• 제목/요약/키워드: 둔부

검색결과 76건 처리시간 0.032초

심뇌혈관질환 위험인자를 가진 폐경 중년여성의 질환예방 지식과 건강행위 (Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk)

  • 김경애;황선영
    • 성인간호학회지
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    • 제28권4호
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    • pp.424-435
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    • 2016
  • Purpose: This study examined knowledge about cardio-cerebrovascular disease (CVD) and its relationship to health behaviors among middle-aged postmenopausal women with CVD risk factors. Methods: The study was a cross-sectional descriptive study. One hundred and thirty-six postmenopausal women were recruited from outpatient departments of four hospitals. The women were $60.69{\pm}6.5$ years old. Self-reported questionnaires were administered, and waist-hip ratios (WHR) were measured. Results: Among the women, 72.8% reported hypertension, 19.1% reported diabetes, 33.8% reported hypercholesterolemia, and 24.2% reported angina pectoris. Moreover, 73.9% of the women reported not knowing of CVD prevention, and only 26.1% reported exercising regularly. A majority of the women (80.9%) had a WHR > 0.85. Multiple linear regression analysis after adjusting for age and marital status indicated that the risk of myocardial infarction and stroke increased (p<.001). Waist-hip ratio${\leq}0.85$ (p=.022) and living with family members (p=.006) were significant predictors of healthier behaviors ($R^2$=0.21, p<.001). Knowledge of CVD and health behaviors were not correlated. Conclusion: Obese women and women who live alone are no more likely to practice health behaviors aimed at CVD prevention than their counterparts in the sample. Education and exercise interventions are needed, especially for obese women, to promote healthy behaviors among middle-aged postmenopausal women with CVD risk factors.

급성복통을 동반한 소아의 척추 경막외 농양 1예 (Acute Spinal Epidural Abscess Presenting with Abdominal Pain in a Child)

  • 정은영;이연경;김석헌;공병구;김광우;박영수;김동원
    • Pediatric Infection and Vaccine
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    • 제8권1호
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    • pp.107-113
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    • 2001
  • 저자들은 발열과 복통을 주소로 입원한 환아에서 연속적으로 요통 및 둔부 동통을 보여 실시한 자기 공명촬영상 요추 부위의 척추 경막외 농양을 진단하고 수술하였기에 문헌 고찰과 함께 보고하는 바이다.

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부분 탈상피화 둔부 전위 피판을 이용한 천미골 털둥지굴의 수술적 치료 (Surgical Treatment of Sacrococcygeal Pilonidal Sinus with the Partial Deepithelized Gluteal Transposition Flap)

  • 남두현;신호성;박은수;김용배
    • Archives of Plastic Surgery
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    • 제35권4호
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    • pp.446-449
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    • 2008
  • Purpose: Pilonidal sinus is a frequent disease that occurs mostly in hairy young men, defined as chronic inflammation and infection of the postsacral sinuses. Wide excision of the affected area is the treatment of choice. Many techniques have been described to cover the defect. However none appears to be the ideal procedure to prevent infection, recurrence, and delayed wound healing. We present the results of an alternative technique that we performed by using partial deepithelized gluteal transposition flap for reconstruction of the defect following wide excision. Methods: From October 2004 to September 2007, we performed the partial deepithelized gluteal transposition flap method on 6 patients. We modified the transposition flap techniques by deepithelialising the medial parts of the flap and burying them under the opposing edge of the flap. The results were compared with previous studies and evaluated regarding duration of surgery, size of defect, hospitalization periods, and complications. Results: All the flaps were healed well with no partial or complete loss of the flap. Hospitalization and immobilization periods were acceptably shortened. Recurrence was not seen. The aesthetic outcome was also satisfactory and all patients were satisfied with the results. Conclusion: The main advantage of our techniques is using healthy tissues to obliterate the dead space, to provide an extra-cushion, and to prevent deep dehiscence. We believe that the partial deepithelized gluteal transposition flap is a good alternative method for treatment of pilonidal sinus.

개에서 발생한 결장 평활근종에 대한 동적 컴퓨터 단층촬영 소견 1례 (Dynamic Computed Tomographic Characteristics of aColorectal Leiomyoma in a Dog)

  • 박노운;정욱헌;한재웅;엄기동
    • 한국임상수의학회지
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    • 제32권2호
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    • pp.200-204
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    • 2015
  • 12년령 중성화 수컷 시추가 변비와 배변곤란 증상으로 내원하였다. 방사선 사진상 결장이 팽대되어 있으며 천추 수준에서 연부조직밀도의 종괴가 결장을 복측으로 압박하는 것이 관찰되었다. 컴퓨터 단층촬영상 종괴는 균일한 연부조직 정도의 감약성을 보이며 변연이 뚜렷하고 전이소견을 보이지 않았다. 동적 컴퓨터 단층촬영상 종괴는 촬영간 지속적인 낮은 조영증강을 보였으며 관류성 및 모세혈관 투과성은 둔부근육과 비교하여 낮은 것으로 평가되었다. 영상진단학적 검사상 종괴는 신생혈관 발달이 약한 골반강 내 양성 종양으로 잠정진단되었다. 종괴는 둔성분리를 통한 외과적 절제로 제거되었으며 조직검사결과 평활근종으로 진단되었다.

