크론병에 대한 CoPPLX의 방어효과에 대한 연구

이호학,김유림,문창기,이재일,양병윤,김종수,이정민,정재혁,안석진,박상준,김윤권,김소연,김영중,조민구,최영자,장성조 圓光大學校 醫科學硏究所 2005 圓光醫科學 Vol.20 No.1

강원도 원주지역 초·중·고등학생의 식습관 및 섭식행동에 관한 단면연구

허혜경,박소미,김기연,김춘배,안정숙,송희영,김기경 韓國保健敎育.健康增進學會 2003 보건교육건강증진학회지 Vol.20 No.1

Purpose : The purpose of this study was to investigate the dietary habits of students in order to identify risk groups according to their Body Mass Index (BMI), and to compare the eating behavior of students in the normal range (19<I≤24) and those in risk groups (BMI≤19, 24<I≤27, BMI>). Method : 1176 elementary school students, 850 middle school students and 672 high school City, were the participants The instrument for this study was a structured questionnaire that included demographic data as well as dietary habits, and the eating behavior instrument developed by Stunkard &essick(1985) and revised by Kim &im (1997). Result : 1) As students moved up in grade level their dietary habits became more irregular and the degree that students chewed food was reduced 2) As students moved up in grade level, a greater number of the students did not eat breakfast. The reasons given were that there were not enough time before classes started(40.4%) and a lack of appetite in the morning(10.6%) in high school students. 3) As for supper, from 67.8 to 81.9% of subjects reported having regular supper. However the rest of the subjects did not eat supper because of anorexia and fear of weight gain. 4) The results identified risk groups according to their BMI showed that for elementary school students, 55.9% were in the low weight group, 5.5% in the overweight group, and 0.9% in the obese group. For middle and high school students, 40.6% and 35.5% respectively were in the low weight group, 7.4% and 6.3% in the overweight group, and 4.1% and 2.5% the obese group. 5) Comparisons of the eating behavior of students in the normal weight group with that of those in the three risk groups showed that there were significant differences in 'hunger' and 'cognitive restraint of eating' in elementary school students, and significant differences in 'cognitive restraint of eating' in middle and high school students. Conclusion : The results of this study show that management of diet in school health sholud be addressed from both the aspect of lack of nutrition and that of excess nutrition. In other words, good diet is as important for students in the low weight group as it is f3r those in the overweight and obese groups. The estatblishment of good dietary habits and eating behavior in students, by nurses and dieticians should be done by providing repeated diet education and involvement in diet counseling.

Gitelman씨 증후군 1예

차영학,송명준,신요식,김성민,김영욱,김윤권,김소연,김영중,조민구,이권전 全南大醫大 2001 전남의대학술지 Vol.37 No.3

항문주위 괴사근막염 수술 후 발생한 두덩결합 골수염의 경험

김지연,김태형,추은주,전민혁,이은정,김종화,박의주,이재철,진소영 대한감염학회 2009 감염과 화학요법 Vol.41 No.3

Osteomyelitis of the pubic symphysis is not common and has often been reported to occur after urological or gynecological procedures, It can be spontaneous in origin but it also is associated with trauma, athletic exertion, pregnancy, and parturition. The early symptoms of osteomyelitis of the pubic symphysis mimic those of osteitis pubis and therefore, the differential diagnosis between these two entities is of clinical importance. A fifty nine-year-old man who had previously received debridement and wide excision of perianal necrotizing fasciitis visited our hospital with pain on both inguinal areas. The core biopsy of the pubic symphysis and aspiration culture were performed, from which Pseudomonas aeruginosa was recovered. He was treated with parenteral ceftazidime for 5 days followed by cefepime for 7 weeks and showed favorable clinical response. To our knowledge this is the first report on osteomyelitis of pubic symphysis resulting from debridement and wide excision of perianal necrotizing fasciitis in Korea.

