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고승덕(Ko Seung Duk),김은주(Kim Eun Joo),김영규(Kim Young Kyu),김종천(Kim jong Chun) 한국보건복지학회 1999 보건과 복지 Vol.2 No.-
This study attempt to analyze on the Elderly's attitude for death and to present some basic data for the death-preliminary education. The data ware collected by administerial the questionnaire interview with 169 the elderly who was 200 the elderly over 60 year old in tree silver colleges. The questions was consists the awareness recognition of death, character, attitudes toward for death the charactery.<br/> The statistical methods used for the analysis were x²-test analysis.<br/> The results ware the follows.<br/> There was no statistically significant relations between the fear of death and the general characteristics the elderly. but the old women felt more anxiety than old men. Especially, more aged, unhealthy the elderly felt it more and the lower educated or the single felt it more severely.<br/> The change in the attitude for death:<br/> They attitude for death was considerably changed after the preliminary education.<br/> Fears and anxiety about death were more reduced and the inevitability of death was accepted positively. This result showed the influence of the preliminary death education had positive affliction of the elderly's attitude for death. Accordingly, with the practice of the preliminary education we can release the elderly from the fear for death and guide them to live meaningly.
고승덕(Seung-Duk KO),조숙행(Sook-Haeng Joe) 한국노년학회 1997 한국노년학 Vol.17 No.2
본 연구의 목적은 노인의 삶의 질 향상을 위하여 이에 영향을 미치는 요인을 추출하고자 하였다. 연구대상은 서울특별시와 수도권 지역에 거주하는 60세이상 가정노인 645명, 시설노인 355명이었다. 자료는 질문지를 이용한 면접 질문과 자기기재방법을 사용하여 수집하였다. 이에대한 자료분석은 주성분 분석과 다중로지스틱 회귀분석을 이용하였다. 분석결과, 노인의 삶의 질 향상에 크게 영향을 미치는 핵심 변인으로는 "종교유무", "교육정도", "배우자 유무", "가족형태", "뇨실금", "기분고양", "생활활력", "행복감", "자부심", "자아존중감", "실패감", "열등감", "여가활동유무", "직업"의 요인들로 나타났다. The purpose of this study to identify factors affecting improvement of the quality of life for the elderly. The subjects were consisted of 1000 elderly persons, over 60 years old(645 the elderly at home, 355 the elderly at institution)who lived in Seoul and its the suburbs. Data were collected by interview and self-completion with questionnaire. Analysis of data was done by using principal component analysis and multiple logistic regression analysis. The result of analysis revealed that the factors exerting the greatest influence on the quality of life were determined as follows : urinary incontinence, feels high, vigorous life activities, happiness, self confidence, self-respect, feeling of failure, lower self-esteem, occupation, leisure activities, marital status, education, religion, family form.
고승덕(Seung Duk Ko),손애리(Ae Rees Son),최윤신(Yun Shin Choi) 한국아동가족복지학회 2001 한국가족복지학 Vol.6 No.1
The purpose of this study was to examine the relationship of the elderly population general characteristics to geriatric depression in order to change the depression-related factors for more healthy life of the elderly. For the purpose, 650 old people over 60 who resided in and around Seoul with their families were randomly selected, and an interview was held with each of them. The collected data were analyzed by frequency and one-way ANOVA. The instrument used to measure the depression level of the subjects was Yasavage(1983)`s Geriatric Depression Scale(GDS). The findings of this study were as below: As a result of surveying the depression level of the subjects in consideration of general characteristics, those who were older, less-educated, lost a spouse, lived alone, were in bad health, or had no income, suffered from more depression. The findings of this study suggested that the elderly felt more severe depression in case they were in socially poorer situation. This fact indicated there was a need to build private and public social support system for the elderly population to promote their mental health, although they were under the protection of their families.