시간흐름에 따른 18F-FDG PET/CT의 영상 분석 (The analysis of 18F-FDG PET/CT Images According to the Time Flow)

  • 이효영
    • 한국방사선학회논문지
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    • 제6권1호
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    • pp.47-51
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    • 2012
  • 양전자 방출단층 촬영은 $^{18}F$-FDG 주사하고 1시간 후에 촬영한다. 하지만 장비의 결함 또는 예상하지 못한 상황으로 2-3시간정도 경과되어 촬영을 하는 경우가 발생한다. 이에 시간 흐름에 따라 획득된 영상에서 체내 부위별 표준화 섭취계수를 측정하여 다음과 같은 결과를 얻었다. 정상기관 중 정상부위는 간(간우엽 중앙부), 지방(좌측 둔부), 폐(우측 상엽부), 대동맥(상행 대동맥)의 경우는 지연영상에서 크고 작은 감소가 나타났으며, 정상부위 중 유일하게 뼈(제 5요추 체부)에서 ${\Delta}$SUVmax 37%의 증가가 나타났다. 병소부위는 시간의 흐름에 따라 증가함을 보였으며 ${\Delta}$SUVmax는 37.6%증가로 나타났으며 병소의 섭취증가와 정상부위 섭취감소로 대조도의 차이가 커짐을 알 수 있었다.

판소리 소설과 풍속화를 중심으로 본 조선후기 여자복식의 풍속연구 (A Study of Women's Costume in the later Choson based on the Pansori Novel and Genre Paintings)

  • 김혜영
    • 자연과학논문집
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    • 제8권2호
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    • pp.257-287
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    • 1996
  • 조선후기는 근대 서민 문예의 부흥기로서, 서민문예의 대두와 더불어 일어난 서민계층의 등장은 복식에 있어서의 대중 복식 문화를 부각시키면서 복식의 유행현상이 나타나게 되었다. 이 시기 모든 계층의 여성 복식에서 공통적으로 풍미한 유행사조는 과장된 치마허리 그리고 둔부를 volume감 있게 강조한 치마등을 통해 여체를 드러낸 선정적인 silhouette이 나타났다. 유교 규범에 의해 억제되고 절제된 여성들의 복식행동(clothing behavior)에서 이처럼 육체를 긍정한다는 것은 사회의 일정한 진보단계에 위치한다고 보겠다. 그것은 Eroticism자체는 영원한 인간의 본능에 의존하겠지만, 이 Eroticism을 통하여 어떤 사회적 질곡을 벗어나려고 하는데에 있어서는 그 Eroticism의 발로가 사회적 의의를 가지는 것이다. 그러므로 조선후기의 여성복식에서의 Erotic Mode는 여성들 자신의 것인 동시에 그 사회의 것이며, 그것은 가식적이고 표면적인 유교적 도덕관의 외피 속에 흐르고 있는 인간성의 폭로이고, 그것을 표현할 수 있다는 데에 서민문예의 진보성과 근대성이 있는 것이다.

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둔부의 압력분포 비교를 이용한 고령자용 기립보조의자의 기립 최적각도 제안 (A proposal of the Optimal Angle of Standing Assistant Chair for the Elderly by Comparing of Pressure Distribution on Hip)

  • 장성호;백지훈;이중언;;강석완;이왕범
    • 산업경영시스템학회지
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    • 제41권3호
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    • pp.108-114
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    • 2018
  • One of the most performed action in daily life is standing up from sitting position. As the population of the world is aging at the high rates, people may face problems with reduced muscle strength as well as psychological changes. This can lead elderly people having difficulties with standing up from chair. Now, with the aging trend worldwide, products are being developed that can support the lives of the elderly. This study examines the distribution of hip pressure in relation to the seating positions of the standing assistance seats under development to prevent standing up accidents in older adults. The currently developing standing assistant chair designed to tilt to a maximum angle of 25 degrees. At over $25^{\circ}$, design considers that older people are at risk of thrown back out of that force and that the forces exerted on their arms and legs can be a significant burden to older people. By considering danger of higher than $25^{\circ}$ for older people which is experimented in the basis of static capturing approach in previous papers, it is experimented people with age group of 20~60 on $0^{\circ}$ to $25^{\circ}$ tilting angle on the basis of dynamic capturing method in order to pick convenient angle of inclination. Moreover, tried to find the optimum angle by comparing the hip pressure distribution when seated at the edge of the seat and at the center of the seat with the pressure distribution sensor.

