노인 낮병원의 심리사회적 치료 프로그램이 노인의 신경인지기능과 우울 증상에 미치는 효과

유계준,송정은,오병훈,안석균,이홍식,오희철,구은형,황혜숙,이은철 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.5

노인에게 있어서 신경인지기능의 저하와 우울 증상은 가장 흔한 장애이며 신체적, 정신적인 면에 많은 영향을 미치고 있다. 또한 이러한 장애중 비임상군에서 심리사회적 치료개입의 효과가 보고되고 있다. 이러한 측면에서 지역사회에서 노인에게 제공되는 심리사회적 치료개입의 중요성이 높아지고 있다. 이전의 연구에서는 대상이 특정 집단이거나, 비교군이 없거나, 치료효과에 대한 추적 관찰이 이루어지지 않는 등의 제한점이 있었으며, 현재 국내의 노인 낮병원은 소수에 불과하고 이러한 낮병원의 치료효과에 대한 연구는 거의 없는 실정이다. 따라서 본 연구는 지역사회 정신보건센터에서 운영하는 노인 낮병원에 참가하는 노인들을 대상으로 낮병원의 심리사회적 프로그램이 노인들의 신경인지기능과 우울 증상에 미치는 효과와 이에 대한 유지 효과의 유무를 알아보고자 하였다. 경기도 광주군 정신보건센터의 노인 낮병원에 참여한 노인을 치료군으로, 치료를 거부하거나 치료 중 탈락한 노인을 비교군으로 하여 10주간의 낮병원 치료전후와 치료종결 후 10주에 신경인지기능은 한국형 간이 정신상태검사(이하 MMSE-K)로, 우울 증상은 단축형노인우울척도(이하 SGDS)로 평가하여 두 군을 비교하였고 치료군의 치료 직후와 치료종결 후 10주를 비교하였다. 연구결과 노인 낮병원의 심리사회적 치료가 시간에 따른 SGDS점수 변화에 통계학적으로 유의한 영향을 미쳤으며, MMSE-K점수 변화에는 통계학적으로 유의한 영향을 미치지 않았다. 또한 10주 추시가 가능했던 치료군 중 약 43%가 10주 후 SGDS가 증가하여 호전되었던 우울증상의 악화를 보였다. 본 연구 결과 노인 낮병원의 심리사회적 치료 프로그램 개입은 노인에게 있어서 우울 증상을 호전시키며 신경인지 기능에는 직접적인 영향을 미치지 않는 것을 알 수 있었다. 또한 상당수에서 심리사회적 치료 개입으로 인한 우울 증상의 호전이 유지되지 않음을 알 수 있었다. 이는 노인우울증상의 치료에 낮병원의 심리사회적 치료 프로그램이 효과적일 수 있음과 치료 후 이를 유지하기 위한 부가적인 치료개입의 필요성을 시사한다. Cognitive impairment and depression are the most common symptoms affecting the elderly on physical and mental states. Studies have shown that these symptoms in mild cases are improved by psychosocial intervention, emphasizing the importance of therapeutic intervention provided in the community. The purpose of this study was to investigate whether the psychosocial program at a geriatric day care service has any therapeutic effect on the cognitive function and depressive symptoms in the elderly and whether such effect can be maintained. The experimental group was composed of 37 elderly patients attending the day care service at the mental health center located in Kwangju county, Kyonggi province. The control group was composed of 22 elderly patients who either refused intervention or who dropped out of the program. Cognitive function was assessed with the Korean version of the Mini-Mental State Exam(MMSE-K), and depressive symptoms were assessed with the Short-form Geriatric Depression Scale(SGDS). The experimental group and the control group were compared on the score of on each test, which was administered before and after the program and 10 weeks after discontinuation of program. In the experimental group, the scores acquired immediately after the program and at 10 weeks of follow-up were also compared. The results showed that psychosocial intervention at a geriatric day care service was significantly associated with the change in SGDS scores dependent on time but not significantly associated with the change in MMSE-K scores. In the experimental group whose follow-up assessment was possible, it was further shown that 43% of patients had increased SGDS scores 10 weeks after the program ended, indicating that depressive symptoms had worsened. This study suggests that psychosocial therapeutic intervention in the geriatric day care service improve depressive symptoms but not cognitive functions in the elderly. In addition, for a considerable percentage of subjects in the experimental group, the improvements in depressive symptoms were not sustained after the intervention was withdrawn. These findings proposes a need of strengthening therapeutic intervention to maintain such effect.

