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An Analysis of Nerve Block for Cancer Pain Patients (암성통증환자(癌性痛症患者)의 신경차단요법(神經遮斷療法)의 분석(分析))

  • Lee, Jung-Seok;Kim, Hae-Gyu;Kim, Inn-Se;Chung, Kyoo-Sub
    • The Korean Journal of Pain
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    • v.1 no.1
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    • pp.53-58
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    • 1988
  • We have treated patients who have visited pain clinic and those admitted to the other departments of Pusan National University Hospital from Mar. 1987 to Feb. 1988 with complaints of severe cancer pain on both upper and lower abdomen and extremities by continuous administration of a very small amount of morphine in the lumbar subarachnoid(group I) and epidural(group II) space in 10 cases respectively. The results of analgesia obtained are as follows: 1. The average duration in onset of analgesia was 8 mins. in group I and 23 mins. in group II. 2. The average duration In maintaining analgesia was 12.4 hrs. in group I and 18.4 hrs. in group II. 3. The efficiency of analgesia in group I was excellent in 5, good in 4, and null in 1, and group II was excellent in 5, good in 2, and moderate in 3. 4. The degree of tolerance in group I was rather mild comparable ti that of pain score 4 till the 22nd. day of morphine administration. 5. The complications are: 2 of respiratory distress in group I, 2 of voiding difficulties in both group I and II, 1 of itching sensation in both group I and II, 1 of euphoria with hallucination In group I, and 1 of C.S.F leakage in group II. As results, it is thought that epidural administration is safer than subarachnoid administration in achieving analgesia with morphine among patients with malignant pain if the problem of tolerance is solved.

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Evaluation of Obesity from BMI and Waist Circumference, and Its Relation with Cardiovascular Risk Factors (건강검진 수진자들의 비만유형과 관상동맥질환 위험인자와의 관련성)

  • Cho, Ju-Yeon;Park, Jae-Yong;Han, Chang-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.25 no.2
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    • pp.47-59
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    • 2008
  • Objectives: The objective of this study was held for prevention of coronary artery disease and improvement of health of local community residents by classifying the obesity types of their waist circumference and BMI, and appraising the coronary artery disease risk factors(CRF). Methods: We analyzed the data on the 1,914 adult cases (1,156 male and 758 female) during Nov, 2006 to Mar. 2007 on a general hospital in Daegu city, Korea. The obesity types in this research were classified into normal group, seeming obesity group, abdominal obesity group and obesity group. Also, CRF was classified by normal, mild, moderate, and severe, and each class was given the index from 0 to 3. The coronary artery disease risk factors index(CRFI) was defined as the sum of index, and we defined that if the sum is higher, higher chance of coronary artery disease risk exist. Results: According to the research, by the age group, normal group has higher percentage in age 30 to 40, and obesity group and abdominal obesity group has higher percentage in age 50 to 60. CRFI is increased by order of normal group, seeming obesity group, abdominal obesity group, and obesity group on both male and female groups, and male shows higher index than female on all four groups. CRFI will be influenced by order of obesity group, seeming obesity group, and abdominal obesity group on male, and obesity group, abdominal obesity group, and seeming obesity group on female according to the result of multiple regression between obesity type and CRFI. Conclusion: According to the result from our research, we have to have keen attention to not only seeming obesity group and obesity group, but also abdominal obesity group which has normal waist circumference influence to CRFI. So, those kinds of indexes have to be controled by controling their weight. Also, we believe that health behaviour can improve and CRF can be prevented by the early health care and early health education to those with no abnormal indication on clinical indicator but with abnormal BMI and waist circumference.

