those of physical well-belong and sleepiness on the prechemotherapy day. 13. The recovery rates of seven physical items were faster than those of four mental items on the 10th day after chemotherapy. In conclusion, it is suggested that nursing care strategies to improve the quality of life in patients with chemotherapy would be established both physically and mentally, and be extended at least ten days when patients stayed their home after chemotherapy.

광중합형 복합레진의 중합시간과 거리에 따른 중합도의 변화

안명기,정태성,김신 대한소아치과학회 2001 大韓小兒齒科學會誌 Vol.28 No.2

본 연구에서는 광중합형 복합레진을 대상으로 중합거리와 시간의 변화에 따른 중합도와 거리에 따른 적절한 중합시간을 알아보기 위하여 일정 중합 광도하에서 중합거리와 시간을 달리하여 재료의 표면과 2mm 하방의 미세경도를 측정한 후 이를 통하여 간접적으로 중합도를 평가하였다. 광중합형 복합레진으로 Z100과 B25O을 사용하였고 각 재료별로 조사단과의 거리가 0, 2, 4, 6mm인 상태에서 20, 30, 40, 60, 80초간 광조사를 시행하였다. 중합 후 표층과 내층의 경도를 미세경도 측정기로 측정하였다. 측정치를 통계처리하여 다음과 같은 결과를 얻었다. 1. 거리의 증가에 따라 상대광도는 2mm 이상에서 급격히 감소하였다(p<0.05). 2. 미세 경도는 상대광도와 조사시간의 증가에 따라 표층 및 내층에서 모두 증가하였다(p<005). 3. 내층이 표층에 비해 상대적으로 중합거리와 시간의 영향을 많이 받았다(p<0.05). 4. 조사 시간의 증가에도 불구하고 Z100 시편에서 중합거리가 4mm 이하군과 6mm군에서, Z25O 시편에서는 2mm 이하군과 4mm 이상군에서 내층의 미세 경도 차이가 비교적 크게 나타났다(p<0.05). The aim of this study was to evaluate the effect of the distance of the light tip to the surface of restoration and exposure tome on the polymerization of surface and 2mm below the surface of light-activated composite resins. Two light-activated composite resins were used. From the experiment, the following results were obtained. 1. Relative light Intensity rapidly decreased when distance of the light tip to the sulfate of material is more than 2mm(p<0.05). 2. In all groups, microhardness was increased according to the increase of relative light intensity and exposure time(p<0.05). 3. The distance of the light tip to the surface of restoration and exposure time more affected 2mm below the surface rather than the surface(p<0.05). 4. Although exposure time was increased, difference of microhardness of the 2mm bolow the surface with the distance of the light tip to the surface of restoration was relatively high in Z100 between below 4mm and other groups and Z250 between below 2mm and other groups(p<0.05).

양측 하악과두 골절에 대한 관혈적 정보술후 나타난 근약화와 시력장애 : 증례보고

정기훈,신용길,김태열,신재명,윤규호,전인성 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.6

The condylar fracture show high occurrence rate in the following of symphysis and angle, because it is easy to have concentration of outer pressure due to its long and narrow anatomical shape and mouth opened state when trauma is attacked. For the clinical findings, there are trismus, opening deviation, mal-occlusion and open bite The classification of condylar fracture is varied due to the location of condylar bone fragment, fracture site. There are conservative and surgical methods for treatment modalities. Because of many advantages, conservative method is widely used it has no particular limits of treatment adjustment but the cases of absolutely surgical correction indication are easily found in clinical experience. Although many methods are suggested for treatments of condylar fracture, there are no particular surgical methods for precise reduction due to difficult accessibility in high condylar neck fracture. For precise reduction of condyle, we used Nam's method. However, in Nam's method, because condyle is fixed when once it is kept off externally reduced in avascular state, so complication such as condyle resorption is pointed out as a problem. In our clinic, we obtained some knowledge by treating a patient who had muscle weakness and vision disorder after temporary airway obstruction follownig the both condylar fracure operated using Nam's method, so here we reported the case with a study of documents.