국내 병원 간호사와 제조업 근로자의 직업성 요통발생에 관한 고찰

박소연,홍현숙,정춘화,김현욱 가톨릭대학산업의학센타 산업의학연구소 2002 韓國의 産業醫學 Vol.41 No.2

This article reviewed studies of occupational low back pains(LBPs) and work-related factors among hospital nurses and manufacturing workers. The main purpose was to obtain basic data for preventing work-related LBPs and developing health care policies and regulations related to LBPs. We analysed 11 studies of hospital nurses and 9 studies of manufacturing workers, which were published from 1977 to 2000 in Korea. From these studies, it was found that the lifetime prevalence rates of LBP among hospital nurses were 72.3 to 81.6%, while those for manufacturing workers were 52.9 to 68.6%. Among nurses, the 20-29 age group showed the highest LBP prevalence rate, while it was the 30-40 year-old group for manufacturing workers. The highest prevalence rates were found among manufacturing workers with sitting positions, and among hospital nurses with standing position over 7 hours a day. For nurses, tasks of patients handling and postures related to patient-transfer such as reaching, lifting, pushing, and pulling were highly correlated with the occurrence of LBPs. For manufacturing workers, occurrences of LBPs were correlated highly with material handling tasks with>25 ㎏ weight and >50 numbers of repetitions. But for nurses, transfer of heavy objects weighing more than 10 ㎏ was highly correlated with LBP occurrence. Since previous studies were focused merely on the occurrences of LBPs, future studies of occupational LBPs among nurses should address those factors that are related to the development of LBPs. And more objective evaluation tools such as ergonomic job/task analysis or postural analyses using 3D or computer/video techniques should be utilized. In addition, studies on the development of LBP prevention programs and evaluating effectiveness of ergonomic intervention programs are needed.

건강증진 교육프로그램이 여대생의 성, 음주, 흡연에 대한 지식, 태도, 효능감에 미치는 영향

허혜경,김기연,박소미,신윤희 韓國保健敎育.健康增進學會 2003 보건교육건강증진학회지 Vol.20 No.2

A simulated control group pretest-posttest design was used to investigate the effects of a health promotion education program on knowledge, attitude, and self-efficacy in sexuality, drinking, and smoking among college women. The subjects included 17 women in the experimental group, and twenty in the control group. This program was carried out for a total of four sessions, two hours per session once a week. The results were as follows; 1) Knowledge on sexuality, drinking, and smoking increased significantly in the experimental group compared to the control group (U=66.50, p=.001 ; U=23.50, p=.000 ; U=29.50, p=.000). 2) For attitude, only the attitude to drinking showed a significant difference between the two groups (U=76.00, p=.004). 3) For self-efficacy, only self-efficacy on drinking showed a significant difference between the two groups (U=55.00, p=.000). In conclusion, the health promotion program fur college women increased their knowledge on sexuality, drinking, and smoking. This program affected their attitude and self-efficacy towards moderation in drinking. A even more appropriate education program on sexuality, drinking, and smoking fur college women could be developed using this program by addressing the limitations in this study and repeating the study with a more varied sample.

일 시설노인에게 나타난 주요 간호진단의 관련요인 분석

허혜경,박소미,김기연,신윤희,임은실 성인간호학회 2003 성인간호학회지 Vol.15 No.1

Purpose: The purpose of this study was to analyze related factors for major nursing diagnoses used in caring for institutionalized elders. Method: This study was a descriptive study. The participants were 92 residents in a long-term care facility in Wonju, selected by convenience sampling. The instrument was a checklist designed on the basis of the related factors suggested by NANDA (1997) and a literature review. Data was collected by chart review, observation, and interviews with the participants. Data was analyzed using descriptive statistics with the SPSS WIN program. Result: The most frequent nursing diagnosis was 'risk for injury', 'self-esteem disturbance', 'activity intolerance', 'impaired physical mobility', and 'powerlessness'. The most frequent component for related factors for the five component for each nursing diagnosis was the physical component, followed by the social component. Common related factors for the nursing diagnoses were 'pain', 'change of emotional state/disorder', 'cognitive disorder', 'change of physical structure and function', and 'physical impairment', and 'immobility'. Conclusion: The results of this study can contribute to the development of appropriate nursing intervention programs for elders (eg. 'Injury Prevention Programs', 'Self-esteem Improvement Programs' etc.). Clinical guidelines that gerontological nurses can use to accurately assess health problems and select appropriate nursing interventions may be developed.

