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중환자실에서 기계적 환기를 시행받는 환자들의 기관내삽관 튜브의 기낭내압
이영주,윤장운,문봉기,이규완,박미미,이영석 아주대학교 1997 아주의학 Vol.2 No.2
Background and Objectives : High volume, low pressure (HVLP) cuffed tubes have been substituted for low volume, high pressure (LVHP) cuffed tubes in order to reduce complications created by the cuffed endotracheal tubes contact with the tracheal wall. Several physidans, however, prefer to use the LVHP cuff for habitual or economic reasons. Even so, careless cuff Inflation of the HVLP cuff could also induce complications. The purposes of this study were to see whether there are any differences between the usual intracuff pressure (UICP) and the Optimum intracuff pressure (OICP), to compare the OICP of three groups, and to study the correlation between the OICP and the peak inspiratory pressure (PIP) of three kinds of endotracheal tubes under mechanical Ventilation. Methods : 82 adult patients, upon admission of the ICU, were divided into 3 groups with different cuffed tube types according to the following: Portex Profile group (n=66), HVLP cuffed tube; Portex Regular group (n=11), LVHP cuffed tube; Rusch Red group (n=5), LVHP cuffed tube. We used the Portex cuff pressure manometer for Portex Profile group, the Hewlett-Packard pressure transducer for Portex Regular, and Rusch Red group to measure the intracuff pressure (ICP). The OICP was measured with the minimal leak technique (MLT). Intracuff pressure difference (ICPD) was calculated by subtracting OICP from UICP. Results : UICP and OICP of Portex Profile group were 33.12±22.25 ㎝H₂O, 22.02±12.5㎝H₂O, Portex Regular group, 70.09±30.88 ㎝H₂O, 69.45±30.41 ㎝H₂O and Rusch Red group, 378.40±38.60 ㎝H₂O, 337.60±74.45 ㎝H₂O. Significant difference was shown among the groups (p < 0.05). The significant difference of the PIP was not seen among the groups. Significant correlation between OICP and PIP (regression = 0.463, p < 0.01) was demonstrated only in Portex Profile group. ICPD of three groups were as high as 84 ㎝H₂O to as low as -56 ㎝H₂O. About 40% of the patients showed the allowable range. Conclusions : This study suggests that routine check-ups of ICP are needed when the patients are admitted to the ICU. The OICP of the HVLP cuffed tube is 1/3 -1/15 of the LVHP cuffed tube. Therefore, the routine use of the HVLP tube is highiy recommended. The OICP shows positive correlation with the PIP. This suggests to make every effort to reduce the PIP.
지역사회 기혼 여성의 우울 증상에 영향을 미치는 변인 : 가족내 관계 만족 변인 및 갈등대처 방식을 중심으로
이경미,최윤경,강이헌,이민수 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.2
연구목적 본 연구는 지역사회 기혼 여성의 우울 증상을 사회적이고 대인관계적 측면에서 이해하고자 하는 맥락에서 살펴보고자 하였다. 방법 00시에 거주하는 기혼여성 632명을 대상으로 하여 Beck 우울증 척도, 결혼 전반적 불만족 척도, 자녀불만족 척도, 갈등 대처 방안 척도 등을 실시하였다. 통계방법으로는 기술통계분석, 상관, χ²검증, 일원변량분석, 단계적 중다회귀분석, 위계적 회귀분석을 사용하였다. 결과 학력, 수입, 부모의 관계, 학대경험, 시부모 관계만족, 결혼불만족, 자녀불만족, 이성적 대처, 감정 · 행동표출, 회피 행동에서 우울수준에 따른 집단간 차이가 유의미하였다. 또한 이들 변인 중 결혼불만족이 현재 우울증상에 대한 설명력이 가장 큰 것으로 나타났고, 다음으로 자녀불만족, 회피 행동, 시부모 관계만족 순이었다(총설명변량=36.1%). 갈등대처방식 중 이성적 대처와 회피가 가족관계 만족변인과 우울을 잠정적이지만 유의미하게 매개하는 것으로 나타났다. 결론 지역사회 기혼 여성의 상당수가 우울 증상을 경험하고 있어 이에 대한 치료적 개입이 시급하며 특히 부부 관계를 포함한 가족 관계에 대한 탐색 및 접근이 필요한 것으로 나타났다. 특히 갈등대처방식이 유의미하게 관계 만족과 우울을 매개하므로, 우울증의 치료에 있어 효과적인 갈등 대처 방식 및 사회적 문제 해결 기술을 포함시킴으로써 치료 효과를 높일 수 있을 것으로 시사된다. Objectives : The purposes of this study were to investigate depressive symptoms among married women and to their Understand depression through social and interpersonal factors. Methods : The subjects were consisted of 632 married women who lived in 00 city. They completed the Beck Depression Inventory, Marital Global Distress Scale, Dissatisfaction with Children Scale, and Conflict-coping Method Scale. Descriptive statistics, correlation, χ²-test, ANOVA, step-wise regression, and hierarchical regression were applied to analyze the data. Results : ANOVA analysis showed the differences in education, income, experience of abuse, parent-in-law relationship, marital global distress, dissatisfaction with children, rational coping, emotion/action-expression coping, and avoidant coping