식품영양분야의 심화교육 수요조사 : 부천 및 인천 지역을 중심으로 Focusing on Bucheon and Inchein Area

소명환,조신호,변기원,백재은,이수정 부천대학 2002 論文集 Vol.23 No.-

식품영양분야의 심화교육을 실시하기 위하여 부천 및 인천지역의 식품관련 업체에 근무하는 사람을 대상으로 교육수요에 대한 설문 조사를 실시하였다. 설문조사에 성실하게 응답한 126명중에서 전공심화교육을 긍정적으로 평가하고 기회가 되면 교육을 받겠다고 응답한 사람이 101명(80.2%)이었고, 부정적으로 평가하거나 심화교육을 받을 의사가 없다고 응답한 사람이 25명(19.8%)이었다 심화교육을 희망하는 주된 이유는 전문분야의 부족한 실력을 향상시키고 학점은행제에 의하여 학사학위도 받을 수 있기 때문이었다. 전공심화과정에 개설되었으면 좋겠다고 생각하는 전공과목은 영양상담, HACCP실무론, 식생활과건강, 외식산업창업및경영, 식당경영론, 급식전산실무, 식품및조리원리, 식품재료학, 식품관능검사, 식품품질관리 등이었다. 학정은행제에 교양관련과목으로 개설되면 좋겠다고 생각하는 과목은 PC활용, 재태크론, 전자상거래론, 소자본창업경영, 대인관계심리학, 상담심리학, 운동과 건강 등이었다. The aim of research was to investigate the demand for deepened education of the subjects who work in food related jobs in Bucheon and Incheon area, and to establish the deepened education in field of Food and Nutrition. Subjects were 126 persons, and the results were as follows: 101 persons(80.2%) evaluated positively the deepened education, and answered to be willing to take the course if they have an opportunity for study. 25 persons (19.8%) responsed negatively, or answered not to take the course. The main reasons to select the deepened education are not only to be able to improve the knowledge in major but also to obtain the degree of Bachelor in food and nutrition. The courses they wanted to be opened were as follows: nutrition education, practice in HACCP, food and health, restaurant management, practice in computer related to food service, food science, principles of cookery, food materials, sensory evaluation of food, quality control, etc. The general courses they wanted to be opened were as follows: PC practice, theory of property management, electronic commercial transaction, establishment and management of the small sized capital enterprises, psychology in human relation, psychology in counseling, physical activity and health, etc.

소아에서 출혈을 동반한 단일 연소성 용종의 내시경적 절제술

김준기,조상욱,신성하,고영춘,최정영,서강석,강명원,임연근,여향순,김경수 全南大醫大 2001 전남의대학술지 Vol.37 No.3

2단 IMDCT Recursive 구조를 이용한 MPEG-2 AAC 복호화기의 필터뱅크 구현

박세기,강명수,오신범,이채욱 대구대학교 정보통신연구소 2003 情報通信硏究 Vol.2 No.1

MPEG-2 AAC(Advanced Audio Coding)는 높은 압축율과 고음질의 특성을 갖는 멀티채널 오디오 압축 표준으로 알려져 있고, 대우 낮은 비트율에서 방송 음질 수준의 오디오를 제공하기 위해서 고해상도 필터뱅크(high-resolution filter bank), 예측기법(prediction), 허프만 부호화(Huffman coding) 등을 결합하여 사용한다. MPEG-2 AAC 필터뱅크에서 부화화기와 복호화기에서 각각 수행하는 MDCT(Modified Discrete Cosine Transform)/ IMDCT(Inverse MDCT) 연산은 특히 많은 연산을 필요로 한다. 본 논문에서는 MPEG-2 AAC 실시간 복호화 시스템을 하드웨어로 구현시 IMDCT의 연산에 적합한 2단 IMDCT의 Recursive 구조를 제안한다. 그리고 메모리와 연산속도, 하드웨어의 복잡도를 기존에 제안된 알고리듬과 비교하였다. MPEG-2 Advanced Audio Coding(AAC) is the uideb used audio standard and offers the high-quality multi-channel surround audio AAC algonthm combines the coding efficiency of a high-resolution filter bank, prediction techniques, and Huffman coding to achieie the broadcast-qualitv audio at very low data rates The foruard and inperse modified discrete transform(MDCT) are two of the most computational) 1 intensive operation in the MPEG-2 AAC In this paper, we propose the suitable recursive structure at IMDCT process for MPEG-2 AAC real-time decoder, and compared the memory, the computation speed and complexity of hardware with the proposed algonsms

