수부의 외상성 중수지 관절 탈구의 치료

이승구,송석환,이주엽,문창윤,오재찬 대한골절학회 2003 대한골절학회지 Vol.16 No.2

목적 : 수부의 중수지 관절 탈구의 관혈적 정복이 필요했던 예에서는 정복을 방해하는 구조물에 대해 분석하고 도수 정복이 가능했던 예에서는 성별 및 탈구 형태에 따른 특성에 대해 알아보고자 하였다. 대상 및 방법 : 총 27예의 수부 중수지 관절 탁구 환자 (무지 11예, 이지 14예, 소지 2예)를 대상으로 연구하였다. 탈구된 중수지 관절의 정복을 방해하는 해부학적 구조는 수술시에 확인을 하였으며, 도수 정복이 가능하였던 예들에서도 연령과 손상된 구조물, 그리고 최종적인 임상 결과를 평균 7개월간 추시 관찰하였다. 결과 : 무지 중수지 관절의 탈구 11예 중 파열된 전방 관절낭, 수장판과 단무지 굴건의 파열을 동반한 복합 탈구가 8예 있어 관혈 정복을 시행하였으며, 2예에서만 도수 정복이 가능하였다. 관절염이 있던 1예는 관절 유합술을 시행하였다. 다른 수지의 중수지 관절의 탈구는 Kaplan의 개념에 따라 탈구를 수술 정복하였고 파열된 수장판을 복원하였으며, 1예에서 수술시 표재 중수 횡인대만의 절개와 이완으로 정복할 수 있었다. 소지 중수지 관절 탈구의 2예에서 파열된 요측 측부인대가 수술시 관찰되었고 이를 복원하여 수지의 불안정성을 예방하였다. 이들의 최종 결과는 특별한 운동 제한이나 불안정성 없이 좋은 결과를 보였다. 결론 : 적절한 국소 마취하에 도수 정복을 1~2회 시행할 수 있지만 단순 정복이 가능한 탈구가 부적절한 견인으로 정복이 불가능한 복합 탈구로 진행할 수 있다. 그리고 복합 탈구는 대부분 관혈적 정복이 필요하기 때문에, 정복 방해 구조물에 대한 충분한 이해와 적절한 조치가 필요하다. Purpose : To analyse the obstacles to prevent the reduction for dislocation of the metacarpophalangeal (MP) joints of the hand and evaluate the relationship between the sex and dislocation type in closed reduction case. Materials and Methods : Total 27 cases of MP joint dislocation of the hand (11 cases of thumb, and 14 index and 2 little finger) were reviewed retrospectively. The anatomical structures to prevent the reduction were confirmed at operation and the cases which were reduced immediately were also analysed for their ages and differences of damaged structures, and finally their complications or outcome were reviewed for average 7 months after reduction. Results : In 11 cases of thumb MP joint dislocations, the complex dorsal dislocations in which the protruded metacarpal neck was caught by buttonhole of torn anterior joint capsule, volar plate and FPB were reduced by open method in 8 cases, and closed reduction was done in 2 cases but one old case required arthrodesis. In other finger MP joint dislocations, the Kaplan's concept to prevent the reduction was confirmed. But reduction of torn volar plate and incision of transverse metacarpal ligament were sufficient to reduce the dislocation with gentle longitudinal traction during the operation. In two cases of little finger MP joint dislocation, the ruptured radial collateral ligaments were noted after open reduction and it must the repaired to prevent the finger instability later. Their overall end results were good without any significant restriction of MP joints motions and finger instabilities. Conclusion : One or two times of closed reduction with proper local anesthesia could be tried, but simple reducible dislocation can be converted to complex irreducible ones by the inappropriate traction method, and so proper reduction technique by closed or even in open way is important with the knowledge of anatomical obstacles to prevent the reduction of the metacarpophalangeal joints.

프리셉터 경험이 간호업무수행과 직무만족에 미치는 영향 연구

류언나,송혜숙,장은희,서효신,추연화,김인선,나명주,지성애,박경숙 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

The purpose of this study was to investigate how preceptor experience has an effect upon preceptor nurses. This study was so designed that it could compare the difference between clinical performance and Job satisfaction of preceptor nurses and those of nonpreceptor nurses. Study subjects were sampled out from those nurses who worked with two university hospitals where preceptor programs were implemented. The number of subjects totaled to 134, including 69 preceptor nurses and 70 nonpreceptor nurses. The score of preceptor nurses' clinical performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. Among all of the preceptor nurses, the highest number of preceptor experience was just one time. Except for five times in preceptor experience, the more the number of times of preceptor experience, the higher score in clinical performance. It was manifested that the number of preceptor experience was not related to job satisfaction. The score of preceptor nurses' clinica1 performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. The reward that preceptor nurses wished most was a reduction of the work load assigned to them. Currently preceptor nurses are only receiving a small quantity of financial reward related with their preceptor role. Most of preceptor nurses (96.8%) were not satisfied with their existing reward. Almost half of the preceptor nurses(43.5%) did not want to play a role as preceptor again. The reason why the scores of clinical performance and job satisfaction were low might be attributed to the inadequate preceptor training program and reward system. Appropriate knowledge and clinical skill are expected to enhance the level of preceptor nurses' clinical performance and appropriate internal and external reward to elevate the level of preceptor nurses' Job satisfaction. Therefore, it is needed for us to develop more effective preceptor education program, financial reward, support of colleague nurses and nursing managers, and adjust workload for the purpose of more effective preceptor programs.

