• 제목/요약/키워드: SD-OCT

검색결과 23건 처리시간 0.02초

스펙트럼영역 빛간섭단층촬영으로 측정한 갑상선 안병증 환자와 녹내장환자의 맥락막 두께 분석 (Choroidal Thickness in Thyroid-associated Ophthalmopathy between Normal Tension Glaucoma Using Optical Coherence Tomography)

  • 이보영;나태윤;최진아
    • 대한안과학회지
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    • 제58권8호
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    • pp.960-967
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    • 2017
  • 목적: 갑상샘눈병증과 정상안, 정상안압녹내장 환자의 황반하 맥락막 두께를 비교해 보고자 한다. 대상과 방법: 정상군 70안, 갑상샘눈병증군 74안, 정상안압녹내장군 60안을 대상으로 하였다. 모든 환자는 스펙트럼영역 빛간섭단층촬영의 Enhanced Depth Imaging 방법으로 중심와 맥락막두께를 측정하였다. 평균 중심와 맥락막 두께는 중심와아래, 중심와 아래에서 각각 1.5 mm 비측 및 이측의 세 지점의 평균으로 정의하였다. 일반화 추정 방정식을 통하여 맥락막 두께에 미치는 변수를 알아보았다. 결과: 평균 중심와 맥락막 두께는 정상 $252.07{\pm}55.05{\mu}m$, 갑상샘눈병증 $281.01{\pm}60.06{\mu}m$, 정상안압녹내장 $241.66{\pm}55.00{\mu}m$로 유의한 차이를 보였다(p=0.013). 중심와아래, 비측, 이측 중심와 맥락막 모두 정상안압녹내장에서 갑상샘눈병증에 비해 얇았다(p=0.014, 0.012, and 0.034). 갑상샘눈병증에서 나이, 성별, 굴절률, 안압을 보정한 후에도 정상안압녹내장군에 비해 맥락막 두께가 유의하게 두꺼웠다(${\beta}=32.61$, p=0.017). 결론: 갑상샘눈병증군에서 정상안압녹내장군과 정상군보다 유의하게 두꺼운 맥락막을 보였고 평균 망막신경섬유층 두께는 정상안압녹내장군이 갑상샘눈병증군보다 유의하게 얇았다. 갑상샘눈병증 환자에서의 두꺼운 맥락막이 녹내장 진행에 있어 어떠한 효과를 가지는지 향후 추가적인 연구가 필요할 것으로 보인다.

취업유무에 따른 초산모의 배우자 지지와 역할긴장간의 관계 및 변화 (The Change and Relationship between Maternal Role Strain and Husband's Support in First-time Mothers with regard to their Employment Status)

  • 고효정
    • 여성건강간호학회지
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    • 제4권1호
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    • pp.5-35
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    • 1998
  • This study attempted to determine the relation between the maternal role strain and their husbands' support in employed and nonemployed first-time mothers, and how it changed over time. A descriptive, longitudinal and comparative study design was conducted to collect and analyzed the data at three times(at 3-4days, at 4-6wks and at 3-month postpartum) regarding the change of maternal role strain and their husbands' support in employed and nonemployed first-time mothers. The subjects were 133 first-time mothers who delivered vaginally at K university hospital in Deagu, Korea from Dec., 1994 to Oct., 1995. Among these 58 were employed and 75 were nonemployed first-time mothers. This instruments used to data collection in this study were by Hobbs(1968 : The Difficulty Index for First-time Parents), Staffensmeier(1982: Transition Difficulty Measure), Tayer(1976: Emotional Support from Husband), Lee, Hae Kyoung(1992 : Physical Support from Husband). The analysis of data was done with SAS/PC program which included percentage, $x^2$-test, Pearson correlation, Repeated Measure ANOVA, Time Contrast Analysis and t-test. The results were as follows : 1. There was a significant negative correlation only at 3-4days(r=-.19, P=.0265) and at 4-6wks postpartum(r=-.18, P=.0392) between maternal role strain and husband's support of the first-time mothers. Thus, the more support from husband, the less maternal role strains the first-time mothers felt. Therefore, the 1st hypothesis that "the more husband's support the first-time mother felt at all the time of testing, the less maternal role strains they got" was partially supported at 3-days and 4-6 weeks postpartum. There was no correlation between maternal role strain and t husband's support of the employed first-time mothers at al testing times(at 3-4days postpartum : r=-.95, P=.9548, at 4-6wks postpartum : r=-.0960, P=.4733 and at 3-month postpartum : r=-.05, P=7306). On the contrary, the unemployed first-time mothers felt less maternal role strain when they received more support from their husband at 3-4 days postpartum(r=-.31, P=.0073) and at 4-6wks postpartum(r=-.23, P=.0490). 2. There was no difference of maternal role strain between two groups with regards to employment status(F=.97, P=.3270). But the maternal role strains of two groups were changed differently each other over time(F=3.89, P=.00234). Therefore, the 2nd hypothesis that "there was the difference in the maternal role strains with regard to employment status and over time" was rejected. 3. There was no difference in husband's support between the employed and the nonemployed first-time mothers(F=3.06, P=.0826). But there was a significant interaction between employment status and over time(F=3.64, P=.0267), so the support from husband of the employed and the unemployed first-time mothers was changed differently each other over time. The support from husband of the employed first-time mothers was lowered significantly and continuously at 4-6wks (F=5.20, P=.0263) and at 3-month postpartum(F=6.47, P=.0137) than at 3-4 days postpartum. On the contrary, there was no difference in change of husband's support of the employed first-time mothers between the 3-4 days and the 4-6wks postpartum(F=1.70, P=.1962) and between the 3-4 days and the 3-month postpartum(F=.21, P=.6513). Mean husband's support of the nonemployed first-time mothers was raised at 4-6wks postpartum than at 3-4 days postpartum but lowed at 3-month postpartum. The support form husband of both groups was tending downwards at 3-month postpartum than at 4-6wks postpartum, but the one between two groups was changed differently each other over time. The husband's support of the employed first-time mothers(M${\pm}$SD=64. 26${\pm}$8.63) was higher than the one of the nonemployed first-time mothers(M${\pm}$SD=59.16${\pm}$11.11) (t=-2.98, P=.0035), so the 3rd hypothesis that "there was the difference in the husband's support with regard to employment status and over time" was supported. On the basis of these conclusions, the following suggestion is proposed. This study examined the change and relationship between maternal role strain and husband's support in the employed and the nonemployed first-time mothers. So the further study regarding the comparison between the employed and the nonemployed multiparas is necessary.

