응급실에 내원한 국내 간질중첩증 소아의 발생율과 특성

신은주(Eun Ju Shin),황세희(Se Hee Hwang) 대한소아신경학회 2016 대한소아신경학회지 Vol.24 No.1

Purpose: Status epilepticus (SE) is the most common life-threatening neurological condition in childhood. To clarify the incidence and outcome, we have evaluated the epidemiological and clinical characteristics of SE patients in Korea. Methods: In evaluating data from the National Emergency Department Information System (NEDIS), we retrospectively analyzed patients, and classified them by age and sex distribution, body temperature, time on arrival, seasonal variation and treatment outcome. The patients were under 8 years old who visited 111 general hospital emergency rooms in Korea between 2007 and 2013. Results: There were 4,257 total patients enrolled in our study. The ratio of males to females was 1.11:1. The incidence of SE in Korean children was 14.5/100,000 in 2010, and the highest incidence was seen in patients 1 to 2 years old. We could not find a seasonal variation. Febrile patients with temperatures over 38 °C accounted for 1,901 patients(44.7%). Peak time on arrival was 6 p.m. to midnight for 1,301 patients (30.5%). 3,356 patients (78.8%) were admitted immediately for proper treatment, while 678 patients(15.9%) were allowed to go home after emergency treatment. Unfortunately, 4 patients (0.1%) died despite first aid. Conclusion: The most common age in SE is 1 to 2 years. Regarding the correlation of fever with SE, patients who exhibit fever accounted for almost half of the patients with SE. In our study, the mortality rate in emergency room was 0.1%. Therefore, anyone who is suspected to have SE should be immediately transferred to a general hospital with ICU facilities for intensive treatment under the direction of medical experts.

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Chang, Oliver,Choi, Eun-Kyung,Kim, Im-Ryung,Nam, Seok-Jin,Lee, Jeong Eon,Lee, Se Kyung,Im, Young-Hyuck,Park, Yeon Hee,Cho, Juhee Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

Background: Breast cancer patients experience a variety of altered appearance - such as loss or disfigurement of breasts, discolored skin, and hair loss - which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

신입간호학생들의 직업선호도와 간호직업에 대한 평가

전은미 , 강세원 배재대학교 자연과학연구소 2018 自然科學論文集 Vol.29 No.1

본 연구는 신입간호학생들의 직업선호도와 간호직업에 대한 평가를 알아보고자 조사되었다. 자료수집은 2018년 6월에서 10월까지 두 개 대학에서 편의표출로 시행되었다. 본 연구 결과, 간호학과 신입생들의 직업선호도 평가에서 ‘높은 임금’이 선호되었으며, 간호직업에 대한 평가에서는 ‘남을 도울 수 있는 직업’이 가장 높은 평가 점수를 보였다. 직업선호도와 간호직업 평가에서 모두 가장 낮은 점수를 보인 항목은 ‘창조하고 새로 만드는 것을 할 수 있는 직업’이었다. 간호학생과 학생들이 직업에 대한 이해를 충분히 할 수 있도록 다양한 탐색 방안을 마련하는 것이 필요하다 The purpose of this study was to investigate the occupational preference and evaluation of nursing job on new nursing students. Data collection was conducted at the two universities from June to October 2018 by convenience sampling. As a result, 'high wage' was preferred in the occupational preference. In the evaluation of nursing job, it was evaluated as 'job that can help others'. The lowest score item of both job preference and nursing job evaluation was 'job to create and to make new'. It is necessary to provide diverse approaches for nursing students to understand their profession.

