• 제목/요약/키워드: Jang Ja-Yeon

검색결과 88건 처리시간 0.027초

프락셔널 레이저 치료와 한의치료를 병행한 욕창치료 1례 (A Case Report on Pressure Ulcer Patient Treated with Fractional Laser Therapy and Korean Medicine)

  • 강자연;이기향;장인수;김홍준;정민정;서형식
    • 한방안이비인후피부과학회지
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    • 제31권4호
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    • pp.126-135
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    • 2018
  • Objectives : The purpose of this report to represent the efficacy of pressure ulcer treatment with fractional laser therapy and Korean medicine. Methods : We treated Parkinsonism patients with pressure ulcer using herbal medicine, fractional mode laser therapy, acupuncture and simple dressing for 3 weeks. Laser was set on fractional mode (on time $100{\mu}s$, dot pitch 0.6 mm, shape RECT) and irradiated around pressure ulcer site and center of pressure ulcer site once a day. The treatment effect was evaluated by The National Pressure Ulcer Advisory Panel(NPUAP) stage and the The Pressure Ulcer Scale for Healing(PUSH) tool(3.0). Results & Conclusions : Pressure ulcer site have improved markedly. NPUAP stage was improved from 2 to 1 and total score of the PUSH tool decreased from 12 to 8. Even though the wound was not cured completely, this shows that fractional laser therapy and Korean medicine could be effective treatment for improving pressure ulcers.

1.6 m 신태양망원경용 고속영상태양분광기 개발 (DEVELOPMENT OF THE FAST IMAGING SOLAR SPECTROGRAPH FOR 1.6 m NEW SOLAR TELESCOPE)

  • 나자경;채종철;박영득;박형민;장비호;안광수;양희수;조경석;김연한;김광동
    • 천문학논총
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    • 제26권1호
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    • pp.45-54
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    • 2011
  • KASI and Seoul National University developed the Fast Imaging Solar Spectrograph (FISS) as one of major scientific instruments for the 1.6 m New Solar Telescope (NST) and installed it in the Coude room of the NST at Big Bear Solar Observatory (BBSO) in May, 2010. The major objective of the FISS is to study the fine-scale structures and dynamics of plasma in the photosphere and chromosphere. To achieve it, the FISS is required to take data with a spectral resolution higher than $10^5$ at the spectrograph mode and a temporal resolution less than 10 seconds at the imaging mode. The FISS is a spectrograph using Echelle grating and has characteristics that can observe dual bands (H${\alpha}$ and CaII 8542) simultaneously and perform fast imaging using fast raster scan and two fast CCD cameras. In this paper, we introduce briefly the whole process of FISS development from the requirement analysis to the first observations.

금강유역 보건진료소 지역주민의 간흡충 감염 실태와 지식 및 행태변화 의도 (Prevalence of Clonorchiasis, Knowledge and Intention to Change Behavior of Village People living in the Catchment Area of Community Health Posts along the Geum River)

  • 박지연;전경자;박도순;조경녀;조정숙;김순찬;석은숙;신동숙;이은경;김옥님
    • 한국농촌간호학회지
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    • 제4권1호
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    • pp.5-12
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    • 2009
  • Purpose: The purpose of this study was to describe the prevalence of clonorchiais and analyze the knowledge level and intention of the participants to change their behavior related to clonorchiais. Method: The participants were 514 people from 7 community health posts along the Geum River. The formalin-esther sedimentation technique was used to detect the Clonorchis Sinensis (CS) eggs and a questionnaire for data on related factors. The study was carried on from December 2008 to January 2009. Results: The prevalence of CS averaged 9.3%, with a range from 0% to 24.6%. The significant factors were sex, habit of eating raw fish, and habit related to smoking and alcohol consumption. The level of knowledge was not high and not significantly different between the CS positive group and CS negative group. Intention to change their habits of eating raw fish showed various stages of change and attitudes to raw fish eating habit of others were not positive. Conclusions: These results suggest that a CS control program needs to be developed by community health services in the Geum River area to decrease the prevalence of clonorchiais.

당뇨병성 궤양의 레이저치료에 대한 효과 : 체계적 문헌고찰 (The Effect of Laser Therapy for Diabetic Ulcer : Systematic Review)

  • 강기완;강자연;정민정;김홍준;서형식;장인수
    • 한방안이비인후피부과학회지
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    • 제30권4호
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    • pp.62-74
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    • 2017
  • Objectives : The purpose of this study is to investigate the effect of laser therapy for diabetic ulcer by using methods of systematic review. Methods : In this review, PubMed, Cochrane library, Web of Science, CNKI, CiNii, J-STAGE, NDSL and OASIS were used as the search engines. The search period is from the start date of the search engine to October 3, 2016. Randomized controlled trials(RCTs) using laser therapy for diabetic ulcer were searched and extracted by two independent researchers. Risk of bias(RoB) of Cochrane was used to assess methodological quality of studies. Results : Finally, five RCTs were selected. The follow-up period ranged from 15 days to 20 weeks. InGaAlP laser, GaAlAs laser and light emitting diode(LED) were used to treat diabetic ulcer. The clinical trials used sham laser irradiation or standard treatment as control in comparison to laser therapy. The endpoints included ulcer size, rate of healing and time to healing with follow-up period. The RCTs demonstrated therapeutic outcomes with no adverse effect. Most items of RoB were unclear and methodological quality was low. Conclusions : Our analysis suggests that laser therapy has therapeutic effects for diabetic ulcer. However, more systematic and stringent clinical trials will be required.

