http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
당뇨병 및 비당뇨병 말기신부전 환자의 혈액투석에 의한 세포내 수분의 변화: 다주파수 생체전기 임피던스 (MF-BIA)를 이용한 분석
장세나 ( Se Na Jang ),김형욱 ( Hyung Wook Kim ),신영신 ( Young Shin Shin ),진동찬 ( Dong Chan Jin ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.6
Purpose: During hemodialysis, various methods are used to evaluate adequate water removal; however, few of them are currently clinically applicable. To evaluate the differences of body fluid changes, we have compared changes of ICW (intracellular water) and ECW (extracellular water) before and after hemodialysis in diabetic and non-diabetic patients with MF-BIA. Also various factors influencing in this transcellular body fluid shift were evaluated. Methods: TBW (total body water), ICW, ECW were measured before and after hemodialysis by using MF-BIA in 85 stable maintenance hemodialysis patients in a university hospital. Among these patients, 30 patients (mean age 55.6±12.4 year-old, average dialysis duration 26 months) were diabetic, while 55 patients (mean age 47.1±13.0 year-old, average dialysis duration 69 months) were non-diabetic. Results: ECW/TBW in diabetic and non-diabetic patients were 0.338±0.02, 0.334±0.02, respectively. There was no significant difference between two groups. There were also no significant differences in the sex, age, duration of dialysis, BMI, hemoglobin, total protein, osmolarity of ICW loss/TBW removal. But there was a significant positive correlation between the increase in ultrafiltration volume (UFV:%) and ICW loss in diabetic patients (R=0.51, p=0.019); however, such correlation was not observed in non-diabetic patients. Conclusion: We found that ICW of diabetic patients moved to extracellular spaces even before achieving appropriate dry body weight or less amount of fluid was removed compared to non-diabetic patients. This finding might imply diabetic ESRD patient has relatively low cellular membrane integrity and oncotic pressure maintenance ability to physical transmembrane pressure.
웹 기반 자기조절학습전략프로그램이 학업성취도, 자기조절학습능력, 과학 불안 및 생물 흥미도에 미치는 영향
장세나 ( Se Na Jang ),정미선 ( Mi Sun Jeong ),문두호 ( Doo Ho Moon ) 부산대학교 과학교육연구소 2009 교사교육연구 Vol.48 No.3
본 연구는 학습자의 자기주도성이 요구되는 웹 기반 학습의 효율성을 높이기 위해 자기조절학습 전략을 통합하여 학습자 스스로 자신의 학습 목표 설정, 학습 내용 정리 및 자기평가의 기회를 제공하는 웹 기반 자기조절학습전략(web SRL-S) 프로그램을 개발하였다. 개발된 프로그램의 효과 검증을 위해 일반계 남자 고등학생 138명을 두 집단으로 나누어 비교집단에는 전통적 교사 중심의 수업을, 실험집단에는 웹 기반 자기조절학습전략 프로그램을 적용하였다. 그 결과 수업 처치 전 자기조절학습능력, 학업성취도, 과학 불안, 생물 흥미도에서 두 집단 간에는 통계적으로 유의미한 차이가 나타나지 않았으나, 사후 검사에서는 실험집단의 학업성취도, 자기조절학습능력 및 생물 흥미도에서 비교집단보다 유의미한 수준에서 높게 나타났으며, 과학 불안은 실험집단이 비교집단보다 낮은 것으로 조사되었다. The purpose of this research was to analyze the effects of the web-based self-regulated learning strategy(web SRL-S) program on the achievement, self-regulated learning ability, science anxiety, and interest in biology in order to improve learners` achievement. 138 high school students of four 10th grade classes in Busan participated in the study: two classes(70 persons) as control group and two classes(68 persons) as an experimental group. The web SRL-S program was only applied to the experimental group and the control group was taught with the traditional teaching method mainly by the teacher`s lecture. To analyze the effects of the web SRL-S program, the pre- and post-test of the student`s achievement, self-regulated learning ability, science anxiety, and interest in biology were given to both groups. As a result, there was no significant difference in the pre-test scores of the two groups. However the post-test scores of experimental group were higher than those of the control group in the achievement, self-regulated learning ability, and interest in biology and lower than that of control group in the science anxiety. Therefore, the web SRL-S program made a positive effect on the student`s achievement, self-regulated learning ability, science anxiety and interest in biology.
