• 제목/요약/키워드: Case history

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뇌졸중(腦卒中) 환자(患者)에 있어 고지혈증(高脂血症)의 분포(分布) 및 혈중지질(血中脂質)의 경시적(經時的) 변화(變化) (The distribution of Hyperlipemia and sequential changes of serum lipid levels to cerebral vascular accident)

  • 전상윤;강화정;홍석;정영해
    • 대한한방내과학회지
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    • 제19권2호
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    • pp.60-80
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    • 1998
  • In 123 examples of admission patients at Dongshin university oriental medical hospital circulatory internal medicine, we sequently investigated serum lipid, at admission state, 2th and 4th weeks. The results were as follows; 1. In the case of 123 stroke patients, only 12cases were related to Hyperlipemia. So stroke was not related to Hyperlipemia significantly. 2. According to sex, woman has more significant results in the T-cholesterol and LDL-cholesterol. 3. According to the living Zone, Triglyceride of the city zone group washigher than that of the contryside zone significantly. 4. According to the history of drinking and smoke, the patients who have the history of drinking and smoke had a significant remark in T-cholesterol and LDL-cholesterol. 5. In the case of patients like eating meat, it was significant gain of HDL-cholesterol. 6. In the patients who had past history of Hypertension, the value of Triglyceride is significantly low, and sequently as blood pressure decreased, serum lipid value decreased too. 7. In the patients who had past history of D.M., the value of Triglyceride is significantly high, and sequently as blood sugar value decreased, serum lipid value decreased too. 8. In the case of patients treated He-Ne laser, Triglyceride was decreased significantly. 9. In the case of treating the stroke patients, serum lipid had non-significant decrease value.

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문제중심학습(PBL) 경험연구 -군사학과 전쟁사 강좌 사례를 중심으로- (Learning Experience Study of Problem Based Learning on War history)

  • 김성우
    • 융합보안논문지
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    • 제13권2호
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    • pp.101-109
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    • 2013
  • 이 연구는 전쟁사 과목에 대하여 2012년 2학기 15주 중 중간고사와 기말고사 주를 제외한 13주간 이루어졌으며 자료의 수집과 동시에 자료의 분석이 이루어졌다. 1개 학기 동안 경험적 연구를 통하여 전쟁사 강좌 문제중심학습법이 효율적이었는지에 대하여는 좀더 연구가 필요하다. 한 학기 동안의 분석해서 나온 개념에 대해서는 강의 시간을 이용하여 학생들과 대화를 가지는 시간을 통해 확인 및 타당화하는 과정을 가졌다. 학생은 1학년 1개반 45명을 대상으로 5명씩 조를 편성하여 9개조로 운영하였다. 연구결과를 요약하면, 초기 교육진행시에는 조별로 진행되는 집단학습의 적응과 학습과정의 불확실성, 제시된 상황에 대한 상황조치 방법 구체화 어려움, 군인이 되고자 하는 의지와 실제 지식의 부족에서 오는 자신감 결여, 조별 토의에서 자신의 역할 미흡에 대한 반성, 자가학습의 중요성과 필요성 인식, 실제 이론과 상황조치간의 괴리 등을 경험하였다. 수업의 중간에는 수업준비의 부담감, 지금 공부하는 것이 과연 임관 후 활용할 수 있을 것인가에 대한 회의감과 갈등, 그러면서도 교수의 지도에 따라 상황조치 완료후 만족감, 학습에 대한 확신감 등을 체험하였다. 수업의 말기에는 자긍심과 자신감 회복, 문제해결의 잠재력 향상, 임관 후 병사들 지도에 대한 자신감 등을 경험하는 것으로 나타났다. 최근 교수법에 대하여 많은 대학에서 관심을 가지고 있다. 교수는 어떻게 학생들의 능력을 이끌어내고 향상시키는 것인가에 초점을 둔 교육을 지향해야 한다. 사회에서 요구하는 인재 양성을 위해 현 상황에서 적용할 수 있는 가장 이상적인 교수법이 무엇인가에 대한 과제는 계속 연구해야한다.