면접조사를 통한 초등학생의 영양교육 실태 및 실천도 조사

오유진,이영미,김정현,안홍석,김정원,박혜련,서정숙,김경원,권오란,박혜경,이은주,성현이 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.4

This study investigated the experience and practice of elementary school students on nutrition education. The data were collected from 217 male and female students attending 5-6th grade elementary schools in Seoul and Kyunggi-Do from March to June 2007, interviewing face to face by a nutrition teacher and 3 interns of a nutrition teacher. The results were as follows: 86.5% of the subjects learned about ‘Table etiquette’, ‘Reasons for eating fruits and vegetables’ (78.7%), ‘Food waste and environment’ (72.3%), ‘Healthy snacks’ (55.7%), ‘Food sanitation’ (52.3%), ‘Food culture of foreign countries’ (48.1%). Nutrition education experience was significantly different by gender. A total of 43.5% boys responded that they never learned about ‘basic food preperation’ (p < 0.01). They had learned ‘Nutrients for body’ and ‘Food waste and environment’ in school, ‘Healthy weight loss’, ‘Food culture of foreign countries’, ‘Food circulation’ on television, Most content (‘Table etiquette’, ‘Simple cooking’, ‘Food sanitati n’, ‘Eating behaviors for health’, ‘Reasons for eating fruits and vegetables’, ‘Healthy snacks’) was learned from parents. The practice after nutrition education was higher in ‘Table etiquette’ (2.14), ‘Eating fruits and vegetables’ (2.07) than others compared with education experience. The most reason of non-practice on nutrition information was ‘Troublesome’. In ‘Nutrients for body’, a boy answered ‘Difficult for practice’ 20.0%, a girl answered ‘Difficult to understand’ 32.6%, showing a significant difference between the gender groups (p < 0.001). They remembered the ‘Nutrients for body’ (49.6%), ‘Food sanitation’ (44.5%) because of ‘important content’,‘Basic food preparation’ (40.6%), ‘Food culture of foreign countries’ (36.3%) because of ‘interesting content’, ‘Healthy weight loss’ (52.0%), ‘Eating behavior for health’ (44.5%) and ‘Healthy snacks’ (33.7%) because of ‘need for my health’.

노인수발보장제도 도입에 따른 노인주간보호시설의 수요증가와 시설변화에 관한 연구

오은진,박혜선 한국의료복지시설학회 2006 의료·복지 건축 Vol.12 No.2

Introduction of new longterm care policy for elderly in Korea would change many aspects of elderly care service facilities. Especially elderly home care services like adult daycare centers will expand drastically after beginning of longterm care insurance. The purpose of this study is to estimate demand of adult daycare centers by comparing with the U.S and Japanese cases. Korean government is expecting that adult daycare centers will expand ten times within 4 years. This estimate is exceeding the facility demand estimate of the U.S. and Japan. The results of population study and expecting growth rate of adult daycare centers in Seoul indicate that more than 300 centers, 4 times of the number of existing centers, are in need based on Seoul elderly population in 2004. To supply these numbers of facilities in short period, more in depth study should be followed. Existing adult daycare facilities’ in Seoul were analyzed by their building and management types. Interior spaces of adult daycare centers in Korea are similar to the U.S. and Japan in space arrangements but much smaller in size. In depth study of space programming as well as overall demand survey of adult daycare centers is urgently in need for more realistic expansion of adult daycare centers.

Fusobacterium nucleatum의 유황화합물 생성에 영향을 미치는 인자

오인근,박은혜,양규호,오종석 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.1

Fusobacterium nucleatum, one of the bacteria causing halitosis, produces the volatile sulfur compounds (VSC) such as H2S in the media containing sulfur components, and forms FeS by binding with iron component. The various factors of oral cavity affect the concentration of sulfur compounds produced by Fusobacterium nucleatum. In this study, the effect of nutrients and pH on the production of sulfur compounds by Fusobacterium nucleatum was studied with the following results; 1. The optical density of broth was increased to 0.817±0.032 and 1.297±0.024 by adding 1.0% sodium thiosulfate and 0.05% L-cysteine hydrochloride in the media, respectively. 2. Though the optical density of broth was 0.799 ± 0.032 by adding volatile sulfur compounds (VSC) only in the media, it was increased to 1.775±0.003 and 1.648±0.022 by adding xylitol combined with glucose and fructose, respectively. 3. The concentration of VSC was above 20,000 ppb in the media above pH 5.5. The optical density of broth was still high in the media with L-cysteine hydrochloride of higher concentration, being low in the media of lower pH. 4. The concentration of VSC was high when there was distilled water or saline solution on the media, and their amount was small. These results suggest that the production of sulfur compounds by Fusobacterium nucleatum is inhibited by xylitol and acid.