천공성 급성 담낭염에 의한 복막염으로 복강경적 담낭절제 수술 후 다시 복막투석으로 복귀한 증례 1예
민진수 ( Jin Soo Min ),장세나 ( Se Na Jang ),김형욱 ( Hyung Wook Kim ),신영신 ( Shin Young Shin ),원용성 ( Yong Sung Won ),진동찬 ( Dong Chan Jin ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1
We experienced a 59 year-old female diabetic CAPD patient with severe peritonitis due to perforated acute cholecystitis. Because of heart failure due to old myocardial infarction and cerebral infarction she had been treated with CAPD for 5 years in bed-ridden state. Initial presentation was dark brown colored peritoneal dialysate effluent (changed greenish bile color later) and septic shock. We diagnosed perforated acute cholecystitis by computerized tomography three days after improvement of sepsis. She was received laparoscopic cholecystectomy and continuous venovenous hemodiafiltration for two weeks and returned to peritoneal dialysis without complication. Secondary CAPD peritonitis with cholecystitis or bowel disease should be carefully considered in patients with specific dialysate color, which could be cured with laparoscopic surgery, and then patients can be returned to CAPD again without complication.
지역 내 독거노인 행복공동체를 위한 로(老)즐마리 프로그램 사례 연구
권두순 ( Kwon Do-soon ),장세나 ( Jang Se-na ) 미래융합통섭학회 2021 현대사회와 안전문화 Vol.4 No.3
연구목적 본 연구의 목적은 OO임대아파트에 거주하고 있는 독거노인들을 대상으로 사회·심리적 고립감에 대해 파악하고 이들 요인이 지속적인 자조 모임을 로즐마리 프로그램을 통하여 삶의 긍정적인 동기부여 및 정서적 안전망 구축이 되는 방향으로 사례 연구를 제안한다. 연구방법 본 사례연구를 통해 O단지 영구임대아파트에 거주하고 있는 65세 이상 독거노인 중 로즐마리 프로그램을 참여하고 있는 10명을 대상으로 프로그램 시행 후 집단 상담 및 활동을 질적 연구로 제시하였다. 결과 연구결과 정신적으로 어려움을 겪고 있는 지역 내 독거노인들의 다양한 사회적 고통을 해결하기 위해서는 고독과 외로움을 이해하고 관리할 수 있는 사례관리와 연계하여 진행해야 한다. 결론 본 연구의 결론은 지역 내 독거노인에게 자조모임 활동을 통해 자아통합감 향상 및 정서적 지지체계를 구축하고 이웃과 함께하는 행복공동체를 만들고자 한다. 통합적 커뮤니케이션을 통해 우울감을 감소시켜 정신적·심리적 안정을 도모한다. PURPOSE The goal of this study is to investigate the sense of social and psychological isolation of the elderly living alone in subsidized housing, and to exhibit case studies of the Rojemari program that is geared towards helping the elderly to feel inspired about life and to develop emotional stability. METHOD Through the case studies on 10 participating elderly in the Rojemari program among the elderly living alone aged over 65 at the subsidized housing, this research suggests the result of the group therapy and activities by a qualitative research manner. RESULT The result suggests that to resolve the various types of social problems that the elderly under mental difficulties are going through, association with study cases that comprehend and manage the isolation and solitude is imperative. CONCLUSION The result of the study suggests building a happy community where the elderly living alone form the sense of ego-integrity and emotional stability through support group activities; further easing the sense of depression and enhancing the mental and psychological stability.
노인에서 상기도 감염후 발생한 급성감염후 급속진행성 사구체신염
오병선 ( Byoung Sun Oh ),박철휘 ( Cheol Whee Park ),장세나 ( Se Na Jang ),정현정 ( Hyun Jung Jung ),김경희 ( Kyoung Hee Kim ),박건우,정현화 ( Hyun Wha Chung ),한상우 ( Sang Woo Han ),장윤식 ( Yoon Sik Chang ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.6
Postinfectious streptococcal glomerulonephritis (PSGN) presenting as a rapidly progressive glomerulonephritis (RPGN) and nephrotic syndrome (NS) is a rare disease in elderly patients. Here we report a case of PSGN with RPGN and NS in an elderly male patient with a complete recovery from his illness. A 73-year-old man was admitted for dyspnea, oliguria and generalized edema appearing after acute upper respiratory infection. On admission, he presented nephrotic range of proteinuria, decreased renal function with elevated ASO, and decreased C3 and CH50 concentrations. The renal biopsy showed marked cellular crescents in the glomeruli with collapsed glomerular tufts and inflammatory cell infiltration. There were prominent and various sizes of humps in subepithelial areas in electron microscopy. Under the diagnosis of PSGN with RPGN, we successfully treated the patient with steroid pulse therapy and hemodialysis. We would suggest that early diagnosis and aggressive steroid therapy should be indicated in the treatment of PSGN with RPGN. (Korean J Nephrol 2006;25(6):1025-1028)