among the non-depressive group, mildly depressive group, and depressive group. Step-wise regression showed that the variance of the current depressive symptoms was accounted for by marital global distress, dissatisfaction with children, avoidance coping method, and satisfaction with parent-in-law (total account=36.1%). It was found that the rational coping method and avoidance coping method significantly mediated the relationship between the satisfaction with family relation and depressive symptoms. Conclusion : Therapeutic interventions for the married women experiencing depressive symptoms showed include their marital relationship. Based on the finding that the conflict coping methods mediated the association between the depressive symptoms and the family relation satisfaction, the effective conflict coping skills or social problem solving skills should be included in the interventions for married women.
이정임,조장현,김종서,이연심,노영미 배재대학교 자연과학연구소 2006 自然科學論文集 Vol.17 No.1
The purpose of this study is to analyze the design preference according to the body consciousness for 20∼26 years old male. The consciousness of body size and the satisfaction with body proportion were investigated. And the relationship between the body consciousness and the design preference was analyzed. Most subjects thought their body size was proper generally and their body proportion was proper or a little unsatisfied. The subjects preferred 'Round neckline', 'loose sleeve', and 'loose and long tops'. They didn't like the style that tops are under pants on the waist. They also preferred 'loose and long pants'. When the subjects chose clothing design, especially 'V-neckline tops' and 'short pants', they considered their height. They also considered their girth size and it meant they thought much of looseness. There was not any preference in clothing design according to the consciousness of height. The most significant relationships between the size consciousness and the preference in design was found in tops more than pants. The higher satisfaction with their body proportion was connected with the higher preference in some design. From all these results, it was found that the preference of clothing design could vary according to the consciousness of body size. The results from this study could give the important tips to improve the satisfaction with the clothing for each person.
60稅 以上 老人의 日常生活關聯 運動機能의 評價 : 운동을 장기간 동안 습관화하는 노인을 중심으로 하여
이미숙,박기현,김연자 韓國體育大學校 1999 論文集 Vol.22 No.-
The purpose of present study was to investigate characteristics of functional fitness reflecting daily living in Korean active elderly. Eighty nine older people in habitually playing Badminton (age range 60 to 82 years) and physically active volunteered for this study. The functional fitness items represent body composition (ponderal index), cardiovascular endurance (800 m walk), flexibility (sit and reach), muscular strength/endurance (arm curl), coordination (soda pop), and dynamic balance/agility (agility course). To ensure measurement consistency, the same tester conducted the same measurements. The testing apparatuses were calibrated prior to all testing sessions. The results of physical characteristics and functional fitness test are expressed as mean values standard deviations. Each 6 functional fitness tasks representing activity of daily living had to demonstrate a significant correlation with age in our preliminary analyses. In order to reduce the 6 items to a single score, the correlation matrix for the 6 items was subjected to principal component analysis. The main idea of this analysis is to reduce the dimensionality of a data set, which consists of a large number of interrelated variables, while retaining as much as possible the variation present in the data set. The first principal component was used as the best single descriptor of total daily living-related physical fitness tasks. The first principal component scores were computed for each subject. In summary, data for this was considered useful in assessing functional fitness of daily living in the elderly people.