• Title/Summary/Keyword: 술

Search Result 13,638, Processing Time 0.034 seconds

Evaluation of Result of Coronary Artery Bypass Graft Surgery by Using Pre and Postoperative Myocardial SPECT (관동맥우회술 전후의 심근 SPECT를 이용한 수술 결과의 평가)

  • 이장훈;한승세
    • Journal of Chest Surgery
    • /
    • v.30 no.11
    • /
    • pp.1083-1091
    • /
    • 1997
  • This study was purposed to assess the result of coronary artery bypass graft surgery by analyzing and comparing the pre and postoperative myocardial perfusion state quantitatively by using myocardial SPECT. Twenty patients who received coronary artery bypass graft surgery since 1993 underwent both preoperative and postoperative myocardial SPECT and the result were analyzed. The mean age was 56.4$\pm$9.0 years, and the patients were composed of thirteen males and seven females. For quantitative analysis, we used polar maps of SPECT generated by Cedars-Sin i Medical Center program and we calculated perfusion scores, ischemic myocardial area ratios and reperfusion scores from polar maps. Preoperative mean stressfrest perfusion score was 7.3$\pm$ 1.117.7$\pm$ 1.0 and postoperative score was 8.1 $\pm$ 1 118.3$\pm$ 1.1. Preoperative mean stress ischemic myocardial area ratio was 0.32$\pm$0.2 and postoperative ratio was 0.15 $\pm$0.1. Postoperative mean perfusion score was significantly increased but, on the other hand, mean ischemic myocardial area ratio was significantly decreased as compared with preoperative values(p<0.01). Preoperative mean perfusion score of patients with postoperative roper(usion score more than 1.5 was significantly higher(p<0.01) than that of patients with postoperative reperfusion score less than 1.5. Preoperative perfusion scores of coronary artery territories that had fixed perfusion defect at myocardial SPECT were significantly low(4.3 $\pm$0.514.6$\pm$0.6, stresslrest), nevertheless it proved quantitatively that there was improvement in myocardial perfusion after surgery by showing improved perfusion scores postoperatively. In conclusion, myocardial SPECT is useful method for quantitative analysis of the myocardial perfusion state after coronary artery bypass grafting surgery.

  • PDF

Percutaneous Lateral Release and Medial Reefing for Recurrent Patellar Dislocation (재발성 슬개골 탈구의 경피적 외측부 유리술 및 내측부 중첩술)

  • Choi, Chong-Hyuk;Oh, Kyung-Soo;Kim, Hyoung-Sik
    • Journal of the Korean Arthroscopy Society
    • /
    • v.10 no.1
    • /
    • pp.33-38
    • /
    • 2006
  • Purpose: This study seeks to address the results of percutaneous lateral release and medial reefing for patients with recurrent patellar dislocation. Materials and Methods: This paper focuses on 27 cases from 25 patients who had a surgical operation at our hospital in a span of eight years and six months from the time of December 1996 to May 2005. The subjects consist of 11 males and 14 females, and their average age was 22.2 years old. All the patients had their trauma history, and the average frequency of dislocation before surgery was 11.5 times. Results: The congruence angle before operation was 23.3 degree on the average, while the lateral patellofemoral angle was -5.7 degree on average. However, the congruence angle after surgery came to -2.4 degree, while the lateral patellofemoral angle recovered to the normal range of within 11.5 degrees. Four cases showed the recurrent dislocation, and two out of those four cases had -35, -12 degrees of their lateral patellofemoral angle respectively and 59, 14 degrees of their congruence angle respectively. Conclusion: Using percutaneous lateral release with medial reefing can be considered as an effective treatment for recurrent patellar dislocation

  • PDF

Effect of the Combination of Electroacupuncture and Surgical Decompression on Experimental Spinal Cord Injury in Dogs (개에서 실험적으로 유발한 척수손상에 대한 전침과 감압술의 병용 효과)

  • Kim Sun Young;Kim Min-Su;Seo Kang-Moon;Nam Tchi-Chou
    • Journal of Veterinary Clinics
    • /
    • v.22 no.4
    • /
    • pp.297-301
    • /
    • 2005
  • This study was performed to evaluate the effects of the combination of electroacupuncture (EA) and surgical decompression on paraplegia due to spinal compression in dogs. Ten clinically healthy dogs were assigned into two groups (group A and group B). The one is for the combination of EA and surgical decompression, and the other is for surgical decompression alone. After decompression, neurological function was evaluated daily with modified Tarlov grading system. SEPs were measured as objective evaluation of normal spinal cord function before spinal compression and after neurological recovery. The period of rehabilitation in group A was significantly shorter than that in group B (p<0.05). Conduction velocity of SEPs showed a tendency to return to normal when the dogs got full recovery. According to these results, it was considered that the EA with surgical decompression was more effective than surgical decompression alone for paraplegia resulting from spinal cord injury in dog.

