Does Age Influence the Poor Prognosis after Aneurysmal SAH Surgery in Elderly Patients?

Sim, Jong-Eun,Kim, Hyung-Dong,Song, Young-Jin,Noh, Seung-Jin The Korean Neurosurgical Society 2006 Journal of Korean neurosurgical society Vol.40 No.5

Objective : The incidence of aneurysmal subarachnoid hemorrhage has been increasing. At the same time, surgical results for elderly patients are unsatisfactory and no guidelines of treatment are available. We carried out a study comparing variable factors and surgical results between young and old age groups to find ways to improve prognosis. Methods : A retrospective study was carried out on 754 patients who were operated on between 1990 and 2004 by the same surgeon in our hospital. The patients were divided into seven groups according to age : 93 patients below 40 years of age [Group I], 419 patients aged $40{\sim}59$ [Group II], 115 patients aged $60{\sim}64$ [Group III], 82 patients aged $65{\sim}69$ [Group IV], 28 patients aged $70{\sim}74$ [Group V], 12 patients aged $75{\sim}79$ [Group VI] and 5 patients over the age of 80 [Group VII]. We then checked their medical history, Fisher's grade, Hunt-Hess grade, postoperative complications, and Glasgow Outcome Scale. Results : Age was not a statistically significant factor among patients below 70 years of age [P $value{\ge}0.05$]. But for those aged 70 and older, the age factor had a statistical value [P $value{\le}0.001$]. In addition, there was a close correlation between Hunt-Hess grade IV and V patients, and those with vasospasm, and hydrocephalus after surgery, with poor prognosis in elderly patients as well as young patients [P $value{\le}0.001$]. Conclusion : Advanced age [under the age of 70] dose not precluded adequate surgical treatment in patient with AN SAH, and we should be also alert to preventable causes of delayed neurological deterioration for improving the outcome in all elderly groups.

유아를 위한 통합적 문학활동 교수모형의 효과 : 이야기를 중심으로

이은상,임영심 안양대학교 人文科學硏究所 1995 人文科學硏究 Vol.3 No.1

ABSTRACTThe purpose of this study is to analysis the effect on the child's understanding of story structure during young children's integrated literature Activity. 48 young children were chosen and randomly divided into an experimental group,a comparison group and a control group. The children in the experimental group who engaged in a integrated literature Activity interacted with their teacher rather freely. The teacher organized the environment and encouraged metacommunication between children by allowing spontanous dramatic play. The comparision group children also participated in a integrated literature Activity but under the teacher's direction. They followed what thor teacher suggested doing after they listented to the story. The children in the control group only heard the stories, which were the same as these of the comparision and the control groups. The experiment was performed for 12 weeks from June 16.1994 to Swmtember 2. The effects of the child-teacher interaction while children engaged in a integrated literature Activity were tested at the 4th,8th,and 12th week during the experiment. ANCOVA was employed for statistical treatment. The results are as follows: The experimental group children's ability to comprehend the story structure and their ability to infer was significantly improved.

고위험군의 원발성 전신성 유전분증 1례 보고 및 조혈모세포이식에 대한 문헌고찰

심준,박수정,엄현석,김기영,박은정,강인중,조병식,이안희,한치화 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.2

저자 등은 클론성 형질세포질환과 동반된 젊은 연령의 원발성 전신성 유전분증 환자를 진단하였기에 다발성 골수종과의 감별 진단, 치료 , 예후 및 고용량 항암화학요법과 조혈모세포이식에 관하여 문헌고찰과 함께 보고하는 바이다. Primary systemic amyloidosis (AL) is a rapidly fatal disorder related to plasma cell dyscrasia. Conventional dose of melphalan, which prolongs the duration of survival by about 10 months, does not improve the functions of impaired organs in most cases. The high dose chemotherapy followed by autologous hematopoietic stem cell rescue for AL, in spite of its high treatment-related mortality, is a new approach to achieve high response rate and better survival. We experienced a 35-year old man with AL(involving heart, liver, stomach, kidneys, peripheral nerve, and rectum) who did not respond to the standard schedule of melphalan plus prednisone and had rapidly fatal course with organ failure. Hence, we evaluate its availability by reviewing the recent reports of high dose chemotherapy in AL.