근관세정 방법에 따른 수산화칼슘 제재의 제거 효율 비교

은재승,박세희,조경모,김진우 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.6

The purposes of this study were to compare the efficacy of irrigation systems by removing a calcium hydroxide (Ca(OH)₂) paste from the apical third of the root canal and the effect of the patency file. Sixty single rooted human teeth were used in this study. The canals were instrumented by a crown-down manner with .04 taper ProFile to ISO #35. Ca(OH)₂ and distilled water were mixed and placed inside the root canals. The teeth were divided into 6 groups according to the root canal irrigation system and the use of patency file as follows: group 1 - conventional method: group 2 - EndoActivator : group 3 - EndoVac; group 4 - conventional method, patency: group 4 - EndoActivator, patency; group 6 - EndoVac, patency. All teeth were irrigated with sodium hypochlorite. After the root canal irrigation, the teeth were split in bucco-lingual aspect. Percentage of the root canal surface coverage with residual Ca(OH)₂ until 3 mm from working length was analyzed using Image Pro Plus ver. 4.0. Statistical analysis was performed using the One-way ANOVA, t-test and Scheffe's post-hoc test. Conventional groups had significantly more Ca(OH)₂ debris than EndoActivator, EndoVac groups. There was no significant difference between EndoActivator, and EndoVac groups. Groups with patency file showed more effective in removing Ca(OH)₂ paste than no patency groups. but. it was no significant difference. This study showed that EndoActivator and EndoVac systems were more effective in removing Ca(OH)₂ paste from the apical third of the root canal than conventional method. 이 실험의 목적은 근관 내에 충전된 수산화칼슘의 제거 시 치근단 1/3에서 기존의 근관세정법과 EndoActivator, EndoVac system의 세정 효율을 비교하고, 근관 세정 중 치근단공 개방 확인의 영향에 대해 평가하고자 함이다. 60개의 단근치를 사용하였고 ISO #35까지 근관성형 후 수산화칼슘을 충전하였다. 근관 세정법과 치근단공 개방 확인 유무에 따라 6개 실험군으로 나누어 세정하였다. 실험 치아를 양분하여 치근단 3 mm에서 근관 면적에 대한 잔존 수산화칼슘 면적의 백분율을 측정하였다. 실험결과 EndoActivator, EndoVac군이 기존의 근관 세정법 군에 비해 유의하게 높은 제거효율을 나타냈으며 (p<0.05), 치근단공 개방 확인 유무에 따른 유의한 차이는 나타나지 않았다. 이 실험 결과에 따르면 기존의 근관세정법으로 효과적인 세정이 불가능했던 근관의 치근단 1/3부위에서 EndoActivator, EndoVac system과 같은 근관 세정법이 효과적인 대안이 될 수 있다는 결론을 얻었다.

간호학생들의 전공선택동기와 전공만족도, 전문직업관

전은미, 강세원 배재대학교 자연과학연구소 2019 自然科學論文集 Vol.30 No.1

The purpose of this study was to investigate motivation for major selection, major satisfaction and professionalism among nursing students. Data collection was conducted at the two universities from August to September 2019 by convenience sampling. As a result, personal motivation in major selection was positively correlated with major satisfaction and professionalism (r=0.703, p<0.001; r=0.379, p<0.001). In addition, major satisfaction scores and professional occupation scores were higher in the group with high personal motivation(t=5.955, p<0.001; t=2.903, p=0.004). Motivation for major selection can affect major satisfaction and professionalism. Therefore, it is necessary for students before major selection to have sufficient opportunities to search for majors. 본 연구는 간호학생들의 전공선택동기와 전공만족도, 전문직관에 대해 알아보고자 조사되었다. 자료수집은 2019년 8월에서 9월까지 두 개 대학에서 편의표출로 시행되었다. 본 연구 결과, 전공선택동기에서 개인적 동기는 전공만족도와 전문직업관과 양의 상관관계를 보였다(r=0.703, p<0.001; r=0.379, p<0.001). 또한 개인적 동기가 높은 집단에서 전공만족도 점수와 전문직업관 점수가 높게 나타났다(t=5.955, p<0.001; t=2.903, p=0.004). 전공선택동기는 전공만족도와 전문직관에 영향을 미칠 수 있다. 따라서 전공 선택전 학생들이 충분한 전공탐색의 기회를 가지는 것이 필요하다.

건식과 습식 반탄화 바이오매스의 화학적 구조적 특성

이은주,정수아,정예진,형세진,이재원 전남대학교 농업과학기술연구소 2022 농업생명과학연구동향 Vol.60 No.-

The study analyzed the physical and chemical properties of dry-torrefied (DT) and wet-torrefied (WT) biomass. Hemicellulose was mainly degraded by torrefaction, and the contents of glucan and lignin were relatively increased. The degradation rate of biomass was higher in WT (18.25%–23.13%) than in DT biomass (3.12%–3.83%), and it increased with increasing reaction time. Torrefaction improved the crystallinity of the biomass from 36.88% in the raw material to a maximum value of 60.97% in the biomass subjected to wet torrefaction for 30 min (WT-30). The thermal stability of torrefied biomass was improved in WT-10 (17.21%), WT-60 (15.38%), and DT-60 (8.74%) compared to that of the raw material (2.35%). The hydrophobicity and fine particle distribution of biomass were increa- sed by torrefaction, with the lowest water absorption (3.08%) and the highest distribution of fine particles (8.20%) being observed in WT-60 biomass.

