• 제목/요약/키워드: syndrom

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임상가를 위한 특집 2 - 폐쇄성 수면 무호흡증의 외과적 치료: 최신 경향 (Surgical Management of Obsructive Slepp Apnea Syndrom: latest tendency)

  • 송승일;이호경
    • 대한치과의사협회지
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    • 제52권10호
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    • pp.602-614
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    • 2014
  • 폐쇄성 수면 무호흡증(OSAS)환자의 외과적 치료(surgical treatment)로는 다양한 방법들이 있고 수술 방법의 선택시 여러 인자들을 고려해서 선택해야 한다. 즉, 수술은 폐쇄성 수면 무호흡증(OSAS)을 조절하는데 있어 보존적 치료 (non-surgical treatment)의 좋은 대체 방안(alternative chance)이 될 수 있기에, 증상(OSAS)의 주관적(subjective), 객관적(objective), 심각성(severity)을 해부학적 이상(anatomic abnormality) 정도와 연관시켜 적절한 수술법(surgical procedure)을 선택해야 한다. 수술 방법은 한가지 방법을 사용(single-level)하는지, 여러 수술 방법을 통합하여 사용(multi-level)하는지에 따라 다양하며, 그 예후도 각각 다르다. 중요한 점은 다단계 폐색(multilevel obstruction)이 있는 경우에는 다단계 치료(multilevel treatment) 방법이 가장 추천된다는 것이며, 이는 단지 증상(OSAS)의 심각성(severity)을 기준으로만 평가해서는 안되며 경도나 중등도(mild to moderate)의 환자에서도 필요시 보존적 치료(non-surgical treatment)를 시행하기 전에 다단계 외과적 치료(multilevel surgical treatment) 방법을 적극적으로 고려해야 한다. 비록 다단계 치료(multilevel treatment)방법은 상대적으로 짧은 임상 기간을 거쳤지만, 앞으로 지속적인 연구 결과(evidence-based data)를 이어간다면, 개개 환자에 맞는 최적의 치료 방법(optimal surgical intervention)을 제시할 수 있을 것이다.

신증후군 환아 어머니의 삶의 질에 관한 예측모형 (A Prediction Model for the Quality of Life in Mothers of Children with Nephrotic Syndrom)

  • 백승남
    • Child Health Nursing Research
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    • 제7권3호
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    • pp.280-297
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    • 2001
  • The purpose of the study was to develop and test the model for the quality of life in mothers of children with nephrotic syndrome. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around ten constructs. Exogenous variables included in this model were mother's health, father's health, marital intimacy, mother's attitude on children, economic state, side effect of steroid, severity of illness and social support. Endogenous variables were mother's burden and quality of life. Empirical data for testing the hypothetical model were collected by using a self-report questionnaire from 152 mothers of children with nephrotic syndrom at the outpatient clinics and in the hospital. The data was collected from May, 1999 to August, 1999.Reliability of the seven instruments was tested with Cronbach's alpha which ranged from 0.71 - 0.92.For the data analysis, SPSS 8.0 WIN program and LISREL 8.20 WIN program were used for descriptive statistics and covariance structural analysis. The results of covariance structural analysis were as follow :1. The hypothetical model showed a good fit with the empirical data. [x2 = .56, df = 3, p = .90(p>.05 ), GFI = .99, AGFI = .99, RMSR = .005.] 2. For the parsimony of model, a modified model was constructed by deleting 1 variable and excluding 2 paths according to the criteria of statistical significance and meaning.3. The modified model also showed a good fit with the data[x2 = 2.83, df = 7, p = .90( p>.05 ), GFI = 1.00, AGFI = .97, RMSR = .011].The result of the testing of the hypothesis were as follows : 1. Mother's health(γ21 = .26, t = 4.16), father's health(γ22 = .19, t = 2.92), marital intimacy(γ23 = .26, t = 4.13) and social support(γ28 = .12, t = 2.03) had a significant direct effect on the quality of life.2. Mother's burden(β21 = -.20, t = -3.10) had a significant negative direct effect on the quality of life.3. Mother's attitude on children(γ14 = -.34, t = .-4.57), mother's health(γ11 = -.22, t = -2.96) and side effect of steroid (γ16 = -.23, t = .-2.69) had a significant direct negative effect on the burden. The result of this study showed that mother's health, marital intimacy, mother's burden, father's health, and social support had a significant direct effect on the quality of life. Mother's attitude on children, mother's health, and side effect of steroid had a significant direct effect on mother's burden. These six variables, mother's health, marital intimacy, father's health, social support, mother's attitude on children and side effect of steroid were identified as relatively important variables. The results of this study suggest, it needed to determine the nursing intervention will alleviate mother's burden and promote a greater quality of life in mothers of children with nephrotic syndrom.