고관절 내회전 보행이 둔부 근육과 척추 기립근의 근활성도에 미치는 영향 (Effects of the Hip Internal Rotation Gait on Gluteal and Erector Spinae Muscle Activity)

  • 권오윤;원종혁;오재섭;이원휘;김수정
    • 한국전문물리치료학회지
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    • 제13권1호
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    • pp.24-31
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    • 2006
  • The purpose of this study was to identify the effect of the hip internal rotation on gluteal and erector spinae muscle electromyographic (EMG) activity during treadmill walking. Eleven healthy subjects were recruited. All subjects performed treadmill walking while maintaining the hip in neutral position (condition 1) and in internal rotation (condition 2). Surface EMG activity was recorded from four muscles (gluteus maximus (GM), gluteus medius (GMED), tensor fascia latae (TFL), and erector spinae (ES)) and the hip internal rotation angle was measured using a three dimensional motion analysis system. The gait cycle was determined with two foot switches, and stance phase was normalized as 100% stance phase (SP) for each condition using the MatLab 7.0 program. The normalized EMG activities according to the hip rotation (neutral or internal rotation) were compared using a paired t-test. During the entire SP of treadmill walking, the EMG activities of GM in condition 1 were significantly greater than in condition 2 (p<.05). The EMG activities of TFL and ES in condition 2 were significantly greater than in condition 1 (p<.05). The EMG activities of the GMED in condition 1 were significantly greater than in condition 1 (p>.05) except for 80~100% SP. Further studies need randomized control trials regarding the effect of hip internal rotation on the hip and lumbar spine muscle activity. Kinetic variables during gait or going up and down stairs are also needed.

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둔부재건을 위한 천공지피판의 다양한 도안 (Various Designs of Gluteal Artery Perforator Flap for Buttock Reconstruction)

  • 홍승은;변재경
    • Archives of Plastic Surgery
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    • 제34권2호
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    • pp.197-202
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    • 2007
  • Purpose: The gluteal artery perforator flaps earned its popularity in buttock reconstruction due to the lower morbidity of the donor site and the flexibility in the design. Speedy and safe reconstruction is important for the success of buttock reconstruction. If a proper design is selected, satisfactory results can be obtained with more simple method of surgery. Methods: Between April 2005 and April 2006, buttock reconstruction by using gluteal artery perforator flaps were performed on sacral sores(6 cases), ischial sores(2 cases) and malignant melanoma on buttock(1 case). Various designs depending on the location and the size of the defect was made. In those designs, perforator was used as an axis for the minimal dissection of the vessel. Donor site from which sufficient amount of soft tissue can be transferred was selected, and also not causing high tension against the recipient site during the donor site closure. In addition, postoperative aesthetics, and the possibility of another design of a second operation which can be necessary in the future, was considered. Results: Patient follow up was for a mean period of 10.8 months. All flaps survived except for one that had undergone partial necrosis. Wound dehiscence was observed in one patient treated by secondary closure. Most patients presented with cosmetically and functionally satisfying results Conclusion: By designing the flap using the perforator as an axis, depending on the defect size and degree, reconstruction can be performed with only a small tension to the donor and the recipient site. And the minimal perforator dissection allowed easier and faster reconstruction. Selection of a proper design is the key procedure which greatly affects operation time and result success.

고려(高麗) 철제석가여래좌상(鐵製釋迦如來坐像)의 보존 (Conservation of Seated Iron Śākyamuni Buddha Statue from Goryeo Dynasty)

  • 허일권;유자영
    • 박물관보존과학
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    • 제11권
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    • pp.9-16
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    • 2010
  • 국립춘천박물관은 고려 철제석가여래좌상의 부식방지와 상설전시 활용을 위하여 보존처리를 실시하였다. 처리 전 유물의 상태는 부식으로 인한 표면 박락현상이 관찰되었고 가부좌의 오른편 둔부에서 다리부분까지 결손되어 정상적인 전시가 불가능 하였다. 따라서 표면의 이물질을 제거하고 강화·보호 위한 강화처리 작업이 진행되었다. 강화처리 진행에 앞서 국내·외 연구 자료를 바탕으로 micro crystalline wax계를 선정하여 기초 실험을 실시하였다. 그 결과 (주)동남유화의 wax(in xylene) 5wt%가 백화현상과 표면 색상변화가 적으며 작업에 편리성이 높아 강화제로 선택하여 부식을 억제하였다. 결손부분의 복원은 내부 지지대 제작과 함께 epoxy계 수지를 이용하여 탈착이 가능한 복원을 실시하여 전시 효용성을 높였다.