사회성 훈련 프로그램이 발달장애아동의 사회성 및 적응행동에 미치는 효과

유은희,양정남,이숙자 동신대학교 2005 論文集 Vol.15 No.-

The Effects of a Social Skills Program on Improving Sociability, and Adaptive Behaviors of Children with Developmental Disabilities. The purpose of this study was to investigate the effects of a social skills program on improving social skills, and adaptive behaviors of children with developmental disabilities. A total of nine children at the Language Therapy Center for children and adolescents in Gwangju Metropolitan City participated in this study with the consent from their parents. The research was conducted following one-group pretest-posttest design, a preexperimental design. A social skills program was implemented once a week with 90 minutes per session for 15 weeks. The effects of the program were evaluated by administering Social Maturity Scale, and Adaptive Behavior Scale before and after the program. The results showed that the scores in social maturity, and adaptive behavior scales, respectively, increased from pretest to posttest. This study concluded with a discussion on the implications of social skill programs for improving social skills, and adaptive behaviors of children with developmental disabilities in the field of social welfare. Implications and suggestion for future studies was discussed.

악교정 수술중 수액요법과 술후 합병증의 연관성

류정호,김대윤,배준수,양병은,유준영,김용관 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.5

Few topics in operative and perioperative patient management generate more controversy than that of appropriate fluid and electrolyte therapy. especially, controversy has swirled around colloid vs crystalloid therapy and the composition of administered fluids, agreement among clinicians as to what fluid therapy is appropriate, and in what amount, is rare. This controversy likely will be enhanced by Arieff' s provocative article. He described 11 adults and 2 pediatric patients. All developed fatal postoperative pulmonary edema, seemingly caused solely by excessive postoperative fluid administration. From January 1999 to December 1999, we investigated 24 patients, which were operated by orthognathic surgery, about the intraoperative fluid therapy and the associated effect in orthognathic surgery, which is regarded as one of the major surgery of oral and maxillofacial surgery. First, They were devided into two groups, that is one-jaw surgery and two-jaw surgery, and each groups were devided by intraoperative fluid volume of 8ml/kg/hr. Subjective assesment was collected through use of a series of 3 questionnaries. In each questionnaire, a 5-point Liekert scale was used far assessment of following parameters of recovery from anesthesia: headache, dizziness, drowsiness, nausea/vomiting, thirst. The patient completed questionnaire 1 at 4 hour after surgery, questionnaire 2 was completed at 24 hours after surgery, and questionnaire 3 was completed at 48 hours after surgery. This study demonstrated that appropriated perioperative rehydration decreases postoperative adverse outcomes and improved the patient's perception of the postoperative period.

HPLC를 이용한 백삼,홍삼 및 홍삼 농죽액의 Ginsenosides 함량 분석

맹주양;이용구;이숙재;정진아;김상민;김유정;육영난 순천향대학교 기초과학연구소 2010 순천향자연과학연구 논문집 Vol.16 No.2

Commercial White ginseng(WG), Red ginseng (RG), and Red ginseng concentrate(RGC) were analyzed for ginsenosides Rg1, Rb1, and Re by HPLC. The contents of Rg1, Rb and Re were 0.25%, 0.17%, 0.13% in WG, the contents of Rg1, Rb1, and Re were 0.11%, 0.23%, 0.12% in RG, and the contents of Rg1, Rb1, and Re were 0.7%, 0.04%, 0.42% in RGC. In Rg1, the contents were decreased in the order of RGC(O.70%)>WG (0.25%)>RG(O.11%), in Rb1, RG(O.23%)>WG(O.17%)> RGC(O.04%), in Re, RGC(0.42%)>WG(0.13%)>RG(O.12%). The total content s of Rg1, Rb1, and Re were decreased in the order of RGC(1.16%)>WG(0.55%)>RG(O.46%). Overall results demonstrated that The content of Rg1 was higher than those of Rb1 and Re in WG and RGC, while the content of Rb1 was higher than those of Rg1 and Re in RG.

국내 다층지반의 지반물성치 및 토압에 관한 고찰

구자갑,김운학,최정호,유영화,정양규 한경대학교 2004 論文集 Vol.26 No.1

This paper study on soil properties and earth pressure at the domestic multi layer. Reliable predictions of the movement of earth retaining structures and the ground adjacent to the braced walls in urban excavation are often difficult due to many variable factors. Also, Unpredictable behavior of ground and retaining structure due to variation of the above factors may cause considerable damage to the adjacent structures, and cost many of human lives as a results of retaining wall failure. The earth pressure at the retaining walls was measured at total 13 numbers sites and Peck's empirical earth pressures adapted at the design stage. The geotechnical properties by this research was proposed as a preliminary design guide line in urban excavation where controling ground movement and safety assurance of adjacent structure. The earth pressure of rock masses were found to be 70.14% of Peck's earth pressure and the earth pressure of soil were found to be 44.4% of Peck's earth pressure. It is indicated that the design earth pressures of a retaining wall is