새고막을 이용한 분말조미료 가공

오영열,강동수,김해섭,김경은,최옥수,배태진 여수대학교 산업기술지역개발연구소 2000 産業基術硏究所 論文集 Vol.9 No.-

Conditions for processing dried condiments with bloody clam were investigated. The enzymatic hydrolysis for 1 hour was more profitable than hydrothermal extraction to develop flavoring matters from bloody clam. As a result of omission tests, nucleotides were predominated in the taste compounds of bloody clam hydrolysates rather than free amino acids, and the contribution of nucleotides and free amino acids to the taste of bloody clam hydrolysates was remarkable. The major flavoring components of bloody clam hydrolysates were free amino acids and oligopeptides below 500 dalton. When bloody clam hydrolysates were separated with membrane(molecular weight cutoff 500 dalton) for recovering flavor, recovering yields of amino type nitrogen were 92.4%. Proximate compositions of dried condiments prepared with protease hydrolyzed bloody clam were moisture content 3.6%, total nitrogen were 71.2% amino nitrogen were 47.8%. And drying yield, solubility and absorption rates at Aw 0.88 were 21.4%. 86.3% and 6.6%, respectively.

Cystic Medullary Thyroid Carcinoma: A Case of Undergoing Endoscopic Thyroid Lobectomy

Dong Hae Chung,Jae Yeon Seok,Yoo Seung Chung1,Eun Mee Oh1,Jung Won Ryu1,Young Don Lee1 대한갑상선-내분비외과학회 2015 The Koreran journal of Endocrine Surgery Vol.15 No.1

On ultrasonography, medullary thyroid carcinoma (MTC) shows hypoechogenicity, an irregular margin, a predominantly solid composition, and microcalcifications, similar to those observed in papillary thyroid carcinoma (PTC). MTC presenting as a cystic lesion is rare, and endoscopic thyroidectomy can be performed for benign thyroid masses and early stage PTC, however it is inappropriate for MTC regardless of cystic change. The authors report a case of cystic MTC found after endoscopic thyroid lobectomy and provide a review of the literature on this topic.

