자연휴양림 이용자 요구사항 및 만족

서경석 ( Kyung Seok Seo ),윤성훈 ( Sung Hun Yoon ),김갑열 ( Gab Youl Kim ) 한국감정평가학회 2011 감정평가학논집 Vol.10 No.2

The research was studied about measure how each element affect to recreational forest visitors. And I can provide the useful information for the strategic decision-making to make value-up through characterization and differentiation of recreational forest. Those who use recreational forest were studied. Survey area was divided into five regions; Kyung-gi province, Kang-won province, Chung-chong province, Kyung-sang province and Jeon-ra province. And then national and local governments, individuals were classified as operating principals. Empirical analysis were analyzed by applying the Kano model. The questionnaire was analyzed by statistical methods; for data processing, along with a test of reliability in the measuring tools, frequency analysis. Human services and nature management components of recreational forest were classified as one-dimensional quality. Most users are more concerned about these elements. Recreational forest visitors are more concerned about quality associated with software components rather than hardware components. Recreational forest visitors with high interests and a high level of satisfaction about recreational forest has more concerned about the quality.

혈중 아연농도와 위암환자의 임상 병리학적 상관성

서경원,윤기영 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

Objective: Until it was recently overtaken by stomach cancer was the most common cancer in the world. It is still a major cause of death in many countries. Previous most presentation is a discussion of the possible role of micronutrients in the etiology of common human cancers. The aim of this study is to explore the relationship between the Zinc trace elements and clinicopathologic nature in gastric carcinoma. Methods: Trace element Zn were measured in primary gastric carcinoma from 189 patients. It was compared with age, cancer stage, cancer location and pathological types with the contents of Zn. Results: There were no significant differences in the contents of Zn among primary gastric tumors, age (P=0.207 post hoc test), and no significant differences in the contents of Zn between gastric cancer stage (P=0.688 post hoc test). There were no significant differences in the contents of Zn among primary gastric tumors, location (P=0.99 post hoc test), and no significant differences in the contents of Zn between gastric cancer WHO pathological type (P=0.553 post hoc test). Conclusions: There were no significant differences in the contents of Zn among primary gastric tumors, age, cancer stage, cancer location and WHO pathological type.

현장 실습의 필수 과목 도입을 위한 연구

서동신,윤동환,김경모 金烏工科大學校 1995 論文集 Vol.16 No.-

This paper describes the present situation of the curriculum on the elective subject field practice and characteristics of the subject which deserves to be a required subject in the viewpoints of many aspects from the industrial society requirements. We discussed the necessary method and the suggestions to the school authority to revise the curriculum to be required from elective. We also showed the effective way of operating the field practice with the considerations on its important property between the industrial firms and student careers, mentioning the engineering education suitable to adapt to the technologi1 society, and comparing the field practice environments in the universities of the developed countries on the intern system, fellowship, requisition research, civilian research activity, school-industry educational cooperation, etc. The school -industry educational cooperation was fully described from the past up to the present, and the better ways for our school to take steps on the changing conditions were classified with some opinions in the both sides of industry and school, and to the last the system and step to be carried were summarized with showing the standard model of the field practice based on the questionnaire on the engineering curriculum.