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Antibody analysis of fragile X syndrom patients

  • Kim, Kang-Young;Yoon, In-Sook;Kim, Jong-Bong;Jin, Dong-Kyu
    • 한국동물학회:학술대회논문집
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    • 한국동물학회 1999년도 한국생물과학협회 학술발표대회
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    • pp.253.2-253
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    • 1999
  • No Abstract, See Full Text

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전광증 환자 1례에 대한 임상적 고찰 (Clinical Report of One Patient with Schizophrenia)

  • 양재선;염승룡;권영달
    • 동의생리병리학회지
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    • 제18권5호
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    • pp.1538-1541
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    • 2004
  • Jeon-Kwang(癲狂) is a term of oriental medicine, corresponding to schizophrenia. In detail, Jeon-Kwang is divided into Jeon(癲) and Kwang(狂). The symptoms of Jeon have silence, cry and giggle alternately, muttering, and so on. And those of Kwang have quick-tempered, absurd remarks, slander, and so on. We expierenced a patient who was suffered from headache, auditory hallucination, insomnia, anxiety, delirium, memory impairment and, cognitive disorder. In this case, we gave a diagnosis of Jeon-Kwang(狂) and, treated the patient with acupuncture therapy and sa-ha(瀉下) therapy (Dangguiseunggi-tang, Hwangryunsasim-tang). Sa-ha therapy is an oriental medicine therapy about wha(火) syndrom such as constipation, hydrodipsomania, red face. After three weeks of oriental medicine treatment, the chief complaints were considerablely reduced. This suggested that sa-ha herbal treatment have an effect on psychopathy.

여대생들의 신체상과 다이어트가 섭식장애, 식이섭취량 및 사회심리적 요인에 미치는 영향 (Effects of Body Image and Restrained Eating on Eating Disorder, Dietary Intakes, Self Esteem and Sex Role Identity in College Women)

  • 주은정;박숙희
    • 동아시아식생활학회지
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    • 제8권4호
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    • pp.399-411
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    • 1998
  • Thinness has become a symbol for beauty, acceptance and competence for women in our society, and pressure to diet because of this unrealistic standard is one factor reponsible for the increasing incidence of eating disorder. Three hundred fifty college women in the Chonbuk area were surveyed from May to June 1998, to investigate the relationship among body image, eating disorder, dietary intakes, self esteem and sex role identity. This study identified a subgroup of women who were relatively satisfied with their body weight and who did not diet. This group was compared with subgroups of women who were dissatisfied with their bodies and either were or were not restrained eaters. The dissatisfied/dieting women had the highest BMI, binge eating disorder and night eating syndrom, had significantly lower calorie, protein, iron, vitamin B$_1$, and vitamin B$_2$ intake compared with the satisfied/non-dieting women. The dissatisfied /dieting women, who had lower self-esteem compared with the satisfied/non-dieting women, but the frequency of sex role identity was similga among the groups of women. BMI and binge eating disorder were positively correlated(r=0.157, p<.01), but BMI and self esteem were negatively correlated(r=-0.202, p<0.01). Especially, binge eating disorder and self esteem were negatively correlated (r=-0.126, p<0.05).

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다운증과 비다운증 정신지체인의 성격특성 비교 (Personality comparison between the mental retarded with and without Down Syndrome)

  • 김정은
    • 수산해양교육연구
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    • 제19권1호
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    • pp.91-100
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    • 2007
  • The purpose of this study was to compare personality existed in the populations of the mentally retarded with and without Down syndrome. For this purpose, two research questions were proposed. (a) Is there any difference of personality existed between two groups? (b) Is there any difference of sub-personality existed between two groups by disability degree? Participants in this are 159 people with mental retardation(the mentally retarded with Down syndrom: 82, the mentally retarded without Down syndrom : 77) in P and S cities. First of all, the reliability in measurement instrument was verified through a pre-study. For the first research question, t-test was used. And two way ANOVA was used to investigate the second research question. The results of this study were as follows:First, according to the result of t-test, there were significant differences of personality scores between two groups. And there were significant differences between the mentally retarded with and without Down syndrome regard to expectation of success, outerdirectedness, positive or negative responding tendency, curiosity among sub-personality factors. Second, the result of the two way ANOVA analysis, no meaningful statistically difference in personality by degree of the impairment. But It showed difference regard to effectancy motivation, expectation of success, curiosity among sub-personality factors between the mentally retarded with and without Down syndrome by impairment degree.

