• 한국산학기술학회논문지
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• 제16권1호
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• pp.418-428
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• 2015

본 연구는 뇌졸중에 영향을 미치는 요인과 매개효과를 파악하여 뇌졸중 질환자의 올바른 건강행태를 유도하고 이에 따른 뇌졸중 질환 예방의 기초자료를 제공하고자 하였다. 자료는 국민건강영양조사 4기 및 5기 데이터를 이용하였으며 분석방법은 빈도분석과 다중로지스틱회귀분석 및 구조방정식 분석을 실시하였다. 분석결과 남자의 경우 뇌졸중에 영향을 미치는 인구사회학적 특성으로는 연령, 직업, 주관적 건강상태, 음주, 고혈압과 당뇨병 유무 변수이었고, 여자의 경우는 연령, 직업, 주관적 건강상태, 스트레스 정도, 고혈압 유무이었다. 건강행태가 뇌졸중 여부에 영향을 미치는 과정에서 선행질환은 부분매개 모형과 완전매개 모형의 ${\chi}^2$ 값의 차이가 5.80으로 통계적으로 유의하여(p<0.01), 부분매개 효과가 있는 것으로 분석되었다. 뇌졸중 예방을 위해 잘못된 건강행태를 변화시키기 위한 예방적 건강 교육과 건강관리 네트워크를 강화할 수 있는 정책이 필요하며, 선행질환이 있는 경우 건강상태에 대한 장기적인 진단 및 지속적인 생활습관개선이 필요하다.

• 대한한방소아과학회지
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• 제12권1호
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• pp.63-76
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• 1998

BACKGROUND : The purpose of this study was to investigate the new effective oriental medical treatments in pediatric diseases and its clinical applicability. METHOD : The study was composed of 1725 new patients who had been treated at the pediatric unit in the Dongguk Bun-Dang Oriental Medicine Hospital for 1 year, from 1 January 1997 to 31 December 1997, and had ages between 0 and 18 years. The chief complaint was mainly categorized by oral examination on patients and their care-givers. RESULT 1. The ratio of male to female was 1.35:1 and the number of each age group and its percentage distribution was 228 patients (13.2%) for the age group between 0 and 1 year, 746 patients (43.2%) between 2 and 6 years, and 751 patients (43.6%) for the age group over 7 years. 2. The chief complaint of the new outpatients was weakness, asthma, common cold, sinustis, skeletal disease, atopic dermatitis, stomach-ache, short stature, diarrhea, nasal blooding, night terror, allergic rhinitis, gastric disorder, enuresis, dermatitis, strabismus in the order of majority.3. The number of patients and its percentage for the most three complaints was 494 patients (28.6%) for weakness, 647 patients (37.4%) for respiratory disease, 144 patients (8.3%) for digestive disease. 4. The digestive disease tended to increase in summer, and appeared mostly in the age group between 0 and 2 years. The respiratory disease increased In inter-season and winter, but decreased significantly in summer. The age group between 1 and 5 years was the largest group of respiratory disease. CONCLUSION 1. The chief complaint in pediatric diseases that needed an oriental medical treatment was mainly the disease that tends to take long time and the weakness, and appeared frequently in digestive and respiratory diseases. 2. The oriental medical treatment was still preferred as a way to improve the weakness by patients, rather than a way to overcome their disease. In particular, the study shows that the oriental medical treatment should be emphasized in terms of preventing the disease. 3. The new diseases, which were developed with the change of human life and environment, (atopic dermatitis, enuresis, short stature, obesity, dysthymic disorder, strabismus), should be investigated as a new field of oriental medical treatment.

• Archives of Plastic Surgery
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• 제35권5호
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• pp.611-614
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• 2008