자살시도 환자의 지속적 관리 완수 요인: 응급실 기반 자살시도자 사후관리 사업 자료를 기반으로 한 코호트 추적 연구 (Factors for Completing Case Management of Suicide Attempters: A Coihort Follow-Up Study Based on Data From Case Management of Emergency Room-Based Suicide Attempters)

  • 류재현;허윤경;김다슬;김선미;한덕현;민경준
    • 정신신체의학
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    • 제29권2호
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    • pp.176-183
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    • 2021
  • 연구목적 응급실 기반 자살시도자 사후관리사업에 등록된 자살시도자의 인구학적 요인, 자살시도 패턴 및 정신건강의학과 병력 및 관리가 사후관리 프로그램 완수에 어떠한 영향을 끼치는지 알아보고자 하였다. 방 법 2018년 6월 1일부터 2021년 5월 31일까지 중앙대학교병원 응급실을 방문한 자살시도 환자 중 사례관리에 동의한 661명을 연구대상으로 하였다. 대상자는 응급실 퇴원 후 8주간의 사후관리 서비스 프로그램에 등록하여 관리를 받았다. 인구학적 요인, 자살시도 패턴, 정신건강의학과 병력 및 관리에 해당하는 요인들을 독립변인으로, 사후관리사업 프로그램의 완수 여부를 종속변인으로 두고, 위계적 로지스틱 회귀 분석을 시행하였다. 결 과 자살시도 패턴이 사후관리 사업 완수에 가장 큰 영향을 미치고, 인구학적 요인, 정신건강의학과 병력 및 관리 순으로 사후관리 사업 완료 여부에 영향을 미치는 것으로 나타났다. 자살시도자 사후관리사업 프로그램 완수자는 미완수자에 비해, 향후 자살계획을 가진 경우가 유의하게 많았고, 자살시도의 진정성이 강했으며, 과거자살시도력 또한 유의하게 높았다. 결 론 대상자들이 사후관리사업 프로그램을 완수하고 지역사회 서비스로 연계되도록 하기 위하여, 자살시도 패턴, 인구학적 요인, 정신건강의학과 병력에 대한 고려를 바탕으로 한 개별화된 접근이 필요하다.

19세기 고창지방 의원 은수룡이 남긴 경험의안 (A Study of the Case Records of a Herbalist En Su-ryong in the late Chosun dynasty)

  • 이선아
    • 한국의사학회지
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    • 제18권2호
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    • pp.63-91
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    • 2005
  • This paper analyzes the case records of a herbalist En Su-ryong who lived at the Kochang area of Chollapukdo province in the 19th century. The records, which were included in his collection of works, Tantojip(呑吐集), were consisted of 11 clinical diagnosis and prescriptions. The result of the analysis is as follows. First, En Su-ryong's records are estimated to be valuable enough to contribute to the development of the Korean clinical medicine, in light of the fact that the present established prescriptions or medical theory came from the repetition of trial and error by many herb doctors. Second, his case records are unique in the style of writing, because they were consisted of only his own clinical diagnosis and prescriptions case by case, while those of ordinary herbalists were classified by the types of the symptoms of a disease, with their prescriptions modified from the past established. Third, in the records he minutely wrote not only the names and the addresses of the patients under his care, but also the names of the diseases, the progress and the contents of his treatment, and even the perfect cure or not. Therefore, his case records are appreciated to be very important from the standpoint of the history of the society.

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다양한 하중을 받는 커넥팅 로드의 피로 파손 해석 (The Analysis of Fatigue Damage of Connecting Rod under Various Load)

  • 조재웅;최두석;김기선
    • 한국자동차공학회논문집
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    • 제13권6호
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    • pp.154-162
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    • 2005
  • This study investigates the fatigue life and the damage possibility of connecting rod by the fatigue tool of Ansys workbench. The case of constant fatigue loading variation 'Sine' becomes more stable than that of nonconstant loading but the magnitude of constant load becomes larger than that of nonconstant load. Among nonconstant fatigue loads, the case of 'SAE Bracket History' which is severest at the variation of load tends to be most unstable. The case of 'Sample History2' which becomes a little slow at the variation of load tends to be most stable. The maximum relative damage in case of 'SAE Bracket History' is occurred near the average stress '0' and this case can be shown to have the possibility to take more damage than another case.

칠원 무기연당의 공간 변천과 조영 특성 (Space Transition and Construction Characteristics of Mugiyeondang in Chirwon)

  • 임한솔;한동수
    • 건축역사연구
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    • 제27권1호
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    • pp.29-42
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    • 2018
  • Mugiyeondang(舞沂蓮塘) is the garden that the provincial noble family in Yeongnam(嶺南) has constructed since the late Joseon period. Mugiyeondang is well known as a typical case of traditional garden in Joseon period. But it is also an exceptional case because of its informal layout that infers gradual space transition. This study aims to establish the historical story of the garden beyond the superficial description about existing spatial status and literature materials. Mugiyeondang had been constructed by seven generations of the family during two hundred years, and there were significant events at every transition points. The figure and name of elements reflects each historical change of the family. Mugiyeondang is an important case to notice that a garden was not just a subsidiary space for mere leisure life of the gentry of Joseon period, But it was an important for some families as their representative and symbolic space.