Using the Arthroscopic Remplissage of Anterior Shoulder Instability with Hill-Sachs Lesion (전방 견관절 불안정성에서 Hill-sachs 병변의 관절경적 Remplissage)

  • Ko, Sang-Hun;Jung, Kwang-Hwan;Shin, Seung-Myeong;Park, Han-Chang
    • Clinics in Shoulder and Elbow
    • /
    • v.14 no.1
    • /
    • pp.53-58
    • /
    • 2011
  • Purpose: We evaluated the minimal 1 year follow-up results (shoulder stability and the clinical and functional results) for the Remplissage technique to fill a Hill-Sachs lesion. Materials and Methods: The subjects were 12 patients who could be followed up for more than 12 months after the "Remplissage" procedures in our hospital from December 2008 to November 2009. Their mean age was 27.9 years old and the mean follow-up was 19 months. The evaluations included the ROM, the ASES score, the KSSI score, the ROWE score and postoperative MRI. Results: On the postoperative functional evaluation after an average of 16 months, the ASES score improved from 50.8 preoperatively to 78.3 postoperatively, the KSSI score improved form 44.5 preoperatively to 81.0 postoperatively and the ROWE score improved from 40.2 preoperatively to 84.3 postoperatively. After an average 14 months for all the cases, the range of movement was nearly in the normal range, which is 178.6${\pm}$18.6 (165~180) degrees for forward flexion and 49.3${\pm}$10 (43~60) degrees for external rotation. Conclusion: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique has a good outcome after more than 1 year follow-up in terms of the shoulder stability and the clinical and functional results.

The Effects of Practice Education Evaluation using Peer Evaluation on Core Fundamental Nursing Skills Competency, Learning Attitude, Critical thinking and Self-Leadership (동료평가를 활용한 실습교육평가방법이 핵심기본간호술 수행능력, 학습태도, 비판적사고 및 셀프리더십에 미치는 효과)

  • Kim, Yeong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.9
    • /
    • pp.351-361
    • /
    • 2019
  • The purpose of this study was to investigate the effect of a peer evaluation method on the core fundamental nursing skills competency, learning attitude, critical thinking and self-leadership of graduating nursing students. A survey using a questionnaire was administered to 326 nursing students. The data was analyzed using SAS(ver. 9.8) and AMOS(ver.20.0) The results of peer evaluation showed that the fundamental nursing skills competency was 3.77(${\pm}.62$), the learning attitude was 3.17(${\pm}.47$), critical thinking was 3.44(${\pm}.41$) and self-leadership was 3.60(${\pm}.49$). Core fundamental nursing skills competency showed statistical differences based on gender, major satisfaction, practice satisfaction, pre-learning and satisfaction with the peer evaluation. Core fundamental nursing skills competency was positively correlated with learning attitude(r=.295, p<.001), critical thinking was positively correlated with core fundamental nursing skills competency(r=.384, p<.001) and learning attitude(r=.623, p<.001), and finally, self-leadership was positively correlated with core fundamental nursing skills competency(r=.353, p<.001), learning attitude(r=.529, p<.001) and critical thinking(r=.690, p<.001). The factors affecting fundamental nursing skills competency were critical thinking and self-leadership. Core fundamental practical education programs to improve learning attitude, critical thinking and self-leadership need to be developed to increase core fundamental nursing skills.