생체 외에서 시행한 정량적 자기공명영상, 단일 에너지 정량적 전산화단층촬영술, 그리고 이중엑스선 골밀도측정기 사이의 연관성
고지호,허진도,정규식,오경승,이승룡,조영덕 고신대학교 의학부 2004 高神大學校 醫學部 論文集 Vol.19 No.1
This study was performed to examine the correlation among quantitative magnetic resonance (QMR), single energy quantitative computed tomography (SE-QCT). and dual energy X-ray absorptiometry (DXA), and to examine the relation with bone mineral density (BMD) through in vitro experiment with pig lumbar vertebrae. The correlation among 1/T2 of QMR, SE-QCT, and DXA was investigated by measuring the pig lumbar vertebrae BMD five times each method. It was examined whether there is a significant difference in the values of 1/T2, SE-QCT, and DXA measured by changing the height (11㎝, 20㎝, 29㎝) of water in water bath in order to make the soft tissues different in quantity. The lumbar vertebrae were placed in 0.1N sodium hydroxide (NaOH) solution for 24 hours to remove the residual soft tissue. Each values of SE-QCT before and after removal of the soft tissue were compared. Real BMD, measured after burning only the body of lumbar vertebrae for e hours at 1200℃, was compared to BMD with three methods. Based on the correlation analysis of 1/T2 and SE-QCT (correlation coefficient, r= -0.729 to 0.737), 1/T2 and DXA (r= -0.709 to o.929) and SE-QCT and DXA (r= -0.878 to 0.862) after measuring BMD within the water bath, no significant correlation was observed among three methods. Also, there was no correlation between 1/T2 and SE-QCT (r= -0.587 to 0.447) xeasured in the outside of water bath. SE-QCT (p=0.094) and 1/T2 (P=0.012 to 0.094) measured in the inside and the outside, respectively, of the water bath significantly different. When the height of water in the water bath was different, the change value of the BMD showed a significant different in 1/T2 (p=0.012 to 0.403) and SE-QCT (p=0.012 to 0.527), but not in DXA (P=0.012). The values of SE-QCT measured before and after placing limbar vertebrae in 0.1N NaOH for 24 hours were not significantly different (P=0.3177). The BMD showed the different changing aspect (p<0.05). There was no correlation among QMR, SE-QCT, and DXA, however the significant relation was observed between the BMD and QMR. The value of the BMD was measured differently depending on the height of water in the water bath. Therefore, although QMR is influenced by the height of the water bath in some degree, it reflects the BMD very well.
Seung Duk Lee,Sang-Jae Park,Hyun Boem Kim,Sung-Sik Han,Seong Hoon Kim,Tae Suk You,Young-Kyu Kim,Seong Yeon Cho,Soon-Ae Lee,Young Hwan Ko,Eun Kyung Hong 한국간담췌외과학회 2012 한국간담췌외과학회지 Vol.16 No.1
We present 2 patients showing afferent jejunal varix bleeding around hepaticojejunostomy caused by extrahepatic portal vein obstruction after pylorus-preserving pancreatoduodenectomy (PPPD). The case 1 was a 58-year-old woman who had recurrent anemia and hematochezia 3 years after undergoing PPPD. On the portography, the main portal vein was obliterated and collaterals around hepaticojejunostomy were developed. After percutaneous transhepatic balloon dilatation and stent placement through the obliterated portal vein, jejunal varices had disappeared and thereafter no bleeding occurred for 32 months. The case 2 was a 71-year-old man who had frequent melena 7 years after PPPD. Portal stent insertion was first tried, but failed due to severe stenosis of the main portal vein. Therefore, meso-caval shunt operation was attempted in order to reduce the variceal flow. Although an episode of a small amount of melena occurred one month after the shunt operation, there was no occurrence of bleeding for the next 8 months. For the treatment of jejunal varices, a less invasive approach, such as the angiographic intervention of stent insertion, balloon dilatation, or embolization is recommended first. Surgical operations, such as a shunt or resection of the jejunal rim, could be considered when noninvasive approaches have failed. (Korean J Hepatobiliary Pancreat Surg 2012;16:37-42)