• 제목/요약/키워드: 샘

검색결과 246건 처리시간 0.025초

일개 상급전문종합병원 전립샘비대증 환자들의 삶의 질 영향 요인 (Quality of Life and its Related Factors in Patients with Benign Prostatic Hyperplasia in One General Hospital)

  • 석윤희;이명선
    • 임상간호연구
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    • 제23권3호
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    • pp.332-340
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    • 2017
  • Purpose: This study was to identify the quality of life and its related factors in patients with benign prostatic hyperplasia. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 128 patients with benign prostatic hyperplasia who visited an outpatient department at one general hospital in 2016. Data were analyzed using Mann-Whitney U test, Kruskal Wallis test, Pearson's correlation coefficient and hierarchical multiple regression analysis. Results: Mean age of the participant was $67.81{\pm}6.94$. Mean years since diagnosis was $6.41{\pm}5.20$. The mean score of quality of life was $0.82{\pm}0.09$, indicating that QOL was relatively low. Lower urinary tract symptoms (p=.029), anxiety, depression, Activities of daily living were significantly correlated to with quality of life (p<.001). Activities of daily living accounted for 54% (p<.001) of the variance in quality of life as a result of hierarchical multiple regression analysis. Conclusion: The results of the study showed that nursing intervention may improve the quality of life of patients with benign prostatic hyperplasia by increasing their Activities of daily living.

유한요소해석을 이용한 센터필러(고장력강-780MPa)의 스탬핑 공정 설계 (A Study on Stamping of the Center Pillar (High-Strength Steel-780MPa) Using Finite Element Analysis)

  • 방기봉;성한샘;곽효서;김철
    • 소성∙가공
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    • 제26권2호
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    • pp.87-94
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    • 2017
  • Center pillar, which is installed in the center of flank of car body, supports roof and door and ensures the safety of driver by reducing the damage of car body caused by impact. Recently, high-strength steel is widely used to manufacture the center pillar due to high stiffness and fuel efficiency. In this study, material properties of the high-strength steel, whose tensile strength is more than 780MPa, were obtained to produce the center pillar. Stamping was performed by considering the design parameters (blank holder force, press stroke, blank size and pad pressure) used in the actual filed. The drawbeads were included in the stamping process to reduce the amounts of wrinkling and spring back. Using the commercial software, Autoform R5.2 and Minitab, effects of design parameters of the stamping process upon spring back were analyzed and applied to the design process. The restriking process meets the target of under 0.5mm in the amount of spring back.

자바와 미들웨어를 이용한 분산형 자료 관리 시스템(DDM) 구현 (Implementation of Distributed Data Manager(DDM) with Java and middleware)

  • 양은샘;김화종;최경;정충교;이구연
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2000년도 하계종합학술대회 논문집(3)
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    • pp.89-92
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    • 2000
  • 최근 인터넷 이용이 증가하면서 원격 교육자료, 전자상거래용 자료 등 여러 이용자가 사용하는 자료를 하나의 서버가 아니라 분산된 형태로 나누어 관리하는 것이 통신량을 줄이기 위해 점차 중요시되고 있다. 특히 멀티미디어 자료는 데이터 량이 많으므로 이용자에게 가까운 서버에 분산 관리하는 것이 더욱 필요하다. 본 논문에서는 CORBA 표준을 따르는 미들웨어를 사용하여 인터넷으로 상호 연결된 임의의 시스템에 자료를 분산 관리할 수 있는 분산형 자료 관리 시스템 DDM(Distributed Data Manager)을 구축하였다. DDM은 크게 나누어 사용자 관리, 데이터 관리, 시스템 상태 관리 기능을 제공하며 단순히 분산 자료의 위치만을 관리하는 것이 아니라, 자료를 종류별 또는 용도별로 통합된 category를 관리한다. DDM은 분산 자료의 통합관리와 시스템 상태 관리를 위해서 주 에이전트(Primary Agent, 이하 PA)와, 이용자에게 직접 서비스를 제공하는 보조 에이전트(Local Agent, 이하 LA)를 중심으로 구성된다. DDM은 모든 자료에 대한 현재 상태를 관리하는데, 자료의 등록, 수정, 삭제 등의 요구가 보조 에이전트를 통하여 실시간으로 이루어지며 자료의 통합 관리와 백업 관리는 주 에이전트가 담당한다. 한편 DDM는 자바와 JDBC를 사용하여 구축함으로써 임의의 플랫폼과 데이터베이스를 이용할 수 있게 하였다.