Gou Gu Shu in the 19th century Chosun (19세기(世紀) 조선(朝鮮)의 구고술(句股術))

  • Hong, Sung-Sa;Hong, Young-Hee;Kim, Chang-Il
    • Journal for History of Mathematics
    • /
    • v.21 no.2
    • /
    • pp.1-18
    • /
    • 2008
  • As a sequel to the previous paper Gou Gu Shu in the 18th century Chosun, we study the development of Chosun mathematics by investigating that of Gou Gu Shu in the 19th century. We investigate Gou Gu Shu obtained by Hong Gil Ju, Nam Byung Gil, Lee Sang Hyuk and Cho Hee Soon among others and find some characters of the 19th century Gou Gu Shu in Chosun.

  • PDF

변색된 생활치아의 표백술

  • Lee, Jeong-Seok;Choe, Seong-Geun;Park, Dong-Su
    • The Journal of the Korean dental association
    • /
    • v.20 no.11 s.162
    • /
    • pp.921-926
    • /
    • 1982
  • 치과의술의 발전과 시회·경제적인 인식의 발달로 심미안이 높아져 치과학 영역에서도 미적개념이 자연적인 것으로 환원하는 추세에 맞춰 치수치료시에 환자가 치료후 변색에 대한 우려를 종종 표시한다. 이러한 변색된 무수치아에 대한 표백술은 오래전부터 사용되어 왔으나 구강내 생활치아 모두가 전신적인 질환 및 환경요인등에 의하여 변색될 경우의 표백술은 아주 최근에 소개된 데 불구하며 (Cohen, 1970), 아직 널리 사용되지 않는 실정이다. Cohen의 보고이후 Arens(1972, 5증례), Corcoran(1974, 6증례), Cohen(1979, 18증례)의 테트라싸이크린에 의해 변색된 생활치아의 성공적인 표백술에 대한 보고가 있었으며, McInn(1966), Bailey와 Christen(1968), 그리고 Wayman과 Cooley(1981)에 의한 불소중독증에 걸린 변색생활치아의 표백술이 보고되었다. 이에 간편한 생활치아의 표백술을 소개하고자 한다.

  • PDF

Treatment of Intraosseous Ganglion of the Talus with Hindfoot Endoscopy - A Case Report - (후족부 내시경술을 이용한 거골내 결절종의 치료 - 증례 보고 -)

  • Kim, Sung Yoon;Lee, Woo Chun
    • Journal of the Korean Arthroscopy Society
    • /
    • v.16 no.1
    • /
    • pp.52-55
    • /
    • 2012
  • An intraosseous ganglion typically exists in periarticular epiphysis or subchondral area, and is usually treated with open curettage of cyst or curettage and bone graft. We report a case of intraosseous ganglion of talus treated by endoscopic curettage and bone grafting with a review of the literature.

  • PDF

한국의 전통 - 전통주의 건강기능성

  • Kim, Jae-Ho
    • 식품문화 한맛한얼
    • /
    • v.2 no.1
    • /
    • pp.38-41
    • /
    • 2009
  • 우리 선조들은 예로부터 음식에 관한 독특한 생각을 가지고 있었다. 이것을 '약식동원(藥食同原)'이라고 한다. 즉 음식과 약은 결코 다른 것이 아니라 같은 것이라는 생각이다. 음식을 알맞게 골고루 먹는 것이 가장 좋은 약이고 병을 예방하는 방법이며, 병은 음식을 잘못 먹는 데서 생겨난 다고 믿는 것이다. 선조들은 또한 술을 하나의 음식으로 간주하여 마신다고 하지 않고 먹는다고 하였다. 술을 '먹으면' 몸에서 소화되어 살과 피와 정기를 이룸으로써 사람을 살게 하는 것, 즉 '먹는 음식'으로 인식한 것이다. "옛날 세 나그네가 밤길을 떠나게 되었다. 한 사람은 죽을 먹고 떠나고, 한 사람은 밥을 먹고 떠나고, 한 사람은 술을 먹고 떠났다. 다음 날 아침 목적지에 도착한 세 사람 중 죽을 먹고 떠난 이는 쇠약해져 기침을 했고, 밥을 먹고 떠난 이는 중병에 걸렸으나 술을 먹고 떠난 이만은 건강하였다." 이 이야기는 옛사람들이 술에 대해 어떠한 생각을 가지고 있었는지를 잘 보여준다. 그들에게 술은 곧 약이었던 것이다. 다만 현대인이 생각하는 의미의 약이 아니라 음식으로서의 약을 의미했다.

  • PDF