한중콘크리트 시공시 표면 단열재 변화에 따른 콘크리트의 온도이력 특성 (The Properties of Temperature History of Concrete with Surface Insulating Material in Cold Weather Concreting)

  • 문학용;신동안;김경민;김기철;오선교;한천구
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2003년도 학술.기술논문발표회
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    • pp.7-11
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    • 2003
  • This study investigate the hydration heat history with variation of surface insulating material in cold weather concreting. According to the results, the temperature of concrete lowers below zero in 24hours, so early frost damage occurs in the case of exposure and 1 fold bubble sheet, but the lowest temperature keeps above zero, so a adiabatic effect is very favorable in the case of double bubble sheet and 부직포. Compressive strength of core specimen at 7 and 28 days is highest In the case of double bubble sheet and 부직포. But, considering convenience of construction and economical efficiency, it is thought that the most effective surface insulating material is 1 fold bubble sheet +blanket.

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전방 차축의 구조해석에 관한 연구 (Study on Structural Analysis of Front Axle)

  • 한문식;조재웅
    • 한국기계가공학회지
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    • 제10권5호
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    • pp.65-71
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    • 2011
  • This study analyzes about front axle through the analyses of stress, fatigue and vibration. Maximum equivalent stress is shown with the frequency of 60Hz in case of the harmonic vibration analysis applied with force. Among the cases of nonuniform fatigue loads, 'SAE bracket history' with the severest change of load becomes most unstable but 'Sample history' becomes most stable. In case of 'Sample history' with the average stress of 0 to $-2{\times}10^5MPa$ and the amplitude stress of 0 to $-2{\times}10^5MPa$, the possibility of maximum damage becomes 3%. This stress state can be shown with 6 times more than the damage possibility of 'SAE Bracket history' or 'SAE transmission'. The structural result of this study can be effectively utilized with the design of front axle by investigating prevention and durability against its damage.

불도저의 구조해석에 의한 내구성 연구 (Study on Durability by Structural Analysis of Bulldozer)

  • 한문식;조재웅
    • 한국생산제조학회지
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    • 제20권3호
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    • pp.239-244
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    • 2011
  • This study analyzes the behaviors on stress, fatigue and vibration about bulldozer in operation. Maximum equivalent stress is shown with the frequency of 100 Hz in case of the harmonic vibration analysis applied with force. Among the cases of nonuniform fatigue loads, 'SAE bracket history' with the severest change of load becomes most unstable but 'Sample history' becomes most stable. In case of 'Sample history' with the average stress of 0 to -105MPa and the amplitude stress of 0 to $1.617{\times}105MPa$, the possibility of maximum damage becomes 3.23%. This stress state can be shown with 5 times more than the damage possibility of 'SAE bracket history' or 'SAE transmission'. The structural result of this study can be effectively utilized with the design of bulldozer by investigating prevention and durability against its damage.

Risk Factors for Endometrial Cancer: Results from a Hospital-Based Case-Control Study

  • Andarieh, Maryam Ghanbari;Delavar, Mouloud Agajani;Moslemi, Dariush;Esmaeilzadeh, Sedighe
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권10호
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    • pp.4791-4796
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    • 2016
  • Objectives: The purpose of this investigation was to examine the association between endometrial cancer and possible etiological agents. Methods: A case-control study was conducted in Iran between March 2012 and May 2016. The demographic and reproductive factors of 205 women with endometrial cancer were compared, and 590 healthy cases were participated in the control group. For each endometrial cancer case, there were three controls, who were matched in terms of age and residence. The data were considered significant at $p{\leq}0.05$. Results: After adjusting the variables, the nulliparity (OR 6.23, 95% CI 2.86-13.59), the nulligravidity (OR 5.94, 95% CI 2.51-14.06), the positive family history of reproductive cancer (OR 4.97, 95% CI 2.33-10.59), the infertility history (OR 2.38, 95%CI 1.32-4.31), the obesity ($BMI{\geq}25$) (OR 1.71, 95% CI 1.16-2.52), the early menarche age (<12 years) (OR 2.10, 95% CI 1.17-3.75), and the hormonal contraception use (OR 1.69, 95% CI 1.15-2.49) were found to be associated with an increased risk of endometrial cancer. Nevertheless, the education level, the job of women, the marital age, the leisure activities, and the breast feeding were not found to be associated with the endometrial cancer after adjusting the variables. Conclusion: Scheduling of the screening program is vitally indispensable to identify endometrial cancer in women with nulliparity, nulligravidity and the positive family history of cancer. In addition, women with early menarche, those with the history of infertility, the obese ones, and those who use contraception pills need to be particularly aware of the potential risks.