Floristic Study of Dalmasan and its Adjacent Regions (달마산과 그 인근지역의 식물상 연구)

  • Lee, You-Mi;Park, Su-Hyun;Choi, Hyeong-Seon;Yang, Jong-Cheol;Nam, Gi-Heum;Chung, Gyu-Young;Choi, Hyeok-Jae
    • Korean Journal of Environment and Ecology
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    • v.23 no.1
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    • pp.1-21
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    • 2009
  • The vascular flora of Dalmasan and its adjacent regions, located in Haenam-gun, Jellanam-do, is surveyed from Mar. to Oct. 2005. The number of the vascular plant taxa based on voucher specimens is 545 total which belongs to 112 families, 322 genera, 473 species, 3 subspecies, 60 varieties and 9 forms respectively. Among them, 12 taxa of Korean endemics and 4 taxa of rare and endangered plants were investigated in addition to 86 taxa of specially designated plants announced by the Ministry of Environment. A unrecorded taxon, Stellaria neglecta Weihe, is also collected in this area. Furthermore, The habitat of 5 taxa such as Asplenium trichomanes L., Asplenium wilfordii Mett. ex Kuhn, Miscanthus sinensis var. chejuensis Y.N.Lee, Impatiens kojeensisi Y.N.Lee and Digitaria violascens var. intersita Ohwi were newly added to the flora of korea, and 29 taxa of induced and naturalized plants were observed in this area.

Assessment of Complementary Relationship Evapotranspiration Models for the Bokahcheon Upper-middle Watershed (보완관계법에 의한 증발산량 산정 모형의 평가 - 복하천 중상류 유역을 중심으로 -)

  • Kim, Nam Won;Lee, Jeongwoo
    • Journal of Korea Water Resources Association
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    • v.47 no.6
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    • pp.547-559
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    • 2014
  • The objective of this study is to evaluate the performance of the complementary relationship-based evapotranspiration models, namely, advection-aridity (AA) model of Brutsaert and Stricker and the CRAE model of Morton for estimating actual evapotranspiration. Both models were applied to the Bokhacheon middle-upper watershed, and their estimates were evaluated against the water balance estimate. The calculation was made on a daily basis and comparison was made on monthly and annual bases. For comparison, the water balance estimates were not obtained from the observed precipitation and streamflow data but were based on the simulated data by using integrated watershed model, SWAT-K which is the revised version of SWAT. The reason not to directly use the observed data for water balance estimate is that the credible record period is not sufficient and the streamflow has been altered due to water use and release. Overall, the results showed that both AA model and CRAE model with their original parameters overestimate annual and monthly evapotranspiration, and the large difference between the complementary relationship-based approach and the water balance approach occurs especially for the dry season from Nov. to Mar. It was found out that the parameters, particularly for the advection related parameter, must be recalibrated to accurately produce monthly and annual regional evapotranspiration for this study area.

EFFECT OF PLATELET-RICH PLASMA ON OSTEOGENESIS OF MARROW-DERIVED OSTEOBLASTS IN THE MANDIBLE OF RABBIT: HISTOMORPHOMETRIC ANALYSIS (가토의 골수 세포에서 분화된 골모세포의 골 형성에 혈소판 농축 혈장이 미치는 효과: 조직 형태학적 분석)