How to Manage Eating Disorder for Successful Bariatric Surgery

Youn Joo SONG 대한외과학회 2019 대한외과학회 학술대회 초록집 Vol.2019 No.10

Serial evaluation of myocardial function using the myocardial performance index in Kawasaki disease

Song, Eun Song,Yoon, Somy,Cho, Joo Hyun,Yang, Eun Mi,Cho, Hwa Jin,Choi, Young Youn,Ma, Jae Sook,Eom, Gwang Hyeon,Cho, Young Kuk Springer-Verlag 2018 World journal of pediatrics Vol.14 No.3

알코올의존 환자의 충동성 및 공격성에 대한 예비연구

송주연(Joo-Youn Song),이태경(,Tae-Kyung Lee),이종일(Jong-Il Lee),윤해주(Hae-Joo Yoon) 한국중독정신의학회 2004 중독정신의학 Vol.8 No.1

Object:It is argued that alcoholic patients are more impulsive and aggressive than the normal person. Some studies show that impulsiveness and aggression, shown in alcoholic patients, are not caused by alcohol dependence but by behavioral toxic effects of alcohol itself. However, other studies persist that alcoholic patients have a tendency to be more impulsive and aggressive by nature. This subject is important because it may be a good prognostic factor in the process of alcohol dependence treatment. In this respect, we intended to know whether alcohol dependent patients have a more impulsive and aggressive tendency than the average person, as well as trying to find characteristics of alcohol dependent patients according to their drinking pattern (continuous vs compulsive drinking). Methods:We recruited 122 male alcohol dependent patients who were admitted to Seoul Nat’l Hospital and 124 male volunteers in general population for control. All subjects were assessed by scales: Korean Version of Alcohol Use Disorder Identification Test (AUDIT), Korean Version of Aggression Questionnnare (AQ), Korean Version of Obsessive Compulsive Drinking Scale (OCDS), Three-Dimensional Personality Questionnare (TPQ). Results:1) Alcohol dependent patients showed higher total score of AUDIT, all of the AQ sub scores except verbal aggression score than that of control group. 2) Alcohol dependent group showed higher OCDS score than that of control group. 3) Novelty-seeking score and harm-avoidance score were higher in alcohol dependent patients. 4) Reward-dependence score did not show significant difference between alcohol dependent patients and control group. 5) There was a significant correlation between impulsiveness and aggressive tendency in alcoholic patients. The patients who have compulsive drinking pattern have more aggressive tendency. 6) The alcohol dependent patients who showed the higher score of impulsiveness started drinking at younger age. If alcohol dependent patients have more aggressive tendency, they show more binge drinking. Conclusion:The results of this study suggest that alcohol dependent patients have more aggressive tendency, except verbal aggression, and more impulsiveness than normal controls.

무인항공기 기반 통신-레이더 융합 시스템에서 동작수명 연장을 위한 강화학습 기반 위치제어 기법

송연주(Youn Joo Song),우수연(Soo Yeon Woo),김준수(Junsu Kim),김수민(Su Min Kim) 한국통신학회 2024 한국통신학회 학술대회논문집 Vol.2024 No.1

UAV 기반 ISAC 시스템에서 통신 성능 향상을 위한 강화학습 기반 UAV 궤적 최적화 기법

송연주(Youn Joo Song),김준수(Junsu Kim),김수민(Su Min Kim) 한국통신학회 2024 한국통신학회 학술대회논문집 Vol.2024 No.6

국내 여성복에 사용된 빨강색의 분석과 적용

송연주(Youn-Joo Song),김영인(Young-In Kim) 한국디자인학회 1997 디자인학연구 Vol.- No.19

비정규시간 상부위장관 출혈 환자에서 응급 내시경이 예후에 미치는 영향

김연주 ( Youn Joo Kim ),김상균 ( Sang Gyun Kim ),강해연 ( Hae Yeon Kang ),강현우 ( Hyoun Woo Kang ),김주성 ( Joo Sung Kim ),정현채 ( Hyun Chae Jung ),송인성 ( In Sung Song ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.4