COVID-19 환자 간호한 간호사들의 외상 후 스트레스 장애, 우울 및 사회적 낙인 간의 관계 (Corelation between Nurses' Posttraumatic Stress Disorder, Depression and Social Stigma in Nursing COVID-19 Patients)

  • 이은자;조옥연;왕금현;장명진
    • 동서간호학연구지
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    • 제27권1호
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    • pp.14-21
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    • 2021
  • Purpose: This study aims to examine the levels of posttraumatic stress disorder (PTSD), depression and social stigma among nurses caring for Corona Virus Disease-19 (COVID-19) patients. Methods: 169 nurses caring for COVID-19 patients participated in this study. Data collection was conducted at university hospitals from March 1 to August 31, 2020. Data analysis was performed for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients using SPSS/WIN 24.0 program. Results: The mean scores of PTSD, depression and social stigma were 25.16±16.80, 17.26±8.63 and 5.83±2.84, respectively. The PTSD scores were significantly different between the department (F=2.89, p=.037). Depressive scores were significantly different between the marital status (t=2.27, p=.024) and the department (F=4.91, p=.003). Social stigma scores were significantly different between age (F=6.49, p=.002), marital status (t=-3.30, p=.008), having or not having children (t=3.82, p=.001), department (F=5.82, p=.001) and clinical experience (F=7.43, p=.001). Positive correlations were found between PTSD and depression (r=.70, p<.001) and social stigma (r=.22, p<.004). Conclusion: Integrated assessment and management are required to address the psychological and emotional problems faced by nurses caring for COVID-19 patients, and active follow-up measures should be considered.

An ANKRD11 exonic deletion accompanied by a congenital megacolon in an infant with KBG syndrome

  • Seo, Go Hun;Oh, Arum;Kang, Minji;Kim, Eun Na;Jang, Ja-Hyun;Kim, Dae Yeon;Kim, Kyung Mo;Yoo, Han-Wook;Lee, Beom Hee
    • Journal of Genetic Medicine
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    • 제16권1호
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    • pp.39-42
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    • 2019
  • KBG syndrome is an autosomal dominant syndrome presenting with macrodontia, distinctive facial features, skeletal anomalies, and neurological problems caused by mutations in the ankyrin repeat domain 11 (ANKRD11) gene. The diagnosis of KBG is difficult in very young infants as the characteristic macrodontia and typical facial features are not obvious. The youngest patient diagnosed to date was almost one year of age. We here describe a 2-month-old Korean boy with distinctive craniofacial features but without any evidence of macrodontia due to his very early age. He also had a congenital megacolon without ganglion cells in the rectum. A de novo deletion of exons 5-9 of the ANKRD11 gene was identified in this patient by exome sequencing and real-time genomic polymerase chain reaction. As ANKRD11 is involved in the development of myenteric plexus, a bowel movement disorder including a congenital megacolon is not surprising in a patient with KBG syndrome and has possibly been overlooked in past cases.

현장 타설 콘크리트의 단위수량 측정 및 관리 개선 방안 제시 (A Proposal for Improving the Measurement and Management of Unit Water Content in In-Situ Concrete)

  • 윤자연;장효준;이태규;최형길
    • 한국건축시공학회지
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    • 제24권3호
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    • pp.319-329
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    • 2024
  • 본 연구에서는 국내외 단위수량 규정을 조사하고 현장 타설 콘크리트의 단위수량을 평가하였다. 콘크리트 품질을 타이틀로 하여 핵심 단어 시각화했을 때 단위수량이 높은 중요도를 가짐을 확인할 수 있었다. 또한 단위수량 관리 및 단위수량 측정 방법에서 한국과 일본 간 상대적으로 큰 차이가 나타나지 않음을 알 수 있었다. 현장에 반입된 콘크리트의 단위수량을 단위용적질량법을 이용하여 계산한 결과, 현장에서 임의로 채취한 샘플에서 단위수량이 불균일하고 가변적이며, 단위수량이 적정 단위수량 기준을 초과하는 결과를 확인할 수 있었다. 현장 타설 콘크리트의 품질관리를 위해서는 레미콘 업체, 건설업체, 검사관이 단위수량에 대한 엄격한 기준을 준수하는 것이 중요하며, 명확한 단위수량 측정 매뉴얼 제공과 철저한 교육, 주기적인 현장 점검 등 보다 체계적이고 실용적인 시스템 구축이 필요하다고 판단된다.