  • Park, Young-Ju;Shin, Jin-Eob;Chung, Jae-An;Jeon, Min-Su;Kim, Bo-Gyun;Song, Jun-Ho;Yeon, Byong-Moo;Lim, Sung-Chul;Gang, Tae-In
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.6
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    • pp.474-484
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    • 2007
  • Purpose: The effect of platelet-rich plasma(PRP) on osteogenesis of marrow-derived osteoblasts on histomorphometric analysis in the mandible of rabbit was assessed. Materials and Method: Bone marrow cells were obtained from iliac bone of rabbits and were cultured in a Dulbecco's Modified Eagle's Medium(DMEM) with Dexamethasone, L-Ascortic acid, ${\beta}$-Glycerophosphate to proliferate and differentiate into osteoblasts for $4{\sim}5$ weeks. The expression of osteogenic mar-kers was detected by reverse transcription-polymerase chain reaction(RT-PCR) and silver nitrate stain. Then we prepared bony defects in the mandible of rabbit, 10.0mm in diameter and 4.0mm deep, by trephine bur. In the control group, the defects were filled with autogenous bone and cultured osteoblasts. In the experimental group, the defects were filled with autogenous bone, cultured osteoblasts and PRP. 2 weeks, 4 weeks, 8 weeks later, each group was evaluated with histological and histomorphometric analyses. Results: In vitro, osteoblasts were identified on RT-PCR and silver nitrate stain. According to histological observation, at 2 weeks well-developed anasto-mosing newly-formed woven bone was observed, at 4 weeks anastomosing newly-formed woven bone having osteoblastic activation was observed, and at 8 weeks thick newly-formed woven bone was observed in both control and experimental groups. According to histomorphometric analysis, there were 1.5% more newly-formed bone volume in experimental group than control group at 2 weeks, 28.4% more at 4 weeks, 4.3% more at 8 weeks. Particularly there were significant differences in bone volume at 4 weeks and 8 weeks new bone. Conclusion: Our results demonstrated PRP may enhance osteogenesis of marrow-derived osteoblasts at 4 weeks, 8 weeks.

Stress of the Pediatric Patient′s Parent in the Emergency Department (응급의료센터에 내원한 환아부모의 스트레스)

  • Park In-Sook;Lee Nam-Hyeong
    • Child Health Nursing Research
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    • v.8 no.3
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    • pp.260-271
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    • 2002
  • This study was performed to identify the level of stress recognized by the parents as a support system for their infant patients who were hospitalized in an emergency department, thus to provide the resulting data as the basic material of care intervention for the families of infant patients. This study subjected the parents with infant patients who were hospitalized in emergency department of C University Hospital in Daejeon, and the data was collected from questionnaires for them, dating from Mar. 20, to Jun. 24, 2001 This study used the tool(30 questions) which was originally developed by Ji, Dong-ok (1992) for measuring the stress of families of infant patients in emergency room, and then was modified and complemented by this researcher suitably for infant patients. Collected data was statistically analyzed with frequency, percentage, mean, standard deviation, t-test, ANOVA, by using SPSS WIN10.0 program, and the results were as follows: 1. The stress of parents with infant patients hospitalized in emergency department averaged 3.31 on the basis of 5-point measure, which means that they felt stress beyond means. 2. The factor with high average out of stress factors the parents of infant patients recognized included the followings: 'about the pain of infant patients due to examination(3.91±1.00)'; 'about rare opportunity to be in contact with physician(3.78±1.09)'; 'delay in emergent treatment required for infant patients(3.75±1.31)'; 'delay in the general treatment of infant patients(3.72±1.32)'. Factors of the stress level includes the followings: 'care and medical treatment'(3.46±.72); 'body and diseases'(3.41±.97)'; 'lack of information and supportable resources (3.25±.77)'; and so on. 3. For the stress level according to general characteristics, there were statistically significant differences in the result of the condition of infant patients, medical treatment(P<.01), religion, the procedure of treatment(P<.05). With little preceding studies for infant patients hospitalized in emergency department, this study looked through the level of stress recognized by the parents of infant patients. Based on the comprehension on the parents with infant patients and the knowledge on stress factors recognized by the parents, it is expected that we can seek the methods of care intervention such as explanation of care and treatment procedures, unit policies, continuous interest and emotional supports as well as the provision of information to understand the responses of parents and reduce accompanied stresses.