폐경기 여성의 운동형태가 골밀도에 미치는 영향

김은경,이계영,이삼준,심영제 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

The relationship of bone mineral density and type of physical exercise was studied in 36 Postmenoposal Women(age 48-57). The exercise group consisted of Weight training([ =9), Aerobic dance(N=8), Swimming(N=9) and the control group consisted of 10 women. Bone mineral density was measured Lumber(L2-L4), Femur neck, Ward's triangle bone density. The results statstically analyzed on these data were summarized as follows: first, Lumber (L2-L4) bone density, Femoral neck bone density, Ward's triangle bone density in Weight training group was significantly higher than in Swimming group and Control group. Secondly, Lumber(L2-L4) bone density, Femoral neck bone density, Ward's triangle bone density in Aerobic dance group was significantly higher than in Swimming group and control group. Thirdly, No significant difference were round for Lumber(L2-L4) bone density, Femoral neck bone density in Weight training group and Aerobic dance group.

경부에 발생한 침습성 지장종의 치험례

조은영,하종운,김영빈,정윤심 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

Lipomas make up 4∼5% of all benign tumors in the body and are most often located on shoulders and backs. Neck lipomas are often developed in the subcutaneous tissues of the posterior neck, Most lipomas have slow growth rate and the recurrence is very rare after surgical excision because of well-defined border. But lipoma originated from muscles(intramuscular and intermuscular lipoma), so called infiltrating lipoma, has ill-defined border and little or no evidence of encapsulation. Histologically the feature of infiltrating lipoma is distinctive. There is a consistent infiltration with dissociation of the surrounding muscle fibers. The overall recurrence rate is less than 5%, but rises to 62.5% when deep infiltrating lipomas are considered separately. Thus infiltrating lipoma is best excised with a margin of normal muscle to avoid recurrence. Its location in the head and neck is uncommon. 18 cases of infiltrating lipoma in the head and neck has been reported to date. Here we report a case of infiltrating lipoma that arises in the head and neck muscle with a review of the literature on the subject.

냉수 가글링과 젖은 거즈를 이용한 구강간호가 비강수술 환자의 갈증 및 구강상태에 미치는 효과 비교

이인선,심명숙,나은희,강재연,김지혜,황민영,윤계숙,성영희 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: This study researched the comparison of oral care methods between the wet gauze and the water gargling for nasal surgery patients. It executed to find out more effective method to relieve thirst. Method: We divided two groups; the wet gauze and the cold water garaling. We assessed patient's oral cavity state and sebjective oral dryness for three times; firstly before the intervention, secondly 15 minutes after 1st intervention and thirdly 15 minutes afrer 2nd intervention. Result: As the intervention, there was no difference on oral condition subhectvely, but there was a difference on thirsty reduction objectively. As the aral dryness has relieved through both methods. It showed the repeated gargling helps more to relieve oral dryness effectively than the wet gauge. At PACU, post nasal surgery patient's oral dryness was decreased with gauze more than two times, patient's oral dryness was relieved. Whereas the dryness was relieved after applying the cold water gargling for just one time. Conclusion: The water gargling is more effective intervention than the wet gauze. Especially, oral dryness was improved in the section of objetive oral assessment index.

장기간 보관한 멸균물품의 오염 상태에 관한 연구

주홍순,조순덕,정재심,신동분,임바올라,노은지,이선희,송영미,최정화,백병윤,김미나 대한병원감염관리학회 2003 의료관련감염관리 Vol.8 No.1

정상 관동맥을 가진 심장 점액종 환자에서 발생한 급성 심근 경색증 1예

이정민,이현승,전은정,윤호중,정욱성,오용석,김철민,김재형,최규보,홍순조,이교영,심상인 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.9

CRRT(Continuous Renal Replacement Therapy: 지속적 신대체 요법)적용 환자의 저체온증 예방을 위한 가온요법에 관한 연구

이수진,박향숙,임은영,심유미 병원간호사회 2007 임상간호연구 Vol.13 No.3

Purpose: The purpose of this study was to investigate the effect of heated dialysate sloution(HDS) and heated replacement solution(HRS) on maintenance of the body temperature for ICU patients taking CRRT. Method: To maintain body temperature, we made the HDS and HRS using it in the peritoneal dialysis solution warmer. We measured body temperature every hour for initial 5hours after applying HDS and HRS by tympanic membrane thermometer. One hundred twenty nine of ICU patients taking CRRT were non-randomly assigned into four groups : only dialysate warmer; DW(n=33), only blood warmer; BW(n=32), DW+HDS+HRS(n=32), BW+HDS+HRS(n=32). Results: The patients' core temperature in the DW+HDS+HRS and BW+HDS+HRS groups were maintained within isothermic range. Those in the DW and BW groups significantly decreased during initial 5hours after applying CRRT<respectively, time(p=.000, p=.000)>. There was significant difference in the patients' core temperature between the DW and DW+HDS+HRS groups<group(p=.001)>. No significant difference was showed between the BW and BW+HDS+HRS groups<group (p=.093)>. Conclusion: The additional application of HDS and HRS to DW or BW may be an easy to use, and effective for maintenance of body temperature for patients on CRRT.