신발유형별 보행동작의 운동역학적 동작분석

서국웅,윤양진,김용재,이훈식,유경복 부산대학교 사범대학 1995 교사교육연구 Vol.30 No.-

The purpose of this study was to prepare some useful data for the prevention of injury caused by shoes when female was walking. Kinematic variables were analyzed with the aid of the visual materials filmed with a 16mm high speed camera, such as angular changes of joints, displacement, velocity, and momentum of the center of body gravity. The subjects for the research were normal 4 female high school students: The analytic results of the mechanism of each locomotion pattern were as follows: 1. It is desirable Kinematically that the dispersion of power should not be caused in the movement of lower-legs by keeping natural flexion and extension of joint. 2. Too much vertical displacement of the center of body gravity was thought undesirable because it caused the dispersion of power against the moving direction. To get some propulsion in the moving direction, it was efficient to use as much energy as possible from 8 F-F support phase to the toe-off. And also the center of body gravity was moved by the inertia just after toe-off. 3. The correct walking motion occurred when the walker moved their hip joint or knee joint gently with their upper body upright and their eyes looking around. 4. In order to lengthen the stride it was essential to practice intensively the flexion of the hip joint, extension of knee and plantar flexion of ankle joint. 5. It was proved that in race walking, they could get much greater propulsion from the flexion of the ankle joint than from the hip joint or the knee joint. It was, therefore, very important to train walkers so that the initial planter flexion of the ankle joint might occur from 6 F-F of the supporting phase. 6. The flexion of the ankle joint produced the added propulsion in the moving direction but the excessive flexion increased energy consumption and caused strain on the ankle joint because it dispersed power in moving the center of body gravity. 7. It was desirable to narrow the ankle of the flexion of the hip and knee joints because it could speed up revolutions per minute of the lower limb through lessening the inertia of the revolutions. The angle made by knee joint was desirable for getting the greatest propulsion in the moving direction. 8. High heel was lower than barefoot or jogging shoes in the displacement of the center of body gravity. This result showed that the displacement of the center of body gravity was made safe by lowering the flexion and extension of knee joint.

10년의 차이를 가지는 두 시기에서 외과적으로 치료된 조기위암환자들의 임상병리학적 인자들의 변화경향

서경원,윤기영 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Backdround: Recently, frequency of early gastric cancer (EGC) is increasing owing to frequent attempt of endoscopy and its developing diagnostic technique. The aim of this study was that how characteristics of EGC change during 10 years to compare several clinicopathological factors. Methods: We studied retrospectively 298 and 255 patients with early gastric cancer who were treated open gastrectomy between January 1984 and December 1992(Early period, EP) and between January 1997 and June 2001(Late period, LP), respectively. We investigated clinicopathologic characteristics of age, gender, location of gastric cancer, size and depth of tumor, differentiation. Results: The ratio of male and female were 187 cases:111 cases(62.8%:37.2%)at EP and 177 cases:78 cases(69.4%:30.6%) at LP, mean age was 52.4years(25-80) at EP , 54.5years(20-77) at LP. Lymph node metastasis of 30 cases at EP(10.0%) and 29 cases at LP(11.4%) were found. The ratio of mucosal cancer and submucosal cancer is 56.7% : 43.3% at EP and 45.1% : 54.9% at LP.(p=0.008) Tumor size above 2cm and below 2cm were 34.2% and 65.8% at EP, 57.6% and 42.4% at LP.(p=0.000) In terms of differentiation according to WHO classification, the change of their ratio were not significant. Conclusion: We treated more cases of mucosal cancer and larger tumor at late period. It is concluded that this trend is owing to introduction of limited surgery. Future studies will be required to establish the treatment strategy of early gastric cancer.

간헐적 복통과 혈변이 동반된 성인의 맹장-결장 회전결여증 1예

정서진,박성흠,윤서구,박치구,최경우 대한대장항문학회 1998 Annals of Coloproctolgy Vol.14 No.3

비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)

최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.