풋마늘의 冬季養液裁培에 關한 硏究

鄭恩周,吳仲烈,黃海鎭,韓相政 대구효성가톨릭대학교 응용과학연구소 1995 응용과학연구논문집 Vol.4 No.-

겨울철 新鮮한 풋마늘의 生産體系 確立으로 端境期를 解消함과 아울러 아파트 人口가 增加하고 있는 오늘날 室內에서 簡單한 方法으로 풋마늘을 生産하는데 必要한 資料를 얻고자 하였다. 1) 萌芽率은 15±1℃區와 20±1℃區의 Hyponex와 水道물에서 瀋陽種(暖地型)이 瀋種 7日後에, 그리고 濟州種(暖地型)이 播種 21日後에 各各 100%를 나타내었다. 그러나 義城種(寒地型)은 15±1℃區에서 播種 7日後에 全혀 萌芽하지 않았고 21日後에 15±1℃區와 20±1℃區에서 各各 85% 및 95%의 萌芽率을 보였다. 2) 草長은 15±1℃區보다 20±1℃區에서, 그리고 水道물보다 Hyponex에서 더 크며 그의 伸長速度가 빨랐다. 瀋陽種은 15±1℃區와 20±1℃區의 Hyponex와 水道물에서 播種 35日後에 잎이 黃化하면서 草長의 伸長이 停止되었으나 濟州種과 義城種은 伸長을 繼績하였다. 瀋陽種은 다른 2品種에 比하여 草長이 顯著히 컸으며 伸長速度가 매우 빨랐다. 3) 播種 21日後의 葉數, 葉?徑, 葉重 및 葉?重은 15±1℃區보다 20±1℃區에서, 그리고 水道물보다 Hyponex에서 더 增加하였다. 供試 3品鍾中 瀋陽種이 各處理區에서 葉數가 顯著히 많고 葉重이 무서웠다. 義城種은 15±1℃區의 Hyponex와 水道물에서 葉伸長을 볼 수 없었다. 4) 比生長率(CGR)은 15±1℃區와 20±1℃區의 Hyponex와 水道물에서 瀋陽種과 濟州種은 播種7日後에, 그리고 義城種은 播種 14日後에 極大期를 나타낸 다음 漸次 減少하였다. 極大期의 比生長率은 15±1℃區보다 20±1℃區에서, 그리고 水도물보다 Hyponex에서 더 높았다. 5) 20±1℃區에서 CGR의 잎으로서 寄與率은 瀋陽種과 濟州種이 播種21日後까지 增加한 다음 漸次 減少하는 傾向을 보였으나 義城種은 繼績 增加하였고, 뿌리로의 寄與率은 3品種 모두 播種14日後부터 急激히 減少하였다. 6) 葉面積指數는 20±1℃區에서 3品種 모두 水道물보다 Hyponex에서 높았다. 播種28日後의 葉面積指數는 濟州種이 2.0 그리고 義城種이 1.0이었는데 比하여 瀋陽種은 4.0 以上이었다. 7) 本實驗의 어느 境遇에 있어서도 瀋陽種이 濟州種 및 義城種에 比하여 萌芽率가 빠르고 草長이 크고 葉收量이 많았으며, 15±1℃區보다 20±1℃區에서 그리고 水道물보다 Hyponex에서 生育이 良好하였다. 그리고 瀋陽種은 20±1℃區의 Hyponex와 水道물에서 播種後 14日이 經過하면 收穫이 可能하였다. The purpose of this study is to establish a production system for providing fresh leafy garlic in winter season and to obtain data for an easy method of indoor nutriculture of this plant, especially in apartment life. 1. Emergence rates in 15℃ and in 20℃ cultured by Hyponex and by tap water were 100% after 7 and 21 days from planting in Shenyang cultivar, a Southern ecotype, and in Cheju cultivar, a Southern ecotype respectively. Euisung cultivar, a northen ecotype, did not planting uner 15℃ until 7 days from planting, but emerged 85% and 95% after 21 days from planting under 15℃ and 20℃ conditions, respectively. 2. Plant lengths were higher in 20℃ and in Hyponex culture than in 15℃ and in tap water culture, respectively. Shenyang cultivar in 15℃ and 20℃ cultured by Hyponex and tap water ceased to eloongate the leaf and showed chlorosis after 35 days from planting, but Cheju and Euisung cultivars continued to elongate the leaf. The plant length of Shenyang cultivar was especially long as compared with other two cultivars and grew fast. 3. After 21 days from planting, leaf number, diameter of leaf sheath, leaf weight and weight of leaf sheath were higher in 20℃ and in Hyponex culture than in 15℃ and in tap water culture. respecively. Among three cultivars, Shenyang had much more leaves and heavy ones. 4. Comparative crop growth rate(CGR) showed at maximum after 7 days from planting in 15℃ and in 20℃ cultured by Hyponex and by tap water in Shenyang and Cheju cul-tivar while after 14 days from plamting in Euisung cultivar, then decreased gradually afterward. The CGR at maximum was higher in 20℃ and in Hyponex culture than in 15℃ and in tap water cul-ture, respectively. 5. The percentage of contribution of CGR to leaf were increased until 21 days from planting, then decreased gradually afterward in Shenyang and Cheju cultivars, but Euisung showed continu-ous increase. The percentage of contribution of CGR to root declined markedly after 14 days from planting in all three cultivars. 6. Leaf area index(LAI) were high in all three cultivars in 20℃ in Hyponex culture as compared with tap water culture. After 28 days from planting, LAI was 2.0 and 1.0 in Cheju and in Euisung cultivar respectively, comparing with above 4.0 in Shenyang cultivar. 7. In every conditions, Shenyang cultivar exceeded in emerging date, plant length and leaf produc-tion, and the growth was better in 20℃ and in Hyponex culture than in 15℃ and in tap water cul-ture, respectively. After 14 days from planting, Shenyang cultivar was possible to harvest in 20℃ cultured by Hyponex and by tap water.

컴퓨터 비젼을 위한 동적 라이브러리의 설계 및 구현

공용해,이범석,오은숙 순천향대학교 부설 산업기술연구소 1999 순천향 산업기술연구소논문집 Vol.5 No.2

This study is to construct a general purpose library for a computer vision system development. The library includes many core algorithms required for computer vision systems such as image processing algorithms, feature extraction methods, neural networks and etc. We have experimented the efficiency of the library by building a medical image analysis system and the overall time and effort in the development was reduced to a certain extent.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

HIV 감염 환자에서 발생한 편평 콘딜롬 1예

이해웅,오상현,장성은,최지호,문기찬,고재경 대한피부과학회 2006 大韓皮膚科學會誌 Vol.44 No.4