고식적 검사로 간외 전이를 진단하지 못한 원발성 간암 환자에서 간이식 전에 시행한 전신 FDG-PET의 역할

이원우,류진숙,양유정,김재승,여정석,문대혁,이승규 대한핵의학회 2002 핵의학 분자영상 Vol.36 No.6

목적: 원발성 간암의 치료를 위해 간이식이 시행되고 있으나, 8-54%의 환자에서는 이식 후 원격 전이로 인한 재발이 보고 되고 있다. 이 연구는 간이식 예정인 원발성 간암 환자들에서 고식적인 검사로 진단하지 못한 간의 전이 진단에 있어서 FDG-PET의 유용성을 평가하고자 시행되었다. 대상 및 방법: 2001년 8월 이후 본원에서 간이식을 계획하고 전신 FDG-PET을 시행한 환자 중, FDG-PET 검사 이전에 복부 초음파와 CT, 흉부 x선 검사와 CT, 골스캔 등의 고식적인 검사를 시행하여 전이의 증거가 없거나(n=22), 애매한 이상 소견이 있었던(n=4) 원발성 간암 환자 26명(남:여=23:3), 평균 나이 55.7세)을 조사하였다. FDG-PET에서 양성을 보인 결과는 조직 검사나 임상적인 추적 검사로 전이 여부를 확인하였다. 결과: 고식적 검사에서 애매한 이상 소견이 있었던 환자 4명 중 3명의 6개 병변이 FDG-PET에서 국소 대사 항진을 보였고, 전이로 확인되어 간이식을 시행하지 않았다. 이 중 5 병변들은 의심되지 않았던 부위에서 새로 발견된 것이었다. 다른 1명은 PET에서 음성 소견으로 간이식을 시행하였다. 고식적인 검사에서 전이를 의심할 만한 소견이 없었던 22명 중에서는 5명의 환자에서 7개의 간의 국소 대사항진 병변들이 FDG-PET에서 발견되었는데, 이들 줄 1명은 2 개의 전이 병변이 확인되어 간이식을 시행하지 않았다. 다른 4명의 환자들에서 보인 5개의 국소 대사항진 병변들은 양성병변으로 확인되었고 이 중 3명은 간이식을 시행하였다. 요약하면, FDG-PET으로 4명의 환자에서 고식적인 검사로 찾지 못하던 전이 병변을 찾아 불필요한 간이식을 피할 수 있었다. 모두 17명에서 간이식이 시행되었다. 간의 조직 검사 소견과 비교하였을 때 생존 원발성 간암을 진단하는 FDG-PET의 민감도는 55.6% (5/9)이었고, 특이도는 87.5% (7/8)이었다. 결론: FDG-PET 전신 스캔은 간이식 예정인 원발성 간암 환자들에서 이전에 시행한 고식적인 검사들로 진단하지 못한 전이 병소들을 추가로 진단하여 불필요한 간이식 수술을 줄이는데 기여할 수 있었다. Purpose: Liver transplantation (LT), one of the therapeutic options of primary liver cancer has been suffering from recurrence caused by metastasis in 8-54% of patients. This study was performed to investigate whether FDG-PET is useful for detecting hidden metastasis in LT candidates. Materials and Methods: Twenty-six patients (male:female=23:3, mean age 55.7 year) underwent FDG-PET. Their previous conventional diagnostic studies (CDS) like a abdomen US and CT, chest x-ray and CT, and bone scan were negative (n=22) or equivocal (n=4) for metastasis. Positive FDG-PET findings were confirmed by biopsy or clinical follow-up. Results: Among 4 patients with equivocal metastatic lesions on CDS, 3 had 6 hypermetabolic lesions on FDG-PET, which were confirmed as metastasis and subsequently LTs were cancelled. Of these, 5 lesions were initially negative on CDS. Remained 1 patient underwent LT with a negative FDG-PET result. Among 22 patients without metastasis on CDS, 5 had 7 hypermetabolic lesions on FDG-PET. One of these patients proved to have 2 metastatic lesions, and LT was cancelled. The other 4patients had 5 hypermetabolic lesions on FDG-PET, which were confirmed as benign lesions, and 3 patients of them underwent LT. In summary, FDG-PET was useful in avoiding 4 unwarranted LT by detecting unsuspected metastatic lesions on CDS. A total of 17 patients underwent LT. In comparison with pathology, the sensitivity and specificity of FDG-PET for detecting viable primary liver cancer were 55.6% (5/9) and 87.5% (7/8), respectively. Conclusion: FDG-PET can detect additional hidden metastasis and contribute to reducing unwarranted LT in the patients with primary liver cancer. (Korean J Nucl Med 2002;36;368-80)

중량물 운반시 잡기유형에 따른 근전도 분석

이훈식,강영택,윤양진,정미라,유국종,서국웅,김정태 釜山大學校 附設 體育科學硏究所 1999 體育科學硏究所 論文集 Vol.15 No.-

The purpose of this study was to examine EMG changes of the body according to method the holding during carrying object. The experiments were conducted with utilizing EMG analyses for five male and five female adults as subjects. The results were as followed. 1. The higher muscle action potential of vertical holding was shown than that of right holding when carrying objects in MMH work in proportion to the weight of the object. The came from the subjects using their brachial muscles much to maintain the angles of their wrist joints and elbow joints for keeping their stable postures while walking. 2. The higher muscle action potential of right holding was shown in right and left elector-muscles of their spines(L1-L2, L4-L5) while carrying in all stages of weights except 25kg objects than that of vertical holding. These results were caused from more use of brachial muscles than elector-muscles of spines in carrying weight objects. So vertical holding is more effective in carrying weight objects at a short distance than right holding.