EEA 자동 봉합기를 이용한 저위전방절제술에서 콘돔(Condors)을 이용한 문합부 보호술의 효과

윤서구,황덕원,최경우,우제홍 대한대장항문학회 1996 Annals of Coloproctolgy Vol.12 No.4

일 대학 병원 마취 · 회복실 간호사의 간호활동 분석

강윤경,김경미,김연이,박혜옥,서광희,송숙녀,이현숙,조의영 대한간호행정학회 2006 간호행정학회지 Vol.12 No.1

Purpose: This study was aimed to specify roles of nurses from the anesthesia and recovery room by analyzing nursing activities as well as anesthesia nursing during surgery. Method: The objects were 12 RNs working in the recovery room of a university hospital located in Incheon. Self-report was performed by measuring stop-watch for five days from May 17th to May 21st in 2004. Research method was designed to record the time and frequency of the nursing activity from anesthesia and recovery room based on nurses' statement and other references for five days. The data were analyzed with descriptive statistics, ANOVA, and t-test via SPSS Win 10.0 program. Result: Nursing activities in anesthesia recovery room were classified into two different characteristics such as direct and indirect nursing activity. The activities consisted of 11 direct nursing areas and 39 nursing activities in anesthesia preparation room. The indirect nursing was classified into 8 nursing areas and 32 nursing activities. The direct nursing was classified into 12 nursing areas and 55 nursing activity. Also, the indirect nursing was classified into 7 nursing areas and 21 nursing activities in recovery room. In terms of prevalence of nursing activities in the anesthesia preparation room, observation and cooperation of anesthesia was the most prevalent activity, drug and eqipment management the second prevalent, and drug administration the third. On the other hand, in the recovery room, the most prevalent activity was vital sign checking and observation, the second most prevalent activity informative activity, and the third body temperature control. Nursing activity time was recorded according to the nursing characteristics. In the anesthesia preparation room, the direct nursing spent for 8092.20 minutes was larger than the indirect nursing spent for 7198.50 minutes. Also, in the recovery room, the direct nursing spent for 2361.16 minutes was larger than the indirect nursing spent for 1134.13 minutes. 4. Nursing activity time was compared to duty shifts. In the anesthesia preparation room, the direct nursing was more prevalent on day shift and the indirect nursing was prevalent on evening shift. However, in the recovery room, both direct and indirect nursing activities were prevalent on day shift. Conclusion: The role of anesthesia and recovery room nurses was analysed according to the time, frequency, and its characteristics.

치료저항 정신분열병 환자에서 Clozapine 사용이 삶의 질에 미치는 영향

김은경,서경란,윤창영 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

연구목적: 본 연구는 clozapine 치료가 치료저항 정신분열병 환자의 삶의 질에 미치는 영향을 관찰하는 전향적 개방 임상연구이다. 방 법: DSM-Ⅳ 진단기준에 의거하여 정신분열병으로 진단되고 기존의 항정신병 약물에 반응하지 않는 치료 저항 정신분열병 환자 23명을 대상으로 하였다. Clozapine을 투여하기 전에 기초평가를 하고 약물투여후 PANSS, BPRS, Simpson-Angus Rating Scale을 2주간격으로 12주동안 반복 시행하였고, 12주이후부터는 4주에 1회씩 반복 시행하였다. 삶의 질을 평가하기위해 Heinrichs 등이 고안한 삶의 질 척도(QLS)를 사용하여 매달 1회씩 반복 측정하였다. 결 과: 23명중 5개월의 clozapine 효과를 검증한 환자는 총 18명이었다. PANSS 양성, 음성 및 일반정신병리척도, BPRS점수는 기초평가에 비교하여 5개월 후에 통계적으로 유의한 감소를 보였다. 약물 부작용은 기초평가에 비하여 5개월 후에 통계적으로 유의한 변화는 보이지 않았다. 삶의 질은 5개월 후 평가에서 전체점수가 기초평가에 비하여 52.69% 상승하였고, QLS 전체점수와 4개의 하위척도중 대인 관계 영역과 내적인 정신요소 영역에서 기초평가에 비하여 5개월 후에 통계적으로 유의한 상승을 보였다. PANSS 음성척도 및 일반병리척도가 삶의 질과 유의한 관련성을 보였다. 결 론: Clozapine 치료는 기존의 치료에 반응하지 않는 치료저항 정신분열병 환자의 삶의 질에 긍정적인 효과를 가져왔다. Objectives: This prospective study was performed to determine effects of clozapine treatment on the quality of life of treatment-resistant schizophrenic patients. Method: Subjects were 18 patients with treatment-resistant schizophrenia. Patient`s PANSS, BPRS and Simpson-Angus Rating Scale was assessed at 9 time points: baseline, the 2th, 4th, 6th, 8th,10th, 12th, 16th, and 20th weeks of treatment. We chose to use the Quality of Life Scale(QLS) developed by Heinrichs and associates to evaluate the effect on the quality of life. The QLS was scaled at every month of treatment. Results: Eighteen of twenty-three patients completed the five months trial of clozapine. Three PANSS factors(positive, negative, general) and BPRS total scores showed a significant improvement at the fifth month of clozapine treatment. The adverse effects of clozapine did not show a significant improvement. After five months of clozapine treatment, there were an increase of 52.69% in the total QLS score and a significant improvement of two QLS factors(interpersonal relations, intrapsychic foundation). Particularly two PANSS factors(negative, general) had a significant correlation with the QLS score. Conclusions: This study suggests that clozapine treatment has a positive effect on quality of life of treatment-resistant schizophrenic patients.