• The Korean Journal of Pain
• /
• 제9권1호
• /
• pp.69-74
• /
• 1996

Background: Efficacy of spinal opioids for the treatment of intractable cancer pain has been reported by several authors. The epidural route seems to be a more reliable and effective method of pain control as compared to the intrathecal route which can lead to opioids by portal system. Methods: Medical records were reviewed of 18 patients who had been treated with epidural morphine via an implanted port-A-Cath from Mar. 1991 to Sep. 1994. Results: Patients were treated for a mean of 92 days. There were wide variation of dose requirements. The minimum daily dose ranged from 2 to 10mg, and maximum daily dose from 3 to 30 mg. Verbal rating scale were below moderate until 100th days after posrtal implantation. When 3 patients suffered from aggravated pain associated with vertebral metastasis. Five of 11 patients who were administered medication longer than 50 days reguired increased doses ranging from 3 mg to 25 mg which were higher as compared to initial doses. These patients also experienced pain due to vertebral metastasis. There were no report of epidural scarring, respiratory depression, epidural infections, meningitis, or catheter blockade. Conclusion: Continuous epidural morphine administration via Port-A-Cath is an effective method with minimal complication.

• 천문학회보
• /
• 제36권2호
• /
• pp.138.2-138.2
• /
• 2011

Astronomical data such as calendar day and time of rising/setting of the sun and onset of twilight are essential in our daily lives. Knowing the calendar day of the past is particularly crucial for studying the history of a clan or a nation. To verify previous studies on the calendar day of the Joseon dynasty (1392 - 1910), we also investigated the sexagenary cycle of the new moon day (i.e., the first day in a lunar month) using different sources: results of the calculation by the Datong calendar (a Chinese Calendar of the Ming Dynasty) and data of Baekjungryeok (a Perpetual Calendar - literally, a one hundred-year almanac). Compared with the study of Ahn et al., we have found that as many as 17 sexagenary cycles show discrepancies. In the case of nine discrepancies, we found that the sexagenary cycles of this study are identical to those of the almanacs at that time. In addition, we study six sexagenary cycles by using the historical accounts of Joseon Wangjo Sillok (Annals of the Joseon Dynasty), Seungjeongwon Ilgi (Daily Records of Royal Secretariat), Chungung Ilgi (Logs of Crown Prince), and so forth. We present historical materials supporting the results of this study for the remainder. In conclusion, we think that this study will greatly contribute to the comparison between luni-solar calendar days during the Joseon dynasty and those in the modern (i.e., Gregorian) calendar.

• 사상체질의학회지
• /
• 제31권4호
• /
• pp.41-56
• /
• 2019

Objective The purpose of this study is to analyze the daily life records of atopic dermatitis patients according to Sasang Constitution based on the data recorded using Personal Health Record (PHR) platform, and to find basic data for the Sasang Constitutional daily life management and prevention. Method Thirty patients with atopic dermatitis under 19 years old were included. The data recorded using PHR platform by the patient or the parents for 6 weeks and allergic blood tests were analyzed according to Sasang Constitution. Result As a result of analyzing the atopic dermatitis PHR related to Sasang Constitutional characteristics, there were no significant differences due to the small number of subjects. There were a tendency associated with the Sasang Constitutional characteristics in the emotional state, urine, stool and weakness score of five viscera. Allergic reactions tended to occur in those with higher weakness score of Viscera. There was a significant correlation between quality of life and SCORing Atopic Dermatitis(SCORAD) score. Conclusion This study can be considered as a primary study on items that tend to be associated with Sasang constitutional characteristics in patients with atopic dermatitis.

• 한국응급구조학회지
• /
• 제14권1호
• /
• pp.31-46
• /
• 2010

This study was intended to analyze the clinical characteristic of the patient with hypoglycemia and the status of prehospital treatments by 119 emergency medical technicians well as the cause of inappropriate emergency treatment by 119 emergency medical technicians in a bid to seek the measures for improvement, thereby enhancing the emergency medical services before medical treatment at hospital. Examination of the daily work log on 430 patients suffering with hypoglycemia who were sent to the university hospital in Gyunggi-Province by 119 emergency medical technicians, beginning on Jan 1, 2004 till Dec 31. 2008 was carried out and the survey of 206 119 emergency medical technicians working at the region of Gyunggid-Province was conducted from Sep 19 through Oct 6, 2009. Evaluation of the frequency and percentage and ANOVA analysis using SPSS WIN 14.0 program was carried out. In view of the examination of daily emergency work log and questionnaire, prehospital treatment for the patients with hypoglycemia needs to be further improved in general, and to provide the emergency treatment in accurate and timely manner, improvement of the system such as assignment of licensed rescue members and development of protocol that will replace the medical consultant system, mandatory emergency treatment, constant and efficient training and maintenance of emergency rescue records shall be implemented, and furthermore, social recognition to 119 emergency medical technicians shall be improved to encourage them to perform more positive way and manner.

• 아동학회지
• /
• 제33권3호
• /
• pp.149-175
• /
• 2012

This study is designed to positively transform a teacher's emotional state whilst teaching their classes and be able to create happier lessons for preschool children. To do this, a teacher needs to reflect upon current problems and take steps to deal with them. The data for this study was collected from participatory observation and in-depth interviews, making use of photos, a reflective teacher's journal and interview records from Mar. 28, 2011 through Oct. 7, 2011. The problems identified were, (1) teacher centered classes, (2) a daily routine filled with large group activities, (3) disruptive students, and (4) repetitiveness. The routes to greater classroom "happiness" are (1) rearranging seats, (2) "story sharing activities" in small groups, (3) making a separate "story sharing activity" area, (4) using small groups instead of large groups, (5) changing the daily routine. The role of the teacher in finding greater "happiness" are (1) meaningful, 'real observation', (2) discovering genuine change from small points, (3) power sharing, and (4) growing and developing with children.