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늑막삼출액에서 전이성 샘암종과 유사한 복합 상피성 혈관내피종 - 세포학적 및 면역세포화학적 소견 - (Composite Epithelioid Hemangioendothelioma in Pleural Effusion Minicking Metastatic Adenocarcinoma - Cytologic and Immunocytochemical Findings -)

  • 장기석;한홍수;박문향
    • 대한세포병리학회지
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    • 제14권1호
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    • pp.36-41
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    • 2003
  • Epithelioid hemangioendothelioma is a rare vascular tumor of borderline malignancy which is characterized by the presence of "epithelioid" or "histiocytoid" endothelial cells. Superficial and deep tumors have been recognized in the extremities, head, neck, chest, and mediastinum of adult patients. It may also occur as a primary tumor of liver, bone, and other visceral organs. Few effusion cytologic findings of epithelioid hemangioendothelioma have been reported. We report a case of composite epithelioid hemangioendothelioma with focal epithelioid angiosarcomatous areas of the iliac bone and adjacent soft tissue in a 38-year-old female, which, during its metastatic course, was presented as a pleural effusion. The effusion was cellular with epithelioid cells presenting both singly and in clusters. The tumor cells were round to ovoid shewing cytoplasmic vacuolization, variability in cell size, and prominent nucleoli. The effusion smears and cell block sections revealed strong positive staining for CD31 and vimentin, weak positive for CD34 and Factor VIII-related antigen, and negative for cytokeratin, CEA, and calretinin. The cytologic findings in this case were similar to that of metastatic adenocarcinoma or malignant mesothelioma. Therefore, immunocytochemical staining in smear and cell block is a helpful tool to differentiate malignant 'epithelioid' cells in effusion.

개에서 턱밑샘관 및 혀밑샘관의 결찰이 턱밑샘에 미치는 영향 (Effects of Ligature of Mandibular Gland and Sublingual Gland on the Mandibular Gland in Dogs)

  • 황학균;김명철
    • 한국임상수의학회지
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    • 제16권1호
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    • pp.57-64
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    • 1999
  • It was performed to evaulate the effects of occlusion of mandibular gland and sublingual gland on the mandibular gland in dogs. The occlusion of mandibular gland and sublingual gland was induced by ligature in clinically normal dogs, and ultrasonograpic appearance, hematological changes and histological changes of the mandibular gland were observed daily during 6 days. The results were as follows. 1. The length, width, circumference and area of the mandibular gland in clinically normal dogs were 25.1 mm, 8.4 mm, 56.4 mm and 163.0 $\textrm{mm}^2$ in the left, and 23.4 mm, 8.0 mm, 53.3 mm and 141.6 $\textrm{mm}^2$in the right. 2. The length, width, circumference and area of the mandibular gland were gradually increased after ligature of the salivary duct, and revealed maximum values, as 33.4 mm, 10.9 mm, 73.0 mm and 287.2 $\textrm{mm}^2$, respectively, at 24 hours after ligature, and returned to normal size at 3 days after ligature. 3. The size of the opposite mandibular gland without ligature was also gradually increased until 24 hours, and returned to normal size at 3 days, similar to the changes of the mandibular gland with ligature. 4. There were no significant changes after ligature of the salivary duct in hematological findings. 5. In histopathological findings, the major of glandular alveoli was enlarged at 24 hours after ligature of the salivary duct, and neutrophils and monocytes were infiltrated at 6 days after ligature.

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폐에 발생한 원발성 융모막암종 - 1예 보고 - (Primary Pulmonary Choriocarcinoma in the Lung - A case report -)

  • 장희진;김주현;김영태;강창현
    • Journal of Chest Surgery
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    • 제42권1호
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    • pp.119-122
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    • 2009
  • 융모막암종은 생식 세포 종양의 일종으로 베타 인간 융모막 생식샘 자극 호르몬을 분비하는 합포체성 융모영양막세포에서 발생하는 종양이다. 주로 생식기에 발생하는 것이 일반적이며 폐장에 발생하는 경우는 매우 드문 것으로 알려져 있다. 본원에서는 28세 여자환자에서 발생한 원발성 폐 융모막암종이 의심되는 환자에서, 수술적 절제술을 시행하여 원발성 폐 융모막암종임을 확인하였고, 수술 후 추가적인 치료 없이 2년간 재발의 증거 없이 생존하고 있어 이를 보고한다.