Purpose: Infection, foreign body reaction and decreased volume of implant are common complications after augmentation rhinoplasty with $Gore-tex^{(R)}$ implant. The author experienced two cases of recurrent foreign body granuloma in the patients who underwent $Gore-tex^{(R)}$ removal because of infection after augmentation rhinoplasty. and treated them with complete removal of$Gore-tex^{(R)}$. Methods: Case 1: A 49 year-old female visited our clinic for recurrent foreign body reaction on nasal dorsum and tip area. The patient underwent augmentation rhinoplasty with $Gore-tex^{(R)}$ 3 years ago and implant was removed due to infection 9 months ago. Excision of the granuloma was performed and a piece of foreign body suspicious to be a $Gore-tex^{(R)}$ implant debris was detected under the subcutaneous pocket. The implant fragments were removed and nasalis muscle rotation flap was performed to cover the lesion. The specimen was proved to be $Gore-tex^{(R)}$ in histological study. Case 2: A 31 year-old-male with recurrent foreign body granuloma on the nasal tip area visited our clinic. 10 years ago, the patient had augmentation rhinoplasty with silicone implant and then, he underwent revisional rhinoplasty five times including nasal implant removal, which was performed 9 months ago. The authors excised the granuloma and found a small sized foreign body suspicious to be a $Gore-tex^{(R)}$ implant debris under the granuloma. The foreign body was excised and identified to be $Gore-tex^{(R)}$ in histological study. Results: In both cases, the lesions were healed without any complications and there were no evidences of recurrence up to 6 months of follow-up. Conclusion: The $Gore-tex^{(R)}$ is known to be weak against mechanical force. These properties of $Gore-tex^{(R)}$ make it difficult to remove the implant completely. In the patient who have infection after augmentation rhinoplasty with $Gore-tex^{(R)}$, the operator should take care to perform the complete removal without remaining fragment of the implant.

• Pediatric Infection and Vaccine
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• 제21권1호
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• pp.65-70
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• 2014

선천성 매독은 산전진찰로 예방할 수 있음에도 불구하고, 여전히 문제가 되고 있다. 최근에는 선천성 매독과 관련된 혈뇨나 폐렴이 보고된 증례가 없었으나 저자들은 적절한 산전치료를 받지 못한 산모에게서 태어난 22일된 남아에게서 발생한 선천성 매독에 동반된 신증후군과 폐렴의 증례를 보고한다. 선천 매독의 진단은 혈청학적 검사로 확진하였고, 환아는 페니실린 G 치료를 받고 회복되었다. 신생아에게서 임상증상은 매우 불확실할 수 있어, 질환에 대한 인식이 지연 될 수 있다. 따라서 선천성 매독의 예방에는 철저한 산전관리가 필수적이다. 만약 산모가 적절한 산전진찰을 받지 않았을 경우에는 신속한 혈청학적 진단이 반드시 시행되어야 할 것이다.

• Journal of Trauma and Injury
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• 제24권1호
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• pp.12-17
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• 2011

Purpose: A rib fracture secondary to blunt thoracic trauma continues to be an important injury with significant complications. Unfortunately, there are no definite treatment guidelines for severe multiple rib fractures. The purpose of this study was to evaluate the result of early operative stabilization and to find the risk factors of surgical fixation in patients with bilateral multiple rib fractures or flail segments. Methods: From December 2005 to December 2008, the medical records of all patients who underwent operative stabilization of ribs for severe multiple rib fractures were reviewed. We investigated patients' demographics, preoperative comorbidities, underlying lung disease, chest trauma, other associated injuries, number of surgical rib fixation, combined operations, perioperative ventilator support, and postoperative complications to find the factors affecting the mortality after surgical treatment. Results: The mean age of the 96 patients who underwent surgical stabilization for bilateral multiple rib fractures or flail segments was 56.7 years (range: 22 to 82 years), and the male-to-female ratio was 3.6:1. Among the 96 patients, 16 patients (16.7%) underwent reoperation under general or epidural anesthesia due to remaining fracture with severe displacement. The surgical mortality of severe multiple rib fractures was 8.3% (8/96), 7 of those 8 patients (87.5%) dying from acute respiratory distress syndrome or sepsis. And the other one patient expired from acute myocardial infarction. The risk factors affecting mortality were liver cirrhosis, chronic obstructive pulmonary disease, concomitant severe head or abdominal injuries, perioperative ventilator care, postoperative bleeding or pneumonia, and tracheostomy. However, age, number of fractured ribs, lung parenchymal injury, pulmonary contusion and combined operations were not significantly related to mortality. Conclusion: In the present study, surgical fixation of ribs could be carried out as a first-line therapeutic option for bilateral rib fractures or flail segments without significant complications if the risk factors associated with mortality were carefully considered. Furthermore, with a view of restoring pulmonary function, as well as chest wall configuration, early operative stabilization of the ribs is more helpful than conventional treatment for patients with severe multiple rib fractures.

