• 대한간호학회지
• /
• 제11권1호
• /
• pp.45-63
• /
• 1981

This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

• Advances in pediatric surgery
• /
• 제9권1호
• /
• pp.6-11
• /
• 2003

This study reviews 14 years' experience treating esophageal atresia with special emphasis on the clinical profile and outcome. From May 1989 to February 2003, 65 cases of esophageal atresia (EA) were treated at Asan Medical Center. Boys outnumbered girls 2.4 to 1. Prematutity and low birth weight were 27.7% and 38.5%. Esophageal atresia with distal tracheoesophageal fistula (TEF) was the most common type (87.7%), followed by pure EA and H type fistula. Forty-six patients (70.8%) had one or more associated anomalies, cardiac malformations were the most common. Duodenal atresia was found in 7 cases. There were 6 patients (9.2 %) with VATER cluster. VACTERL cluster was present in 18 patients (27.7%), one of who fulfilled the complete syndrome. Waterston group A, B and C made up 21.5%, 40.0% and 38.5% of the total group. Surgical treatment was attempted in 63 patients and deferred in 2 who had severe associated malformations. For EA with distal TEF, primary esophago esophagostomy was carried out in 51 cases, and division of TEF and gastrostomy in 4 cases and no operation in 2 cases. For pure EA, colonic graft was done in 2 after gastrostomy and esophagostomy, and esophago esophagostomy was performed in 2 after gastrostomy. Two patients with pure EA are waiting for the second operation after gastrostomy. Division of TEF was carried out in 2 cases with H type TEF. The overall survival rate was 76.9%, and survival by Waterston classification was 100% in group A, 80.8% in B and 60.0% in C. Thorough workup for associated anomalies, interdepartmental approach and more careful surgical decision and technique are required to improve the outcome of EA.

• 대한치과의사협회지
• /
• 제53권7호
• /
• pp.485-499
• /
• 2015

Purpose: Delayed intentional replantation was introduced as a new alternative to treat the teeth with severe periodontal involvement. The purpose of this study was to elucidate the possibility of delayed intentional replantation and establish theoretical backgrounds. Materials and Methods: Studies were performed into the following two subjects; (1)Clinical evaluation of patients who underwent delayed intentional replantation using clinical and radiographic data. Severe periodontitis involved teeth were carefully extracted and proper time for delayed replantation was evaluated by analyzing inflammation markers (IL-6, TNF-${\alpha}$). (2) Theoretical studies for efficacy of delayed intentional replantation using (-)-Epigallocatechin-3-gallate (EGCG) for preservation of periodontal ligament cells on root surface by minimizing inflammation and treatment of inflammatory extraction sockets. Results: Meaningful success ratio and survival rate were found in delayed intentional replantation showing reduced bone loss and maintained bone level. Additionally, viability of EGCG applied periodontal ligament cells was much higher than control group. Also, EGCG promoted healing of inflammatory extraction sockets by inhibiting inflammatory cell proliferation. Conclusion: Within the limitations of this study, 1-2 weeks after extraction is an appropriate time to do delayed intentional replantation. Also, EGCG provides helpful effects on viability of periodontal ligament cells and periodontium.

• Tuberculosis and Respiratory Diseases
• /
• 제43권3호
• /
• pp.339-347
• /
• 1996

연구배경 : 폐암의 증가로 방사선 검사상 폐결절의 발견이 증가되고 있어 지금까지 비교적 간편하고 안전한 방법으로 알려진 경피적 세침 흡인술의 진단적 유용성과 합병증에 대해 조사하였다. 방법 : 1990년 1월부터 1994년 12월까지 4년간 말초성 병변이 있거나 중심성 병변이나 기관지경으로 진단하지 못해 경피적 세침 흡인술을 시행한 125명의 병록을 후향적으로 검토하였다. 결과 : 1) 대상환자에 대한 TNAB의 전체적인 진단율은 61.6%였다. 2) TNAB에 의한 악성 병변의 진단율은 89.9%로 높고, 양성 병 i연의 진단율은 30%로 낮았다. 3) TNAB에 의한 세포학적 검사와 수술에 의한 조직학적 검사와의 일치도는 88.2%로 비교적 높은 정확도를 보였다. 4) TNAB에 의한 진단율은 말초성 병변은 62.1%, 중심성 병변은 45.5%로 의미있는 차이는 없었지만 3cm 이상인 병변은 73.3%, 3cm 미만인 병변은 38.1%로 3cm 이상인 군에서 의미있게 높았다. 5) 합병증은 대상환자의 12.8%에서 발생하였으나 경미하여 특별한 치료를 요하는 경우는 1.6%에 불과하였다. 결론 : TNAB는 객담검사나 기관지경 검사 등으로 진단을 내리지 못하는 국소성 폐병변의 진단에 안전하고 유용한 검사 방법으로 생각된다. 특히 악성 병변인 경우 진단율이 높고 조직학적 소견과 일치도가 높아 진단과 치료 방침을 결정하는 매우 유용한 검사 방법으로 생각되며 양성 병변의 경우 진단율이 낮지만 향후 진단율을 높이기 위한 여러 방법을 사용할 경우 진단율이 증가될 것으로 생각된다.