목적: 내시경은 위장관 출혈 환자에서 출혈의 위치를 확인하고 지혈 시술을 할 수 있다는 장점이 있으나 즉시 시행할 수 없는 경우가 많다. 이번 연구에서는 비정규시간에 상부위장관 출혈을 주소로 내원한 환자에서 응급 내시경 및 지혈술의 시행 유무에 따르는 임상 결과를 살펴봄으로써 응급 내시경의 유용성과 필요한 환자군을 선별하는 기준을 찾고자 하였다. 대상 및 방법: 2005년 1월부터 2006년 10월까지 비정규시간에 상부위장관 출혈을 주소로 서울대학교병원 응급실을 방문하여 내시경을 시행한 383명의 환자를 대상으로 출혈 원인에 따라 정맥류 출혈과 비정맥류 출혈로 구분하여 내원 12시간 이내에 시행한 환자군(응급 내시경군)과 12시간에서 24시간 이내에 시행한 환자군(지연 내시경군)에 대해 임상 지표, 출혈 병소 확인 및 지혈술 여부 및 예후를 후향 분석하였다. 결과: 비정맥류 출혈을 보인 환자 중 응급 내시경군은 98명, 지연 내시경군은 137명이었다. 양군에 포함된 임상 Rockall 점수 3점 이상인 중증 환자의 수는 유의한 차이를 보이지 않았다. 내시경에서 진단을 하거나 시술을 하는 비율은 양 군 간 의미 있는 차이를 보이지 않았으며, 재출혈률, 재원 기간, 30일 사망률에도 차이를 보이지 않았다. 정맥류 출혈로 내원한 환자 중 응급 내시경군은 65명이며 지연 내시경군은 83명이었다. 양 군 간에 Child-Pugh 등급 등의 중증도 지표에는 차이가 없었다. 내시경 진단에서 응급 내시경군은 유의하게 출혈 병소를 찾지 못하였으며(78.5% vs. 90.4%, p=0.043) 내시경 이후 수술이나 방사선시술로 지혈을 하는 환자가 더 많았다(10.8% vs. 2.4%, p=0.053). 양 그룹 간 재출혈률은 차이가 없었으며, 30일 사망률은 12시간 이내 그룹이 더 높았다(21.5% vs. 8.4%, p=0.023). 결론: 비정규시간에 상부위장관 출혈을 주소로 내원한 환자에서 12시간 이내에 응급 내시경을 하는 것은 예후 향상에 영향을 미치지 못한다. Background/Aims: Gastrointestinal endoscopy is imperative for acute upper gastrointestinal bleeding (AUGIB) to find bleeding focus and stop bleeding. This study was designed to assess the necessity of emergency endoscopy and determine screening criteria for the patients who presented to emergency room (ER) with after-hours AUGIB. Methods: The medical records of 383 patents with AUGIB who presented to ER at after-hours were reviewed. Patients were divided into 2 groups: emergency endoscopy (EE) group (<12 hours after arrival) or delayed endoscopy (DE) group (12-24 hours after arrival). We compared the severity, hemostatic procedures, rebleeding rate, length of hospitalization and 30-day mortality between the two groups. Results: Ninety-eight patients in EE group and 137 patients in DE group were evaluated among patients with non-variceal upper gastrointestinal bleeding. No significant differences in clinical severity, finding the bleeding focus, hemostasis, 30-day mortality, hospital stay, and rebleeding rate were observed between the two groups. Among 148 patients with variceal upper gastrointestinal bleeding, 65 patients were in EE group and 83 patients in DE group. Most clinical severity index were not different between the groups. In EE group, the rate of finding bleeding foci was lower (p=0.043), and 30-day mortality was higher than in DE group (p=0.023). Conclusions: Emergency endoscopy within 12 hours after arrival at after-hours do not lead to better prognosis in AUGIB. (Korean J Gastroenterol 2009;53:228-234)

Missy Brand 의 광고 크리에이티브 전략에 관한 연구

송윤주(Youn Joo Song),정성혜(Sung Hye Jung) 한국복식학회 2000 服飾 Vol.50 No.3

This study intended to provide the visual basic data of efficient fashion advertising for Missy Brands in the 21th by investigating and analyzing the creative strategy related to expression of fashion advertisement. The Research methodologies were as follow. First, the change of domestic advertising industry, theoretical background of the creative strategy and the condition and problems in the domestic Missy market were studied through the relevant fashion advertisement and periodical publications. Second, the content analysis was done using the advertisement of Missy Brands in fashion magazine, ELLE which were published from 1992 to 1998.(3/6/9/12). The results were summarized as follows: First, the ELLE `s analysis results were to increase in number of the advertisements for the teenager Brand from 1993 and for the I.B.(Imported Brand) or L.B,(License Brand) from 1995. As a result of the analyses, we suppose that a number of advertisements are proportional related to the sales of Brands. Second, there were significant differences between D.B.(Domestic Brand) and I.B.(Imported Brand) or L.B.(License Brand) in the change of creative strategy for Missy Brands advertisements. The creative strategy of D.B. ads, was used more importantly in linguistic message than in visual message, On the contrary, the creative strategy of I.B.(L.B) ads, attached importance to the visual message (photo). Third, the ads of TIME showed ads. effect to have relevance to sales. The creative strategy of TIME ads. appeals to consumer for consistent Brand image, at the same time reflects the distinctive Brand image from the others. This study was suggested the creative strategy change of TIME through the visual data base.