기혼 여성의 유방조영술 검진 행위에 대한 영향 요인

허혜경,박소미,김기연 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to examine factors related to different stages of mammography screening based on the transtheoretical model (TTM) and health belief model (HBM). Method: 143 women were recruited from community centers in W city. The mean age was 44.08 (SD=7.78) and 74 (51.7%) had experienced education on preventative behavior related to breast cancer. The Decisional Balance Scale (Pros and Cons of mammography) and Stages of Adoption of Mammography Scale by Rakowski et al. (1992) and the revised Health Belief Model Scale (Perceived Seriousness. Perceived Susceptibility and Health Motivation) by Champion (1993) were used. Result: According to the stage of adoption of mammography, 17.4% of the women were in pre-contemplation, 45.5% in contemplation. 24.5% in action, and 12.6% in maintenance. The mean differences for pros, and the decisional balances between the stages of mammography adoption were significant (F=8.84. p=.000; F=7.20, p=.000). Education related to prevention of breast cancer was the most important variable. Prevention education, history of breast disease and pros of mammography explained the stages of mammography adoption (R²=26%). Conclusion : Findings support TTM as a useful tool for improving mammography adherence. Behavioral interventions that target decisional balance and health belief can effectively promote adherence to mammography.

경미한 급성 두부외상환자에서 SPECT , q - EEG 및 CT의 비교

김소연(So Yon Kim),김영중(Young Jung Kim),이석호(Suk Ho Lee),김진석(Jin Seok Kim),문희승(Hee Seung Moon),이숭구(Sung Ku Lee),박병익(Byung Yik Park),이권전(Gwon Jeon Lee),김갑득(Kap Deuk Kim),김호전(Ho Joeng Kim),조경형(Kyeung Hyeung 대한핵의학회 1993 핵의학 분자영상 Vol.27 No.2

N/A Functional cerebral impairments have been verified objectively by brain SPECT and q-EEG (quantitative electroencephalography). Microcerebral circulatory defects without anatomical changes cannot be detected by the brain CT or MRI. Brain SPECT using Tc-99m-HMPAO (Hexamethyl propyleneamine oxime) as a key radioisotope may be accepted as the useful method for identifying functional cerebral impairments. We studied 25 patients with mild head trauma to define whether the SPECT was helpful in detecting cerebral impairment. Results were as follows: The SPECT was positive in 23 patients out of 25, q-EEG positive in 16 patients and brain CT was positive in 3 cases. SPECT and q-EEG were more sensitive than CT. SPECT would be more useful method than brain CT to investigate cerebral function after head injury.

선천성 근긴장성 이영양증의 임상진단 및 분자생물학적 진단 1 예

김연주(Yon Ju Kim),김문영(Moon Young Kim),이봄이(Bom Yi Lee),김진우(Jin Woo Kim),박소연(So Yeon Park),김지은(Ji Eun Kim),오동출(Dong Chul Oh),한혜경(Hae Kyoung Han),김미정(Mi Jung Kim),전이경(Yi Kyeong Chun),김혜선(Hye Sun Kim),류현미(H 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12

N/A Congenital myotonic dystrophy is a severe and early-onset form of myotonic dystrophy (DM) with a prevalence of 2.5-5.5/100,000 live births. Expansion of the trinucleotide CTG repeat in the 3´ untranslated region of the DM gene, which is located at a chromosome 19q13.3 is a common mutation in DM. Clinical features are generalized hypotonia (floppy infant), respiratory and feeding difficulty, and the neonatal mortality rate is approximately 40%. We experienced a case of recurrent congenital myotonic dystrophy, and report with a review of related literatures. Women with recurrent neonatal hypotonia or ultrasonographic evidence of hypotonia, including positional abnormalities of the extremities and idiopathic polyhydramnios, should be offered testing for the genetic studies for myotonic mutation, such as PCR (Polymerase chain reaction) analysis and Southern blot analysis.