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환자의 고통 이해를 위한 의학과 4학년들의 위내시경 검사 체험
우성구(Seong-Gu Woo),성낙진(Nak-Jin Sung),박기흠(Ki-Heum Park),이동욱(Dong-Wook, Lee) 한국의학교육학회 2006 Korean journal of medical education Vol.18 No.1
Purpose: Senior medical students agreed to undergo gastrofibroscopy testing in the same manner as patients would in order to assess if the experience affects their understanding of patients discomfort and their recommendation of this test. Methods: 27 senior medical students rotating through family medicine underwent gastrofiberscopy. The level of discomfort experienced by these students was evaluated by using the Visual Analogue Scale (VAS). Each student s recommendation of gastrofibroscopy or upper gastrointestinal series to asymptomatic and symptomatic adults with upper GI complaint was recorded. And we assessed the need of patient experience for recommendation of gastrofibroscopy. Results: Before having experienced a gastrofibroscopy, 21 students recommended gastrofibroscopy (21 cases, 77.8%) and 6 recommended upper gastrointestinal series (6 cases, 22.2%) as screening tests in asymptomatic adults. After having had a gastrofibroscopy, gastrofibroscopy was recommended in 16 cases (59.3%) and the upper gastrointestinal series in 11 (40.7%), again in asymptomatic adults. However in symptomatic adults, there was no change. The degree of discomfort after having had a gastroscopy was less than they thought (5 cases, 18.5%), the same (5 cases, 18.5%), and more than they thought (17 cases, 63.0%), 25 (92.5%) students thought experiencing gastrofibroscopy would help them explain the procedure to patients in the future. 26 (96.3%) students expressed that doctors who recommend gastrofibroscopies should experience having the test so that they can better empatize and understand patients discomfort. Conclusion: Senior medical students experience being a patient is a significant learning opportunity for understanding the patient discomfort. This experience will help doctors understand patient s discomfort.
일개 중소도시에서 PC방을 이용하는 중·고등학생의 인터넷중독과 VDT증후군
박성은,이동욱,이인구,배재익,성낙진,박기흠 대한보건협회 2003 대한보건연구 Vol.29 No.1
Background : It is one of the important daily activities for Korean students to use the Internet, and most of them go to FC bang. However, students uncontrolled Internet use causes compulsive Internet use, so called the Internet addiction. So we investigated the relationship between students internet use pattern and their Internet addiction. And also examined how internet addiction causes VDT syndrome. Method: We conducted survey with self-registered questionnaires for 1 months, from January to February 2000. On the questionnaire, we asked Internet use pattern to students in suburban area. To test the Internet addiction, this research adopted Dr. Young s Internet addiction self test, and also major 8 symptoms of VDT syndrome were tested. Results : There was not much difference in computer using time between at home and at PC bang, and among student s grade. We found 30.1% of the objects addicted to the internet, however, there was no relationship between Internet addiction and student s grade. We found statistically significant relationship between Internet addiction and VDT syndrome (p<O.o5) except ocular symptoms and dry mouth. Conclusion : As a result, we found that Internet adhction is related with the spending time on computer use, although there is no relationship between Internet addiction and student s grade. There are significant correlations between internet addiction and VDT syndrome. So internet addiction is not only social and psychiatric problem but a physiologic dsorder whch affect student s health.
체질량지수 변화와 생활습관이 혈청 총콜레스테롤치 변화에 미치는 영향
박기흠,성낙진,배재익,이동욱 東國大學校醫學硏究所 2003 東國醫學 Vol.10 No.2
목적 : 최근 우리나라에서는 생활습관의 변화와 식생활의 서구화로 인해서 허혈성 심질환의 주요 위험인자인 비만과 고지혈증이 점차 증가하는 추세이다. 본 연구는 12개월 동안 체질량지수(Body Mass Index, BMI) 변화와 생활습관(운동, 흡연, 음주)에 따른 총콜레스데롤치 변화를 알아보고자 하였다. 방법 : 1997년 6월부터 2000년 6월까지 포항 소재 일개 대학병원 건강증진센터를 방문한 검진자 중 임상적으로 건강하고, 12개월 간격으로 검진을 받았던 204명을 대상으로 하였다. 그 중 77예는 12개월 간격으로 2회 이상 검진을 받았다. 의무기록을 검토하여 체질량지수 변화와 생활습관에 따른 총콜레스테롤치 변화를 조사하였다. 결과 : 204예에서 12개월 동안 체질량지수가 증가한 106예의 혈청 총콜레스테롤치의 변화는 7.75±24.91 ㎎/dl 증가하였고, 체질량지수가 감소하거나 변화가 없는 98예의 혈청 총콜레스테롤치의 변화는 -1.97±26.74 ㎎/dl 감소하였다(p<0.05). 생활습관에 따른 혈청 총콜레스테롤치의 변화는 규칙적인 운동을 하는 55예는 -4.44±22.51 ㎎/dl 감소하였고, 운동을 하지 않는 149예는 5.86±26.97 ㎎/dl 증가하였다(p<0.05). 그러나, 흡연 습관과 음주 습관에 따른 혈청 총콜레스테롤치의 변화에는 유의한 차이가 없었다(p>0.05). 결론 : 12개월 동안의 혈청 총콜레스테롤치 변화에 영향을 미치는 임상양상의 변화 중 가장 큰 영향을 미치는 인자는 체질량지수의 변화이었고, 그 다음은 운동이었다. Background: In recent years, the incidence of obesity and hypercholesterolemia that were major risk factors of ischemic heart disease increased among Koreans because of lifestyle change and westernized dietary pattern. This study was conducted to evaluate the effect of Body Mass Index(BMI) change and lifestyle on change of serum total cholesterol level at an interval of 12 months. Methods: The subjects were 127 adults who had visited the Health Promotion Center of Dongguk University Pohang Hospital from June 1997 to June 2000. The study subjects were clinically healthy and followed up at intervals of 12 months. We reviewed medical records of total 204 cases including 77 cases that visited two consecutive years. Results: Changes in serum total cholesterol at an interval of 12 months were follows ; 7.75±24.91㎎/dl in Increased BMI group(106 case), -1.97±26.74㎎/dl in Decreased or no-changed BMI group(98 case)(p<0.05) ; -4.44±22.51㎎/dl in Exercise group(55 case), 5.86±26.97㎎/dl in Non-exercise group(149 case)(p<0.05) ; But there were no significant difference in serum total cholesterol levels change according to smoking and alcohol intake. The change of BMI was most strongly correlated with that of serum total cholesterol levels change except previous total cholesterol level. Conclusions: Body weight reduction and maintenance had an favorable effect on change of serum total cholesterol at an interval of 12 months. Regular exercise had an favorable effect as well.