• 청정기술
• /
• 제20권4호
• /
• pp.398-405
• /
• 2014

수명이 도래한 고에너지물질의 처리를 위해 환경오염 및 안전성, 처리용량 등을 고려해야 하며, 현재 가장 주목 받고 있는 처리방식은 소각처리공정이다. 그러나 처리대상 고에너지물질의 종류가 매우 다양하고, 특성 또한 다르기 때문에 범용적 기술개발이 힘든 실정이다. 본 연구는 상세 수학적모델링 및 동적모사를 통하여 가장 널리 사용되는 고에너지물질의 하나인 고폭약(research department explosive, RDX)을 플러그흐름반응기(plug flow reactor, PFR)에서 소각 시 반응기 내부의 물리-화학적 변화를 예측하였다. 본 연구에서 사용된 RDX반응은 263개의 상세한 기초반응식으로 이루어져 있으며 43개의 성분이 반응에 관여한다. 모사결과 반응기 내부온도를 제어하여 RDX의 민감성을 통제할 수 있었다. 반응기 내부온도를 1,200 K로 유지 할 때 RDX는 분해반응만 일어나 폭발과 같은 큰 에너지 방출을 막을 수 있었으나 공급되는 열원이 높아져 1,300 K이상 반응기 온도가 증가 시에는 3,000 K 이상의 온도상승을 수반하는 발화반응이 일어났다. 본 연구를 통하여 반응기의 운전온도변화에 따른 RDX반응 특성을 제시함으로써 효율적인 RDX소각로 공정설계 및 운전에 기초가 될 것으로 사료된다.

• 한국정보시스템학회지:정보시스템연구
• /
• 제25권1호
• /
• pp.49-73
• /
• 2016

연구목적 기존 정보시스템 연구에서 정보기술 역량과 기업 성과 간 관계에 대해 다양한 관점의 많은 연구들이 있었음에도 불구하고 아직까지 공통된 결론에 이르지는 못하고 있다. 본 연구는 전사적자원관리(ERP) 시스템 도입을 중심으로 정보기술 역량을 파악하여 정보기술 역량과 기업 성과 간 관계에 대한 재고찰을 시도한다. 연구설계/방법론/접근법 기존 관련 연구들은 1990년대나 2000년대 초반의 다소 오래된 기업사례들을 대상으로 하거나 ERP를 도입한 처리그룹과 이에 상응하는 통제그룹을 적절히 매칭하지 못한 채 양자 간 관계를 분석하고 있다는 점에서 자료 및 분석 방법 측면의 문제점을 갖고 있다. 이에 따라 본 연구는 2000년대 후반 들어 전사적자원관리 시스템을 도입한 기업들을 중심으로 성향점수매칭(propensity score matching) 및 이중차이분석(difference-in-difference) 방법을 적용하여 전사적자원관리 시스템을 도입한 기업과 이에 상응하는 미도입 기업을 체계적으로 매칭하고 이들 간의 기간 간 성과 차이를 분석한다. 결과 본 연구 결과에 따르면 전사적자원관리 시스템 도입 기업과 미도입 기업 간 수익성 지표에서 통계적으로 유의한 차이는 없는 것으로 나타났다. 본 연구는 정보시스템의 전유가 경쟁력을 제공했던 과거와 달리 최근 표준화된 정보시스템의 등장과 더불어 단순히 정보시스템 도입 만으로는 더 이상 경쟁 우위를 달성할 수 없다는 점을 시사하고 있다.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제40권
• /
• pp.18.1-18.6
• /
• 2018

Background: Clefts in newborns are associated with severe morphological and functional impairment. Especially the lip is of importance as if the treatment result is unsatisfactory, it can lead to psychological changes in the patient. Different operative procedures have been developed over the last decades. The aim of the presented study was the comparison of the surgical techniques according to Millard and Pfeifer regarding the temporal development of the postoperative symmetry of the lip height and mouth width. Methods: Digitized photographs of patients from the department of oral and maxillofacial surgery at the University of Göttingen were evaluated from 1979 to 1996. With a video analysis program, the lip height and mouth width were analyzed regarding the symmetry. We demonstrated the symmetry values over a period of 8 years in order to show the influence of growth on postoperative results. Results: The development of the vertical symmetry of the Philtrum and the lip vermillion on the cleft side in comparison to the healthy side behaves differently depending on Pfeifer and Millard. The lip height of the cleft lip was shorter in both techniques than on the healthy side, but Pfeifer's difference was significantly more pronounced. The lip vermillion height on the cleft side was slightly shorter in the Millard group and markedly larger in the Pfeifer group. Both techniques can achieve good symmetry results for the vertical dimension of the lip. According to Pfeifer, the development of the horizontal dimension on the cleft side is bigger within the first 4 years than on the healthy side; according to the Millard technique, the horizontal development is smaller. These differences are greater within the first 6 years and approach between the 6th and 8th year. Conclusions: The Millard technique demonstrates better results concerning the philtrum and vermillion symmetry during growth within the first 6 years. Over the whole study period, growth corrects the philtrum and vermillion symmetry within the Pfeifer group.