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A Study on the Effect which the Method of Deep Breathing with the Use of Incentive Spirometer has on the function of pulmonary Ventilation - In Upper Abdominal Operation Patients - (Incentive Spirometer를 사용한 심호흡 방법이 폐환기 기능에 미치는 효과에 관한 연구 -상복부 수술 환자를 대상으로-)

  • 김종혜;변영순
    • Journal of Korean Academy of Nursing
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    • v.21 no.3
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    • pp.268-280
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    • 1991
  • The nursing intervention for the prevention of the pulmonary complication and of the function lowering of pulmonary ventilation which emerge with high generation frequency during the nursing of operation patient is necessary for performing the qualitative nursing for operation patient. So, this researcher tried this study so as to obtain the data which can be utilized for the trial of nursing intervention, by grasping the effect that the deep breathing with Incentive Spirometer has on the function of pulmonary ventilation, analysing the factor to have influence on the function of pulmonary ventilation, and applying the effective method of deep breathing to the clinic. By making 42 patients who underwent the operation of upper abdomen after admitting G Hospital in Seoul from Mar. 7, 1991 to Apr.30, 1991 as the object, they were classified into the experiment group that the deep breathing was made with the use of Incentive Spiromenter and the comparison group that the deep breathing exercise was made without the use of Incentive Spirometer. And then, by measuring Tidal Volume and Forced Vital Capacity with Respirometer and $O_2$ Saturation with Pulse Oximeter at preoperation postoperation 24 hours, 72 hours, and 120 hours data were collected. The collected data were analyzed with of, average, standard deviation, x$^2$-test, t-test and ANOVA by SPSS. The result of this study is as follows : 1. As for the hypothesis that the function of pulmonary ventilation at postoperation 24 hours, 72 hours and 120 hours will be better in the experiment group that the deep breathing was made with the use of Incentive Spirometer, in comparison with the comparison group that deep breathing was made without the use of Incentive Spirometer, experiment group and comparison group didn't show the significant difference in Tidal Volume, Foreced Vital Capacity and $O_2$ Saturation at postoperation 24 hours and 72 hours. But experiment group and comparison group showed the significant difference in Tidal Volume at postoperation 120 hours (p<0.01). So, this hypothesis was supported partially. 2. The variables that there were the significant differences about the function of pulmonary ventilation in experiment group at postoperation 24 hours stastically were smoking existence (p<0.05), and the variables that there were not significant differences about the function of pulmonary ventilation were distinction of sex, age, anesthetic duration, smoking extent, body weight, surface area of body, existence of narcotic use, regular exercise existence, and past experience existence of respiratory disease. As above result, it appeared that the method of deep breathing with the use of the Incentive Spirometer is more effective for the function recovery of pulmonary ventilation, in comparison with the deep breathing without use of Incentive Spirometer and that smoking existence was the factor to have influence on the function of pulmonary ventilation. In the aspect of clinic, the trial of nursing intervention of deep breathing with use of Incentive Spirometer is expected. And, in the aspect of study, the study through various operative site patients about the effect of Incentive Spirometer use at the clinic will have to be confirmed.

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A Study on the Effect of Skin Management which is based on the Lifestyle of Middleaged and Old Age Women (중.노년층 여성의 라이프스타일에 따른 외모 관리 효과에 관한 연구 - 피부 관리 효과를 중심으로 -)