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.453-465
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• 2014

이 연구는 중학생을 대상으로 계획된 방과후체육활동 참여 여부에 따라 심리적 안녕감에 어떠한 변화차이가 있는지를 알아보는 것에 목적이 있었다. 이러한 연구목적을 달하기 위하여 K시 M중학교 남학생 중 방과 후 활동에 참여하는 학생 100명을 선정하였다. 측정도구는 박정희(2007)가 개발한 청소년 심리적 안녕감 측정도구를 타당도 검증절차를 거친 후에 사용하였다. 실험집단은 1주에 2차시씩 총 12주 동안 계획된 방과후체육활동에 참여하였고, 통제집단은 일반 교과과목 수업에 참여하였다. 실험설계는 사전 사후로 나누어 두 차례 반복측정에 의한 이원변량분석을 실시하였다. 이 연구에서 도달한 연구결과를 토대로 결론을 제시하면 다음과 같다. 첫째, 계획된 방과후체육활동에 참여한 집단과 교과활동에 참여한 집단은 가족관계 요인의 변화에서 통계적으로 의미 있는 차이가 있다. 둘째, 두 집단은 교사관계 요인의 변화에서 통계적으로 의미 있는 차이는 없다. 셋째, 두 집단은 자기인식 요인의 변화에서 통계적으로 의미 있는 차이가 있다. 넷째, 두 집단은 자기 주장성 요인의 변화에서 통계적으로 의미 있는 차이는 없다. 다섯째, 두 집단은 심리적 안녕감 중 친구관계 요인의 변화에서 통계적으로 의미 있는 차이가 있다. 여섯째, 두 집단은 심리적 안녕감 중 학습 주도성 요인의 변화에서 통계적으로 의미 있는 차이는 없다. 종합해 볼 때, 중학생 시기에 계획된 방과후체육활동은 가족이나 부모에 대한 관심과 사랑에 대한 느낌을 확장시킬 수 있고, 자신에 대하여 긍정적인 인식과 삶에 대한 태도를 가질 수 있으며, 친구들과 친밀한 관계를 가짐으로써 상호신뢰를 쌓아갈 수 있도록 도움을 줄 수 있다.

• 여성건강간호학회지
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• 제8권1호
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• pp.106-115
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• 2002

Little is known about sexual autonomy in the light of human sexual health or sexual behavior. The purpose of this study was to increase understanding of sexual autonomy by developing a scale to measure sexual autonomy in college students. The measure was based on the perspective of human beings as having autonomy. A methodological developmental design was used. The study was done in three steps and included concept development through content analysis of relevant literature individual interviews using open-ended questions with 19 college students, item analysis of data from self report questionnaires for item to total correlation, content validity index by professionals and college students, and factor analysis with principal component analysis. Three groups participated in testing the measurement scale; Group A in 1998, a nationwide convenience sample of college students (n=1,163), Group B, college students in 1999 (n=233), and Group C, college students in 2000 who responded to the measurement scale before and after a sex education program (n=216). A series of exploratory and confirmatory factor analyses were conducted to test validity. For analysis of the questionnaires, statistical methods including reliability (test-retest), item to total analysis, content validity, factor analysis for construct validity and t-test for mean difference according to gender, sexual coitus, previous sex education, and pre-post experiment sex education were used with SPSS 10.0. Results: 1. Two stable factors were extracted and these contributed 48.05% of the variance in the total score. All 13 items loaded above .40 on each factor. 2. Factor I with 10 items was named 'control' and factor II with 3 items and was named 'coping'. 3. Differences in sexual autonomy scores for college students according to their experience showed that there were significantly higher scores for sexual autonomy in the post sex education group(t=-10.841, p=.000), but there were no differences according to whether or not they had previous sex education. Female college students had higher sexual autonomy scores than male college students in A or B group (t=-5.933, p=.000/ t=-1.992, p=.048). 4. Cronbach's $\alpha$ was .8603 for the total 13 items with 1,632 college students, .8739 with 232 students, .8333$\sim$.7647 with pre-post sex education with 216 students. This measurement was found to have a high validity and reliability for measuring sexual autonomy in college students. Therefore, the author recommends that it be used to measure the effects of sex education. It is suggested that further study is needed to analyze the relationship between sexual autonomy and sexual behavior.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.497-507
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• 2018