DSOM 변수와 일반혈액검사 및 일반화학검사와의 상관 관계 (Study on Correlation with DSOM Fluents and CBC, Biochemical Examination)

  • 지규용;김종원;이용태;김규곤;이인선
    • 동의생리병리학회지
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    • 제21권1호
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    • pp.308-317
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    • 2007
  • This study was investigated to know the correlation of complete blood count(CBC), biochemical examination and DSOM fluents(Diagnosis System of Oriental Medicine, (C)2005-01-122-004154). There are 5 fluents in DSOM such as DSOM score(病機點數), mean of the index for pathogenic factor(病機指標 平均), 5-division of DSOM score(病機點數 五點尺度), 5-division of the index for pathogenic factor(病機點數 五點尺度), weighted pathogenic factor(病機加重値).We have carried out clinical trials who volunteered for Sasang constitutional medicine and Oriental OB & GY, Oriental Medical hospital of Dong-Eui University, from May 2005 to June 2006. Volunteers were 245 persons. Because 7 persons didn't checkup DSOM, so we analyzed the results statistically for 238 persons. In the relation of CBC and DSOM, the scores(病機點數, zp) and mean of the index for Pathogenic factor(病機指標 平均, zps) showed correlation more frequently, and correlation with results of RBC, hemoglobin, hematocrit was more significant. Correlation with fluents of pathogenic factor(病機) were more significant and high in deficiency of blood(血虛), insufficiency of Yang(陽虛), coldness(寒), damp(濕), dryness(燥), kidney(腎), phlegm(痰), heat syndrom(熱), lung(肺), and was very low in spleen(脾). There was no correlation with deficiency of Yin(陰虛). If volunteers have DSOM fluents, results of RBC and RBC index was decreased(- derection), and results of RDW, ESR was increased(+ direction). But increase and decrease direction in heat syndrom(熱), lung(肺) was contrary to the others. Correlation with fluents of Pathogenic factor(病機) of WBC, platlet, PDW, MPV was not many. In the relation of biochemical examination and DSOM fluents, correlation with results of albumin, uric acid, triglyceride was more significant. If volunteers have fluents of pathogenic factor(病機), result of examination was usually decreased. Especially result of examination was decreased(- derection) highly in deficiency of blood(血虛), stagnation of (氣滯) coldness(寒), dryness(燥), and was increased(+ direction) highly in heat syndrom(熱), lung(肺). But there was a tendency to show high correlation with specific pathogenic factor (病機) and specific examination in biochemical examination.

바이러스 비감염 건강종묘를 이용한 대하양식

  • 장인권;최용석;임현정;이실한
    • 한국어업기술학회:학술대회논문집
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    • 한국어업기술학회 2000년도 추계수산관련학회 공동학술대회발표요지집
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    • pp.191-192
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    • 2000
  • 서해안을 중심으로 이루어지고 있는 우리나라 새우양식은 최근 수년간 비약적으로 증가하여 연간 양식대하 생산량은 2천톤을 넘는 서해안의 가장 중요한 양식품종의 하나로 정착되어 가고 있지만 질병, 특히 바이러스성 질병에 의한 피해는 새우양식의 가장 큰 장애요인으로 작용하고 있는 실정이다. 흰반점증후군(WSSD: white spot syndrom disease)으로 알려진 바이러스질병은 1993년 국내에 최초로 보고되었으며 국립수산진흥원을 비롯하여 일본, 대만 등 여러나라에서도 이것의 원인 바이러스인 WSSV의 진단 등에 대한 많은 연구가 이루어져 있다(농림부, 1998; Kim et al., 1998; Inouye et al., 1996; Zhan and Wang, 1998). (중략)

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