  • Lim, Hee-Kyung;Choi, In-Ryu
    • The Research Journal of the Costume Culture
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    • v.18 no.4
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    • pp.670-686
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    • 2010
  • This study aims at clarifying the action types of skin management which is base on age, marriage or not, family composition, school career, and income which are demographic variables centering around the lifestyle of middleaged and old age women. As for study method, this researcher executed literature study and questionnaire on adult women over 45 years old who dwell in Seoul and Kyounggi area. Survey period was Mar. 1, 2009 to Jun. 30. And, after distributing 1,000 copies of questionnaire, this researcher used effective 869 copies of questionnaire for analysis out of collected questionnaire, 895 copies. As for analysis method, this researcher executed DUNCAN test with factor analysis, reliability analysis, manin component analysis, K-average, multitude analysis, dispersion analysis and post verification by using SPSS 12.0 program. As for demographic feature for middle aged and old age women, 50~59 years old women were most by age as 302 persons(33.7%). It is emerging that spouse existence is very high as 674 persons(75.3%) in the answer for marriage or not, couple family to live with unmarried children is very high as 483 persons(54.0%) in the answer for family composition, leaving high school in mid-course or gradation of high school are very high as 356 persons(39.8%) in the answer for school career, income from 3 million Won under 4 million won is very high as 260 persons(29.1%) in the answer for monthly income of family members, and women to use under 50 thousand won is very high as 510 persons(57.0%) in the monthly average expense to be used for skin management. In this study, this researcher extracted total 5 factors (economic saving, displaying consumption, confidence inclination, centering around family, and leisure application) by executing factor analysis with 12 question items of lifestyle so as to grasp factor structure of lifestyle of middleaged and old age people, and whole explanatory variable quantity was 70.9%. This researcher named as economic saving type, diplaying consumption style, and type centering around leisure and family, after making multitude analysis about 5 factors analyzed by measuring lifestyle feature. As the result of structure analysis of question items of skin management(pursuit of skin management, life of skin management, and inclination of skin management), this researcher extracted total 3 factors, and whole explanatory variable quantity was 71.30%. Thus, it emerged that there is significant difference among groups.

A Study on the Differences in Self-perceived Oral Health Levels in Workers at Seoul-Inchon Area (경인지역 근로자의 자기평가 구강건강수준 인식에 관한 연구)

  • Kim, Sook-Hyang;Hong, Min-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5692-5699
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    • 2011
  • This study aims to determine potential differences in self-perceived oral health levels between blue-collar and white-collar workers. It is based upon questionnaire survey data dating from Mar. 1 to 30, 2011. All the data collected from 200 blue-collar workers and 100 white-collar worker was analyzed using statistical tools like SPSS ver. 19.0. Self-perceived oral health levels were analysed across three sub-factors - physical, psycho-social, and psychological factors - which were confirmed through factor analysis. The psycho-social factor was statistically significant for age and shift work. Self-perceived oral health levels across the three factors were quantitatively correlated except for psychological factors in blue-collar workers. The study found that occupational group affects workers' self-perceived oral health level. The explanatory power of these 4 variables total 51% in blue-collar group. In case of white-collar group, it was found one variable total 30%. Since oral health levels differ between blue-collar and white-collar workers, oral health promotion projects should differentiate between the two groups, and workers with an interest in their tooth for the prevention, yet negligent act because it will keep your personal oral health care in the prevention-oriented oral health promotion.

Effect of Horticultural Therapy on Activities of Daily Living and Interpersonal Relation of Institutionalized Intellectual Disabilities (공동생활시설 내 지적 장애인의 일상생활동작 및 대인관계에 미치는 원예치료의 영향)

  • Park, Hyung-Wook;Kim, Hong-Yul;Huh, Moo-Ryong;Son, Beung-Gu;Lim, Ki-Byung;Park, Woo-Chung;So, In-Sup
    • Journal of agriculture & life science
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    • v.46 no.3
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    • pp.11-17
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    • 2012
  • This study was conducted to clarify the effect of horticultural therapy on activities of daily living and interpersonal relation of institutionalized intellectual disabilities. The experiment was performed with 8 controls and 8 experiments of J institution in Yongdam, Jeju. Horticultural therapy program was performed once a week for 2 hours total 20 times from Mar. 2009 through mid July 2009. Evaluation in activities of daily living indicated that all functions except eating showed no change or worsened in controls, however, all functions except moving were improved in experimental subjects. Interpersonal relation evaluation showed no difference from 42.25 to 42.25 in control, but increased 8.62 points from 41.75 to 50.37 showing very significant change at the level of 99% in experimental subjects. Group activity evaluation increased very significantly at the level of 99% in physical/perceptual abilities, social interaction, cognitive ability, emotion status, and vocational interests. From the above results, horticultural therapy proved effectively in activities of daily living and interpersonal relation of institutionalized intellectual disabilities.