국산 밀 품종 및 제분율에 따른 막걸리의 품질 특성

심은영,이석기,우관식,김현주,강천식,김시주,오세관,박혜영,Sim, Eun-Yeong,Lee, Seuk Ki,Woo, Koan Sik,Kim, Hyun-Joo,Kang, Chon-Sik,Kim, Si Ju,Oh, Sea-Kwan,Park, Hye-Young 한국식품영양학회 2016 韓國食品營養學會誌 Vol.29 No.5

본 연구는 국내산 밀 품종에 따른 제분율 별로 밀 막걸리의 품질특성을 평가하고자 수행하였다. 원료곡의 탄수화물은 70% 제분율의 금강밀, 백중밀이 78.37, 78.16%로 가장 높았다. 밀의 품종 및 제분율에 따른 막걸리의 품질특성을 검정한 결과, 가용성 고형분 함량, 환원당, 알코올은 각각 $10.94{\sim}12.33^{\circ}Brix$, 2.89~4.71%, 14~15.97% 범위를 나타냈으며 백중밀 70% 제분율에서 알코올 15.97%, 환원당 4.71%로 가장 높은 함량을 나타냈다. 밀 막걸리의 glucose 함량은 159.4~560.7 mg%의 범위를 보이며 원료 밀 대비 상당량 증가하였고 그 외 mannitol과 arabinose도 존재하였다. 밀 막걸리의 유기산 분석에서, 유산균에 의한 대사산물인 lactic acid는 85.3~650.3 mg%의 분포를 나타내며 가장 높은 수준을 나타냈고 제분율 증가에 따라 그 함량도 증가하였고 제분율별 품종 비교에서는 조경밀이 가장 높았다. 밀 막걸리의 품질 관련인자의 상관성 분석에서는 원료곡의 단백질 함량은 밀 막걸리의 총산, 환원당과 부의 상관을 보였고(p<0.001), 원료곡의 탄수화물 함량은 밀 막걸리의 총산, 환원당(p<0.001) 및 알코올 함량(p<0.05)과 정의 상관을 나타내었다. 가용성 고형물의 함량은 알코올, 환원당 함량과 정의상관을, pH와는 부의 상관관계를 나타내었다(p<0.001). 밀 막걸리의 알코올 함량 비교 시 70, 85% 제분율에서 품종과 제분율에 따른 차이가 존재하지 않았으므로 85% 밀가루도 막걸리용으로 이용 가능할 것이라 생각된다. 하지만 품종과 제분율에 따라 함유하는 유리당과 유기산 등 여러 가지 품질특성이 상이하기 때문에 이를 고려한 원료의 선택이 필요할 것이다. This study aimed to evaluate the quality characteristics of wheat-Makgeolli (WM), a traditional Korean cereal alcoholic drink, using three varieties of wheat, namely Jokyoung (JK), Baegjoong (BJ) and Keumkang (KK). Samples of WM brewed from 100%, 85% and 70% milling rates of the three Korean wheat cultivars were analyzed for alcohol, pH, coloring degree, total acids, soluble solid, free sugars, and organic acids. As the milling rates in wheat decreased, total sugar content in WM increased while the pH of all samples decreased. The WM exhibited 0.95~1.27% in acidity, $10.2{\sim}12.5^{\circ}Brix$ in total sugar, and 14~16% in alcohol content. The most organic acids in WM was lactic acid, ranging in all the samples from 85.3~650.3 mg%. The results showed that BJ under a 70% milling rate had the highest reducing sugar contents and 15.97% in alcohol content. The carbohydrate content increased with the milling rate of wheat. Resulting in a positive correlation between carbohydrate content of wheat and total acids, reducing sugars (p<0.001), and alcohol content (p<0.05) in WM. Total sugar content is positively correlated with alcohol and reducing sugar content (p<0.001). Considering the yield, the milling rates will be adjusted to raw material prices.