소아에서의 Garre 골수염

우세은,김영진,김현정,남순현 大韓小兒齒科學會 2011 大韓小兒齒科學會誌 Vol.38 No.4

Garre’s osteomyelitis is associated with bacterial infection and bone necrosis resulting from obstruction of blood supply. The most common cause for Garre’s osteomyelitis is odontogenic infection that originates from periodontal tissue or dental pulp. Subperiosteal abscess may also cause Garre’s osteomyelitis in the progress of the infection. Mandible is more often affected than maxilla, most commonly in the permanent first molar region of mandible. Clinically, it results in a hard swelling over the jaw, producing facial asymmetry. Meanwhile, radiograph shows a characteristic feature of irregular pulpal cavity, showing new periosteal proliferation located in successive layers to the condensed cortical bone on stimulated site. The treatment method for Garre’s osteomyelitis are removal of the infection source, root canal treatment, antibiotic medication, and incision and drainage. This report presents a case of Garre’s osteomyelitis under 15 years old. The patient was successfully treated by antibiotic medication accompanied with root canal treatment. Since the symptom of pediatric patients is less severe than adult, careful diagnosis with history taking and clinical examination is necessary. Furthermore long-term follow-up examination is needed to prevent recurrence even after the symptom disapears. Garre 골수염은 혈류 순환 및 영양 공급의 장애로 골이 괴사되거나, 세균 감염이 증가되면 발생한다. Garre 골수염은 치수 나 치주 감염에서 시작된 치성계 감염과 이의 진행에 따른 골막 하 농양이 주요 원인이 되며, 외상으로 인한 악골의 복합 골절 시 2차 감염, 국소적인 치은의 외상에 의해서도 발생할 수 있다. 상악에서보다 하악에서 많이 발생되며 호발 부위는 하악 제 1대구치이다. 임상증상으로 이환 부위의 하악골은 팽창되어 있으나 구강점막은 정상적 색조를 가지며 안면 불균형을 나타낸다. 방사선 사진 상 심한 우식증을 가진 치아의 치근단 병소를 관찰할 수 있으며, 자극을 받는 골조직 부위의 치밀골 증가로 골수강은 좁 아지거나 폐쇄되며 외양이 불규칙하게 나타난다. 치료 방법으로는 항생제의 투여, 원인치의 발치 또는 근관치료, 절개 및 배농술 등이 알려져 있다. 본 증례는 15세 이하의 소아환자에서 악골 골수염이 발생한 경우, 장기적인 항생제 투여나 항생제 투여 및 근관 치료를 병 용하여 성공적으로 치료된 증례이다. 소아 환자의 경우 성인에 비하여 증상이 경미하므로 주의 깊은 병력 청취와 임상 검사를 통한 진단이 요구되며, 증상이 사라진 경우에도 재발을 방지하기 위하여 장기간의 추적 검사가 요구된다.

한국에 있는 소의 품종간의 혈액형 조사와 그 응용을 위한 기초연구 (제1보)