보신 관광에서 감염된 수입성 Sparganosis 1예 : Intake of Thailand Snake during Trip

서환조,박명재,고경식,백영한,조유정,양현종,류경남,정형근,전정열 대한감염학회 1992 감염 Vol.24 No.1

Human sparganosois was reported more than 100 cases in Korean population. However no case reported yet in Korea as a patient was infected by sparganum from other geographical area, such as Thailand. The case we are reported here is a 38 year-old Korean male who had been suffered from mass being a small, round and soft consistance in upper portion of his right thigh. The patients stated that he had an opportunity to eat living snake in Bangkok, Thailand during trip. As therapy praziquantel (75㎎/㎏/day) was given p.o. for 14 days, but in vain to cure. Following medical treatment, surgical exicision was performed to remove a alive, soft, whitish-milky, mobile and elongated sparganum. Serlogical test by micro-ELISA for sparganum-specific antibody revealed a high serum antibody level of absorbance 0.67 (positive criterion: absorbance 0.22).

Solitary Cerebellar Metastasis of Cecal Cancer, Visualized Using F-18 FDG PET/CT

Yang, You-Jung,Hong, Il-Ki The Korea Society of Nuclear Medicine 2012 핵의학 분자영상 Vol.46 No.1

Tc-99m Diphosphonate as a Potential Radiotracer to Detect Sentinel Lymph Nodes in Patients with Breast Cancer

Yang, You-Jung,Lim, Sung-Jig,Song, Jeong-Yoon The Korea Society of Nuclear Medicine 2010 핵의학 분자영상 Vol.44 No.1

Purpose To evaluate the potential of Tc-99m diphosphonate as a tracer for sentinel lymph node biopsy in breast cancer. Methods Lymphoscintigraphs of 35 patients ($50.9{\pm}10.2$ years) with breast cancer were acquired after administering a subareolar intradermal injection of Tc-99m diphosphonate 18 h before surgery. Static images were taken within 15 min (early phase) and 15 h after injection (delayed phase). The lymphoscintigraphic identification rate was defined as the percentage of subjects studied with visible foci at axillae. Sentinel lymph node biopsies were performed using a gamma probe and by blue dye injection. Any node that was radioactive or stained with blue dye was labeled as a sentinel lymph node. Lymph nodes without radioactivity or blue dye staining were defined as nonsentinel lymph nodes. The intraoperative identification rate was defined as the percentage of patients with a radioactive sentinel lymph node. Percentages of lymphoid cells expressing S-100, CD83, and CD1a were compared. Results The lymphoscintigraphic identification rate was 94.3% (33/35) during the early phase and 96.9% (31/32) during the delayed phase, whereas the intraoperative identification rate was 94.3% (33/35). The mean percentages of lymphoid cells that stained positively for S-100 or CD83 were lower in sentinel lymph nodes than in nonsentinel lymph nodes (1.5% vs. 9.0% for S-100, and 4.5% vs. 9.3% for CD83, respectively, p=0.0286). The mean percentages of lymphoid cells in sentinel lymph nodes and non- sentinel lymph nodes expressing CD1a were 3.3% and 7.0%, respectively (p=ns). Conclusions Tc-99m diphosphonate can reliably detect regional lymph nodes in breast cancer.

Fetal Loss Rate after Mid-trimester Amniocentesis

You Jung Han,Yun Young Kim,Si Won Lee,Min Hyoung Kim,Jin Hoon Chung,Hyun Kyong Ahn,Jung Yeol Han,Moon Young Kim,Jae Hyug Yang,Kyu Hong Choi,So Yeon Park,Hyun Mee Ryu 대한의학유전학회 2012 대한의학유전학회지 Vol.9 No.1

Purpose: The aim of this study was to asses the fetal loss rate after mid-trimester amniocentesis. Materials and Methods: This was a retrospective cohort study including singleton pregnant women who underwent midtrimester amniocen tesis at Cheil General Hospital from January 2008 through December 2010. The procedure-related fetal loss was defined as miscarriage within 2 weeks after amniocentesis. We evaluated the fetal loss rate within 2 weeks after amniocentesis and fetal loss rate before 24 gestational weeks. Results: During the study period, a total of 4,356 singleton pregnant women underwent mid-trimester amniocentesis. A total of Five hundred ninety six women were excluded owing to follow up loss and termination of pregnancy due to abnormal karyotype or major anomaly. At our institute, the fetal loss rate within 2 weeks was 0.1% and before 24 gestational weeks was 0.3% after amniocentesis. Conclusion: The fetal loss rate after mid-trimester amniocentesis in our study is lower than previously reported rate. We suggest that amniocentesis is a safe procedure.