Idiopathic retarded eruption의 1 증례

안명기,정태성,김신 대한소아치과학회 2000 大韓小兒齒科學會誌 Vol.27 No.2

맹출지연이란 맹출이 방해받거나 어떠한 이유로 맹출이 개시되지 않음으로 인해서 치아의 형성과 맹출의 조화에 문제가 발생한 경우를 말한다. 이러한 상황은 다양한 증후군이나 내분비장애와 동반되어 나타난다. 내분비장애등과 같이 원인이 분명한 경우에서는 적절한 원인치료를 통해 치아맹출을 정상적으로 유도할 수 있으나, 전자의 경우에는 맹출력을 증가시키기 위한 알려진 치료법은 아직 없는 상태이다. 원인불명으로 다수 치아의 맹출지연을 보이는 경우, 일반적인 성장과 발육상태는 정상적인 경우가 많으며, 방사선학적으로 맹출단계에 비해 치아의 발육이 빠른 단계를 보인다. 대개 맹출시에는 정상적인 맹출순서를 따르나, 공간부족이나 위치이상 또는 치은섬유화로 인해 매복되는 경우도 발생한다. 이런 경우 선행 유치의 발거는 영구치의 맹출을 촉진하는데 도움이 되지 못 하며, 심미성의 상실, 교합고경의 감소 및 치조돌기의 상실 등의 부작용을 나타낼 수 있다. 따라서 최선의 치료목표는 잔존 유치를 가급적 장기간 보존하는 것이다. 본 증례는 영구치의 전반적인 맹출지연을 보이는 10세 1개월된 어린이를 대상으로 원인규명을 위한 다각적인 노력을 기울였으나, 특별한 내과적 검사상의 이상소견이나 기타의 병리적 소견이 발견되지 않은 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 주요어 : 맹출지연, 영구치

국내의 양식산 무지개송어 성어로부터 분리된 IHNV의 G protein gene에 대한 연구

김기홍,김위식,김춘섭,김영진,정태성,신이치, 키타무라,정성주,오명주 한국어병학회 2003 한국어병학회지 Vol.16 No.3

An Infectious hematopoietic necrosis virus strain (IHNV-RTK) was isolated from cultured rainbow trout at Kumi in Korea during 2000 and 2001. In the RT-PCR amplification with the specific primer set designed from IHNV G protein region, a 540 bp PCR product was amplified from the RTK strain. The RTK strain showed higher sequence homology with the published IHNV G protein genes (RB-76, LR-73, Col-85, and Carson-89).

朝鮮時代 安東의 都市空間-構成原理에 關한 硏究(II) : 安東邑城, 官衙施設, 敎育, 祭祀施設을 중심으로

芮明海,辛相和,李光明,李基昇 대구대학교 과학기술연구소 2000 科學技術硏究 Vol.7 No.2

페디그리 사료 섭취에 의한 급성신부전증의 치료 1례

김영실,신영지,박정희,김명철,신상태,조종기,김덕환 忠南大學校 獸醫科大學 動物醫科學硏究所 2005 動物醫科學硏究誌 Vol.13 No.-

A 4 years old male poodle dog with gastro-intestinal distress was referred to the Veterinary Medical Teaching Hospital of Chungnam National University. The patient was presented with history of vomiting, hemorrhagic diarrhea and inappetence. Laboratory evaluation revealed that WBC (23.8 x 10^(3)/㎕). BUN (87.9 ㎎/㎗), creatinine (7.3 ㎎/㎗) and phosphate (9.6 ㎎/㎗) was elevated, and proteinuria, hematuria and bilirubinuria were detected on urinalysis. Increased renal cortical echogenicity and parenchymal calcification of kidney were observed by ultrasonography. Based on the findings of history, clinical signs, laboratory assessment and ultrasonography, it was diagnosed as acute renal failure. The present patient showed favorable therapeutic response by fluid therapy. diuretics, peritoneal dialysis and blood transfusion.