장액성 삼출액의 도말 표본에서 반응성 중피세포와 샘암종 세포의 감별에 중피세포 표지자의 유용성 (The Diagnostic Utility of Mesothelial Markers in Distinguishing between Reactive Mesothelial Cell and Adenocarcinoma Cells in Serous Effusions with Cytospin Preparation)

  • 강미선;최수임
    • 대한세포병리학회지
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    • 제17권2호
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    • pp.108-115
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    • 2006
  • Evaluation of serous effusions can include immunocytochemical stains that differentiate reactive mesothelial cell from adenocarcinoma cell. Among several positive mesothelial cell markers, we used desmin, CK5/6, WT1 and calretinin all known to have high sensitivity and specificity as selective mesothelial cell markers. We studied smears obtained with cytospin from 15 malignant and eight benign effusions. The mesothelial cells were positively stained by desmin, CK5/6, WT1 and calretinin in 60.9%, 29.1%, 26.7% and 56.5%, respectively among 8 benign and 15 malignant effusions; the adenocarcinoma cells were positively stained 6.7%, 13.3%, 1.0% and 0.0%, respectively among 15 malignant effusions. The percentage of positively stained mesothelial cells were somewhat lower for all antibodies compared to the results of previous studies. This was likely due to the differences in preparation methods and fixatives among studies. In conclusion, the use of desmin and calretinin were more valuable than CK5/6 and WT1 for distinguishing between reactive mesothelial cell and adenocarcinoma cells in serous effusion; however, choice of the proper preparation methods and fixatives are also important

자궁경부 투명세포 샘암종의 자궁경부질 세포학적 소견 - 1예 보고 - (Cytology of the Uterine Cervico-vaginal Smear of Clear Cell Adenocarcinoma in Uterine Cervix - Report of a Case -)

  • 맹이소;김경미;강창석;이안희
    • 대한세포병리학회지
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    • 제15권2호
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    • pp.116-119
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    • 2004
  • Primary clear cell adenocarcinoma of uterine cervix is rare and cytomorphology in the vaginal smear have not been previously described in Korean literatures. The cytologic characteristics of clear cell adenocarcinoma of the uterine cervix include : malignant cells with abundant, finely vacuolated cytoplasm ; hobnail appearance, and distinctive basement membrane-like hyaline materials within cellular aggregates. A 36-year-old woman presented with vaginal bleeding. Cytologic examination of vaginal smear and histopathologic examination of a radical hysterectomy specimen allowed the diagnosis of hemorrhagic tumor in the uterine cervix as a clear cell adenocarcinoma. Cytologic findings were very characteristic. The tumor cells had abundant, pale, finely vacuolated cytoplasm with indistinct cytoplasmic membrane. The nuclei were round to oval with finely dispersed chromatin. Extracellular basement membrane-like hyaline substance, which stained a light green color in Papanicolaou's preparation, was frequently observed within the cancer cell clusters.

가슴샘 카르시노이드종양의 세침흡인 세포소견 - 1예 보고 - (Pine Needle Aspiration Cytology of a Thymic Carcinoid Tumor - A Case Report -)

  • 오영하;장기석;송영수;이철범;박충기;박문향;박용욱
    • 대한세포병리학회지
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    • 제16권1호
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    • pp.41-46
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    • 2005
  • Carcinoid tumors of the thymus are vanishingly rare, and the characteristic cytologic findings of this condition have never before been reported in Korea. Recently, we encountered a 58-year-old woman who had been suffering from general weakness and weight loss for several months. Radiological imaging revealed a large anterior mediastinal mass. A fine needle aspiration biopsy (FNAB) of the mass showed predominantly scattered single cells, as well as some loose clusters of small cells with scanty cytoplasm. Some of these small cells exhibited plasmacytoid features, with moderately granular cytoplasm. We also discuss the cytological differential diagnosis between thymic carcinoid and other mediastinal tumors.

발열량 측정장치 개발에 관한 연구 (An Experimental Study on the Developement of Bomb Calorimeter)

  • 이동제;손영목;강한샘;김형만
    • 한국연소학회:학술대회논문집
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    • 한국연소학회 2001년도 제22회 KOSCI SYMPOSIUM 논문집
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    • pp.23-30
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    • 2001
  • Bomb calorimeter was developed for measuring the calorific value of combustible matter such as wastes. The calorimeter consist of bomb, stirred-water type bucket, thermometer and ignition circuit. Operation and performance of the calorimeter have been tested experimentally. In the present study, calorific values of light oil, lamp oil, benzoic acid, ethyl alcohol and methyl alcohol is measured using the bomb calorimeter. Mass of the sample is fixed at 19, and oxygen pressure in the bomb is used as an experimental parameter. Sample in the oxygen bomb is burned with electrically heated Ni-Cr wire of 100mm in length, and temperature of water in the bucket become increased by $2{\sim}5^{\circ}C$ during about 30min. Calorific value of the sample is calculated with the temperature difference of water. Combustion tests, such as the record of temperature history and the inspection of remnants, are performed at 6, 8 and 10 atm of the oxygen pressure. From the test results, oxygen pressure in the bomb must be over 10atm for complete combustion.

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