본 연구는 암생존자의 삶의 질에 대해 보다 면밀한 검토를 통해 이들을 위한 서비스 및 정책 마련을 위한 기초자료를 제공하고자 수행되었다. 이에 본 연구는 사회문화적 영향을 다르게 수용하게 되는 성차(gender difference)를 중심으로 암생존자의 삶의 질의 차이와 예측 요인들의 상대적 영향력을 검증하였다. 이를 위해 국민건강영양조사 제 6기 중 2013년 자료에서 추출한 암생존자 203명을 표본으로 남녀 집단간 삶의 질 평균차이 검증과 위계적 회귀분석을 실시하였다. 그 결과 삶의 질의 하위 영역 모두에서 여성이 남성에 비해 낮은 삶의 질을 보였으며, 전체적인 삶의 질에 있어서도 여성의 삶의 질은 유의미하게 낮았다. 위계적 회귀분석 결과, 성차에 따른 예측 변인이 다르게 나타났는데 남성은 주관적 건강인식이 유의한 정적 영향을 미치고 있었으며 여성은 미충족 의료욕구(unmet medical need)가 가장 큰 예측력을 가진 유의미한 변인으로 부적 영향을 미치고 있었으며, 또한 연령이 높을수록 삶의 질이 낮았으며, 주관적 건강인식과는 유의미한 정적 관계를 보였다. 이러한 결과를 통해 성차를 고려한 암생존자 관리의 방향성 제고가 필요하며 여성암생존자 중 고령, 건강상태가 좋지 못한 경우, 의료서비스의 접근성이 낮은 집단에 대한 보다 집중적 서비스를 마련해야하는 등의 실천적 함의와 후속연구에 대한 제언을 제시하였다.

• Journal of Yeungnam Medical Science
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• 제5권2호
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• pp.221-230
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• 1988

최근 저자들은 1987년부터 1988년까지 2년간 영남의대 부속병원 외과에서 수술 및 병리 조직학적으로 확진된 다발성 원발성 악성 종양 6예를 경험하였기에 이를 연령, 발생 빈도, 호발 장기, 유발 인자, 가족력 등을 분석함으로서 외과의에게 다발성 원발성 악성 종양에 대한 관심을 고조시키고자 문헌고찰과 함께 보고하는 바이다. 1. 평균연령은 54.1세였으며 최저 38세부터 최고 67세였다. 2. 남자 3예, 여자 3예로 남녀비는 1:1이었으며 발생 빈도는 0.31%였다. 3. 호발 부위는 위암, 유방암, 대장암 순이었으며 이 중 1예는 초기 위암 및 초기 대장암이었으며 위암과 다발성 골수종을 동반한 예도 1예 있었다. 4. 면역 검사는 DNCB, CMI, T4/T8 ratio를 측정하였으나 현저하게 면역 저하된 경우는 없었다. 5. 가족력은 1예로서 17%였으며 위암이었다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2597-2606
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• 2014

Background: There is a scarcity of information about the proportion of the adult Saudi population that meet the recommended guidelines of physical activity (PA) to reduce cancer risk. Moreover, their awareness about the role of PA in cancer prevention is unclear. Objectives: This cross-sectional study aimed at estimating the proportion of adult Saudis meeting the PA guidelines, specifically those recommended by American Cancer Society (ACS) for cancer prevention, and to assess the public awareness about the role of PA in cancer prevention. Materials and Methods: Using a multistage sampling method, 2,127 adult Saudis of both genders were recruited from 6 urban and 4 rural primary health care centers in Al Hassa, Saudi Arabia. Participants were personally interviewed to gather information about their sociodemographic characteristics, searching activity about PA and cancer, and the time spent in leisure time PA (moderate and vigorous)/week using the Global Physical Activity Questionnaire with show cards. Finally, items about the role of PA in cancer risk reduction were inquired. Results: Of the included participants, 11.6% met the recommendations for cancer prevention (${\geq}45$ minutes of moderate-vigorous PA activity/${\geq}5$ days/week or 225 minutes/week). Multivariate regression showed that being male (AOR=1.49, CI=1.09-2.06), <20 years of age (AOR=3.11, CI=2.03-4.76), and unemployed (AOR=2.22, CI=1.57-3.18) were significant predictors for meeting PA recommendations for cancer prevention. Only 11.4% of the sample indicated correctly the frequency and duration of PA required for an average adult to be physically active and while >70% of them indicated the role of PA in prevention of hypertension, coronary heart disease and lowering elevated blood cholesterol, only 18.6% and 21.7% correctly mentioned the role of PA in reducing colon and breast cancer risk, respectively. Poor knowledge was found among those with less than college education and aged ${\geq}50$ years. The level of knowledge was significantly positively correlated with total leisure time PA of the participants. Conclusions: A minority of adult Saudis in Al Hassa was aware about the role of PA in cancer prevention and engaged in sufficient LTPA for cancer risk reduction benefits, highlighting the need for public health actions to include policies and programs that address factors deterring their participation in LTPA and increasing their awareness with remedies to manage the prevalent misconceptions.