• 한국전자파학회논문지
• /
• 제9권5호
• /
• pp.687-697
• /
• 1998

최근 국내 전력설비에서 발생하는 전자계에 대한 관심이 증가하고 있지만 이에 대한 정확한 자료 파악은 극히 미미한 실정이다. 본고에서는 송전선로에서 발생하는 전계와 자계의 수준을 알아보기 위하여 전국 1537H의 송전 선로를 대상으로 전계와 자계를 측정하였다. 측정 지점의 전계와 자계 최대치들의 중간값은 각각 0.47 kV /m, 11.6 mG 최고 값은 각각 3.16 kV /m, 125 mG로 나타났으며, 전세계의 전자계 관련 권고치나 기준치에 비해 낮은 값임을 알 수 있었다. 아울러 몇 가지 경우에 대하여 가전제품에서 발생하는 자계와 일일 자계 노출량올 측정 하였고 이를 송전선로의 자계 크기와 비교하였다.

• 대한물리의학회지
• /
• 제4권2호
• /
• pp.125-131
• /
• 2009

Purpose：This study performed to evaluate the effect of hip fracture among persons over 50 years old, in Jeju-do, Korea, on mortality, activity of daily living(ADL). Methods：Three hundred eighteen patients over to 50 years of age who lived in Jeju-do and sustained a hip fracture from January 1st 2003 to December 31th 2004 were recruited. The information collected from the hospital records for each patient included age, sex, date of onset, and patients investigated activity grade, ADL, outdoor walking aid on 3month, 6month and 12month. Results：The incidence was 12.5/10,000 for total patients(female 17.0/10,000, male 6.3/10,000) in population over 50 years old. Patients who had lower activity grade and ADL level, showed higher mortality, and patients using outdoor walking aid showed higher mortality. Conclusion：The activity grade, ADL level, Using of outdoor walking aid affect mortality, so more programs about ADL must be developed for the life span and quality of life.

• Journal of Nutrition and Health
• /
• 제26권6호
• /
• pp.703-714
• /
• 1993

The iron content of 178 food items were analyzed by ICP to provide database to calculate dietary intake of iron in Korea. The analysis data showed significant deviations of iron contents in some food items compared with Food Composition Table of KRNI which is most widely used at present. Three day dietary intake records were collected from 96 female college students to estimate mean daily iron intake and bioavailability of dietary iron. Mean daily intake of total iron in the study subjects was 13.2mg and heme iron intake was 0.94mg, 6.7% of total iron intake. BGioavailability of dietary iron was calculated by two methods. Total absorbable iron was calculated by the method of Monsen, body iron storage of the subjects being estimated with serum ferritin concentrations, was 1.21mg and bioavailability of dietary iron was thus 9.3%. Bioavailability calculated with the method by Hallberg was 11.22%. Two values of dietary iron bioavailability of the present study are lower than the reported values in adult women consuming typical western diets but within the range estimated for vegetarians. Considering high prevalence of iron deficiency based on serum ferritin concentrations and low bioavailability of diet in young adult Korean women, more efforts should be made to increase the content and bioavailability of iron in diet of Korea adult women.

• 지역사회간호학회지
• /
• 제29권4호
• /
• pp.510-519
• /
• 2018

Purpose: The purpose of this meta-analysis isto identify social psychological factors related to quality of life and estimate the effect sizes of the factors among patients with strokes. Methods: Thirteen studies with a total of 1,814 patients published from the earliest records to January 8, 2017 were selected through a systematic process of searching the literature, and evaluated against influencing factors of quality of life and their effect sizes. Pooled effect sizes were calculated using the random effect model. Meta-analysis was conducted by R software. Results: The following influencing factors had a strong association with quality of life with stroke: depression (r=-.50; 95% CI: -0.63~-0.46), activities of daily living (r=.46; 95% CI: 0.35~0.56), and social support (r=.40; 95% CI: 0.24~0.53). Conclusion: The findings confirm that depression, activities of daily living and social support are associated with quality of life among patients with stroke survivors. We recommend that any intervention program to improve the quality of life with stroke patients consider addressing these modifiable influencing factors.

• 한국전문물리치료학회지
• /
• 제31권1호
• /
• pp.48-54
• /
• 2024

Background: Promoting patients' safe return home at discharge and reducing length of stay in hospital is key for Restorative Rehabilitation Institution (RMI). Objects: This study was designed to identify the factors influencing the return to home and length of stay among various factors. Methods: A total of 120 stroke patients (76 males and 44 females) who were hospitalized in an adult inpatient unit of a RMI for more than 2 months were retrospectively analyzed for this study (multivariate logistic regression analyses, p < 0.001). As predictor variables for assessing the return to home and length of stay, demographic data (sex, age, duration between onset and admission, length of stay, caregiver after discharge, occupation after discharge, reason for discharge, and household type after discharge) were collected. Additionally, following measurements were selectively collected from patient's medical records: scores of Mini-Mental State Examination Korean version (K-MMSE), modified Barthel Index Korean version (K-MBI), Berg Balance Scale and Functional Ambulation Category were obtained at admission and discharge. Results: The K-MMSE at admission and K-MBI at discharge were found to be the predictors of return to home. Additionally, K-MBI at admission influenced the length of stay. Conclusion: This study suggests cognitive functioning at admission and the level of activities of daily living at discharge predicted the return to home and length of stay.