은세기 群山敎育大學 1972 論文集 Vol.5 No.-

Chapter 1 A brief history of human and animal blood group research and the activities of European Association of Animal Blood Group Research are introduced in this chapter. Chapter 2 For the bovine blood group research, the three different approaches can be applied, such as aggulutination, hemoyltic test and biomedical method. Because of the difficulties in the preparation and conservation of anti-sera and non-repeatability of the aggulutination, the hemolytic test and the biomedical method have been adopted for the practical application of bovine blood group. In the description of the hemolytic test, a division has been made into an immunolgical, a serological and a genetical part. Most reagents used in the hemolytic test are prepared by means of iso-immunization. Hetero-immunization of various species of animal with cattle erythrocytes have to be used for the production of certan reagents. For the production of pure reagents from generally polyvalent iso-immune sera, the absorpiton techniques have to be used. Stormont et al. (1951) have demonstrated that certain blood group factors, which were in general serologocally interrelated, were inherited as complex. Most than 100 of these complexes, belonging to the B group sustem, have been found. In total 11 blood group systems, controlled by many loci on the chromosomes, have been established. Of 57 blood group factors, 31 belong to the B group and 10 to the C group system. The system designated as A, B, C, FV, J ,L ,M, N, S, Z and R'-S' With the aid of starch gel electrophoresis, a number of genetic variants have been found in the serum protein and blood enzymes. The major genetic variants in the serum protein are transferrin, hemoglobulin, post-albumins and α₂-globulins. The blood enzymes are being studied recently. Chapter 3 Parentage tests by blood grouping are based on the exclusion principle. Owen(1945) found the erythrocyte mosaicism in the blood of cattle twins. The two fractions in the blood admixture can be isolated and the proportions are determined by the differential hemolylytic test. By comparing the blood groups of B system of more than 30,000 individuals with those of both parents, Bouw et al. (1969) observed crossing-over within B locus. They made a chromosome map for the genes controlling the B group system. The data on the relationship between blood groups and economic traits are compared and discussed. Chapter 4 The necessity of blood grouping for cattle breeding in Korea was discussed. The efficiency of the disputed parentage control can be increased by the wider use of reagents and dosage reagents. With the aid of transferrin and blood enzymes, it could be increased to the extent of 99,8%. Of the three different approaches to find an clue for the relationship between blood groups and economic traits, the pleiotropic effects and linkange effects seem to be most fruitful if the research are conducted more thoroughly.

부사절 어미 '-게'에 대한 연구

서은아 건국대학교 1996 대학원 학술논문집 Vol.43 No.-

In this paper I examine the grammatical and semantic properties of the ending '-key' found in complex sentences in order to demonstrate that the ending is an adverbial clause ending. Sentences having the '-key' can be identified as adverbial embedding clauses, if they have the following properties. First of all, a matrix clause should dominate a subordinate clauses with '-key'. Secondly, the predicate preceding '-key' should be stative. In the case that the predicate preceding '-key' assingns the agentive semantic role, and the subjects of a matrix and subordinate clauses are 'human', the predicate makes the adverbial(embedding) clause by combining with the matrix verb such as 'hata' , 'toyta', 'mantulta', etc. And finally, the semantic relation between the subject and the predicate of the subordinate clauses having the '-key' should be natural, and so does its semantic relation with the matrix subject. If the predicate preceding '-key' is an active predicate, then the meaning of '-key' can be the[circumstance] or the [condition] that the event referred by the matrix predicate can accomplished. And if '-key' combines with a stative predicate, then it stands for the [state] of the matrix predicate. If the matrix predicate is 'hata', 'toyta', or 'mantulta', then '-key ha-', '-key mantul-' constructions make the 'causative' and '-key toy-' constructions makes the 'resultative'. But also in these cases if the subjects of the matrix and subordinate clauses are 'human', then those constructions can mean 'causative' but mean the [circumstance] that the matrix predicate can accomplished.

간호학생의 4차 산업기술에 따른 간호직 고용 인식과 핵심역량 인식

전은미, 강세원 배재대학교 자연과학연구소 2018 自然科學論文集 Vol.29 No.1

본 연구는 간호학생들의 4차 산업기술에 따른 간호직 고용 인식과 핵심역량 인식을 파악하고자 하였다. 자료수집은 2018년 8월에서 10월까지 두 개 대학에서 편의표출로 시행되었다. 본 연구 결과 간호학생들의 4차 산업기술에 대한 이해도는 중간 이하로 나타났으며, 간호직 고용 대체 확률은 10-19% 응답비율이 가장 높았다. 간호학생들이 인지한 미래사회 변화에 필요한 중요 역량은 ‘종합적 사고력’이었다. 간호학생들의 변화하는 기술사회에 대처할 수 있는 역량을 개발하기 위해 교과-비교과 과정을 통한 다양한 방안의 모색이 필요하다. The purpose of this study was to identify the recognition of nursing employment and core competencies according to the fourth industrial technology of nursing students. Data collection was conducted at the two universities from August to October 2018. As a result, understanding of fourth industrial technology was below middle level. The probability of substituting nursing jobs was the highest in the 10-19%. The important competence required for the change of future society recognized was 'comprehensive thinking ability'. In order to develop competencies to cope with the changing technological society of nursing students, it is necessary to seek various ways through the curriculum and extra-curriculum.