• Tuberculosis and Respiratory Diseases
• /
• 제45권2호
• /
• pp.429-436
• /
• 1998

저지들은 이전의 문헌과 비슷하게 만성 특발성 혈소판 감소증 환자에서 cyclophosphamide와 스테로이드 치료도중 cyclo-phosphamide 최초 투여 시작일로부터 1~2개월이내에 발생한 조기 발현형 폐독성으로 개흉폐생검을 통하여 진단한 후 조기에 cyclophosphamide의 투여 중단과 함께 스테로이드 사용에도 불구하고 진행성 호흡부전으로 사망한 환자를 경험하였기에 이틀 문헌고찰과 함께 보고하는 바이다.

• The Journal of Advanced Prosthodontics
• /
• 제5권1호
• /
• pp.29-35
• /
• 2013

PURPOSE. To longitudinally assess the quality of life in maxillectomy patients rehabilitated with obturator prosthesis. MATERIALS AND METHODS. Thirty-six subjects were enrolled in the span of 16 months, out of which six were dropouts. Subjects (age group 20-60 years) with maxillary defects, irrespective of the cause, planned for definite obturator prosthesis, were recruited. The Hindi version of European Organization for Research and Treatment of Cancer, Head and Neck version 1 of Quality of Life Questionnaire was used before surgical intervention and one month after definitive obturator. Questionnaire includes 35 questions related to the patient's physical health, well being, psychological status, social relation and environmental conditions. The data were processed with statistical package for social science (SPSS). Probability level of P<.05 was considered statistically significant. RESULTS. The quality of life after rehabilitation with obturator prosthesis was 81.48% (${\pm}13.64$) on average. On item-level, maximum mean scores were obtained for items problem with teeth ($1.87{\pm}0.94$), pain in mouth ($1.80{\pm}0.92$), trouble in eating ($1.70{\pm}0.88$), trouble in talking to other people ($1.60{\pm}1.22$), problems in swallowing solid food ($1.57{\pm}1.22$) and bothering appearance ($1.53{\pm}1.04$); while minimum scores were obtained for the items coughing ($1.17{\pm}0.38$), hoarseness of voice ($1.17{\pm}0.53$), painful throat ($1.13{\pm}0.43$), trouble in having social contacts with friends ($1.10{\pm}0.40$) and trouble having physical contacts with family or friends ($1.10{\pm}0.31$). CONCLUSION. Obturator prosthesis is a highly positive and non-invasive approach to improve the quality of life of patients with maxillectomy defects.

• 생명과학회지
• /
• 제26권8호
• /
• pp.983-989
• /
• 2016

체내를 구성하는 모든 세포는 시간이 흐름에 따라 그들의 주위환경에 좌우되어 분화, 괴사, 세포자살, 세포노화와 같은 운명을 경험한다. 이러한 세포과정에서 발생하는 실수가 암, 염증, 노화 및 질병과 같은 표현형에서의 여러가지 이상을 발생시킨다. 천연물로부터 유래한 항 노화 화합물을 탐색하기 위해서는 새로운 전략과 접근방식이 요구된다. 그러므로, 여기서는 핵심적인 역할을 하는 타켓 단백질에 대하여 설명한다. 먼저 기질금속단백질분해효소(MMPs)는 노화마커로 암전이, 만성염증 및 피부노화에 관여한다. 특히 히스톤 탈아세틸화효소(HDACs)는 모델동물의 수명을 연장시키려고 노력하는 노화연구원들에게 큰 관심의 대상이다. 뿐만 아니라, 여기서 p53, IGF-1 및 SIRT1이 중요한 역할을 하는 세포노화와 관련된 신호경로에 대하여 기술한다. 더욱이, 자가포식과정이 노화와 관련한 신호경로에도 관여하고 있다. 세포노화의 신호경로를 조절할 수 있는 여러가지 새로운 화합물도 본 총설논문에서 소개된다. 여기서 우리는 노화기전에 대한 분자기반 및 노화마커 개발에 대한 새로운 통찰력을 제공하려고 한다. 뿐만 아니라 소개되는 화합물은 노화와 관련 있는 질병의 예방 및 치료를 위하여 의학적으로 응용이 가능하다.