간호결과분류체계(Nursing Outcomes Classifications)의 한글 명명화에 대한 타당성 연구;260개 간호결과명을 중심으로 (Validation of Korean Nomenclature of NOC;Focused on 260 Outcomes)

  • 유형숙;장인순;전미순;김희걸;남혜경;박연숙;김옥현;박혜자;황윤영;이정희;이미자;최은희;이인순;이순희;염영희;지성애
    • 간호행정학회지
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    • 제8권2호
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    • pp.221-238
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    • 2002
  • Purpose: The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of 260 Nursing Outcomes Classification(NOC) developed by Johnson and Mass at University of Iowa in 2000. Method: The four phases of the study were: (1) translation of the NOC into Korean by the Research Team, (2) nine nursing professors and nurses with various clinical backgrounds reviewed each nomenclature taking into consideration of definitions and outcome indicators. The modified Delphi method was used to determine the most appropriate nomenclature for each term, (3) 307 Clinical expert nurses more than three years field experiences were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate, and (4) final accordance of Korean Nomenclature. Result: The team determined that 260 Korean nomenclature was appropriately named. because the mean validity score of 260 outcomes was 3.90 and each of 260 Korean nomenclature had a score more than 3.00. Conclusion: Korean nomenclature of NOC can be used as a standardized language of nursing result in a computerized nursing information system.

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실천학습 적용에 따른 간호관리자의 공통 기본역량 변화와 반응 분석 (An Analysis of Nurse Managers's Common Fundamental Competencies Changes and Responses to the Application of the Action Learning)

  • 장금성;최영자;안순희;이숙자;심재연;임정옥;정경희;양진주;오숙희;김윤민;김은아;봉현철;백명
    • 간호행정학회지
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    • 제12권3호
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    • pp.424-433
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    • 2006
  • Purpose: This study is analyzing nurse managers's common fundamental competencies changes and responses to the application of the action learning, and promoting introduction and revitalization of action learning. Method: The research design is one group pretest-posttest design. The subjects are 40 nurse managers. The program was performed for 5 weeks. Data were collected before the program and after 5 weeks program and were analyzed with paired t-test. Result: Action learning was an effective way to develop an individual and team and to solve the problem of organization. There were more significant increases after the program than before the program on common fundamental competencies(p<.05). Conclusion: This study has us confirm that action learning is an effective education method for organization members on the spot to recognize their problem and study by themselves and solve the practical problems with various solution process.

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Stereotactic radiosurgery for brain metastasis in non-small cell lung cancer

  • Won, Yong Kyun;Lee, Ja Young;Kang, Young Nam;Jang, Ji Sun;Kang, Jin-Hyoung;Jung, So-Lyoung;Sung, Soo Yoon;Jo, In Young;Park, Hee Hyun;Lee, Dong-Soo;Chang, Ji Hyun;Lee, Yun Hee;Kim, Yeon-Sil
    • Radiation Oncology Journal
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    • 제33권3호
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    • pp.207-216
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    • 2015
  • Purpose: Stereotactic radiosurgery (SRS) has been introduced for small-sized single and oligo-metastases in the brain. The aim of this study is to assess treatment outcome, efficacy, and prognostic variables associated with survival and intracranial recurrence. Materials and Methods: This study retrospectively reviewed 123 targets in 64 patients with non-small cell lung cancer (NSCLC) treated with SRS between January 2006 and December 2012. Treatment responses were evaluated using magnetic resonance imaging. Overall survival (OS) and intracranial progression-free survival (IPFS) were determined. Results: The median follow-up was 13.9 months. The median OS and IPFS were 14.1 and 8.9 months, respectively. Fifty-seven patients died during the follow-up period. The 5-year local control rate was achieved in 85% of 108 evaluated targets. The 1- and 2-year OS rates were 55% and 28%, respectively. On univariate analysis, primary disease control (p < 0.001), the Eastern Cooperative Oncology Group (ECOG) performance status (0-1 vs. 2; p = 0.002), recursive partitioning analysis class (1 vs. 2; p = 0.001), and age (<65 vs. ${\geq}65$ years; p = 0.036) were significant predictive factors for OS. Primary disease control (p = 0.041) and ECOG status (p = 0.017) were the significant prognostic factors for IPFS. Four patients experienced radiation necrosis. Conclusion: SRS is a safe and effective local treatment for brain metastases in patients with NSCLC. Uncontrolled primary lung disease and ECOG status were significant predictors of OS and intracranial failure. SRS might be a tailored treatment option along with careful follow-up of the intracranial and primary lung disease status.