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방사성오염물질 처분에 대한 고찰 (Consideration of Radioactive Contamination Materials Disposal)

  • 임현진;김태엽;이홍재;김진의;김현주
    • 핵의학기술
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    • 제14권2호
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    • pp.128-132
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    • 2010
  • 핵의학과 종합조작실은 방사선 관리구역으로 이곳에서 발생된 방사성오염물질은 방사성폐기물로 간주하여 일반쓰레기와 별도로 관리를 해야 한다. 본 실험은 우리가 미처 인식하지 못해 일반쓰레기로 처분되었던 방사성오염물질의 오염도를 측정하고 원인을 분석하여 보다 적극적인 방사성폐기물 관리 운영의 필요성을 제시하고자 함이다. 측정대상은 방사성의약품을 표지하기 위해 사용된 생리식염수와 $^{99}Mo$/$^{99m}Tc$ generator(국산 및 외산)에서 발생한 generator cap, saline needle cap, $^{99m}Tc$-needle cap, saline vial로 하였고, gamma survey meter를 이용하여 평균값과 표준 편차(mean${\pm}$SD)로 나타냈다. 측정대상물질의 오염유무를 알기 위해 방사선 관리구역에서 반출될 수 있는 물질의 표면오염도인 최대허용표면오염도의 1/10(43.2 cpm)을 기준값으로 정하였다. 각각의 표면오염도를 측정한 결과 방사성의약품 표지를 위해 사용된 생리식염수에서는 $14,429{\pm}26,378$ cpm으로 최대 허용표면오염도의 1/10을 초과하였다. 그리고 측정된 generator중 외산에서는 generator cap: $17{\pm}28$ cpm, saline needle cap: $35{\pm}66$ cpm, $^{99m}Tc$-needle cap: $9{\pm}21$ cpm, saline vial: $13{\pm}28$ cpm으로 최대허용표면오염도의 1/10를 초과하지 않았지만 국산에서는 generator cap: $22,852{\pm}52,545$ cpm, saline needle cap: $87,367{\pm}109,711$ cpm, $^{99m}Tc$-needle cap: $9,008{\pm}10,459$ cpm, saline vial: $186,416{\pm}158,196$ cpm으로 최대 허용표면오염도의 1/10를 초과하였다. 외산 generator에서 발생한 측정대상물질은 일반폐기물로 처분하고 국산 generator와 방사성의약품을 표지하기 위해 사용된 생리식염수는 반드시 방사성폐기물로 간주하여 처분해야 한다. 따라서 일반쓰레기 뿐만 아니라 종합조작실에서 반출되는 모든 물질에 대한 자체적인 방사선측정, 기록 및 비치와 방사성폐기물에 대한 지속적인 교육을 통해 방사성 폐기물이 일반쓰레기로 처분되어 나가는 것을 예방 할 수 있을 것이다.

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