• Journal of Chest Surgery
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• 제31권12호
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• pp.1212-1216
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• 1998

배경: 최근 들어 비디오 영상 기술과 기구들의 발달로 비디오 흉강경에 의한 수술이 증가하고 있으며 흉부 질환의 여러 분야에 다양하게 적용되고 있다. 그 중 다한증에 대한 비디오 흉강경을 이용한 교감 신경 절제술의 빈도는 급격히 증가하였으며 수술 결과 또한 극적이고 미용적인 면에서도 만족스러워 많이 시술되고 있다. 대상 및 방법: 본 인제대학교 상계백병원 흉부외과에서는 1997년 6월부터 1998년 2월 까지 30명의 다한증 환자에서 비디오 흉강경을 이용한 흉부 교감 신경 절제술을 시행하였는데 남녀비는 10:20으로 여자가 많았으며 연령 분포는 17세에서 51세까지 평균 22.42±6.84세이었다. 환자들은 모두 위치의 변경없이 앙와위에서 반앉은 자세로 수술하였으며, 수술시 사용한 트로카는 5 mm크기를 2개 사용하였다. 결과: 환자들의 평균 수술 시간은 52.32±11.72분이었으며, 교감 신경 절제후 환자 수부의 온도 상승은 평균 2.17±0.47℃이었고 18명의 환자(60%)가 보상성 다한증을 호소하였다. 늑막 유착이 있어 수술 후 3일간 흉관거치를 한 환자를 제외하고는 모든 환자가 수술 당일 내지는 수술 다음날 퇴원할 수 있었다. 수술 후 2개월에서 8개월까지 평균 5.3±2.17개월 동안 외래 통한 추적 관찰 중인 바, 재발은 없었다. 결론: 다한증의 치료에 있어서 흉강경수술은 매우 효과적인 방법이다. 그러나 최대의 효과와 최소의 부작용을 갖기 위하여는 교감신경의 절제범위와 방법에 대하여 좀더 많은 연구가 필요하다.

• 부모자녀건강학회지
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• 제1권
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• pp.75-87
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• 1998

These days social and economical changes have influence on the structure of family and the role of family members. Working mothers and widowers with children are increasing because of economical difficulties. Support from relatives are decreasing because of the conspicuous trend toward nuclear families. According to these reasons androgynous fathers are required. Today's fathers in Korea socially and culturally have learned about traditional parenting, but they are changing their fathering styles to meet the demands of the times. However they don't have their own fathering models. Therefore nurses who hold an advantageous position to teach and support from clinic have to encourage them to care their infants. The purposes of this study were to define father's care giving in infancy, understand influencing factors on fathering, and the differences between fathering and mothering, then contribute to nursing implementation for supporting fathers. This study was designed to review references about father's care giving. The results were follows: Six aspects of parent participation were direct care. indirect care, play, decision-making concerning the child, amount of time of sole responsibility for the child and overall availability to the child. Direct care involved feeding, bathing, going to child if child awakens. dressing, putting child to bed, taking child to doctor, nurse, or dentist, transporting child to and from sitter, day care, or school, washing child's hair. Indirect care involved cleaning up after child, preparing child's food, fixing child's broken playthings, washing child's clothes, arranging baby-sitting, shopping for child's toys and clothes, transporting baby-sitter to and from your home. Young fathers were gradually participating in direct care like feeding, taking child to doctor. Father's care giving stimulated mothering and promoted parent-infant relationship. Influencing factors of fathering would be divided into father characteristics, surrounding factors, infant attributes. Father characteristics were age, role perception, relationship with parent. Surrounding factors were the opportunity of early contact, support system, spouse's expectation, marital adjustment, feeding type, past experience of care giving. Infant attributes were temperament, behavior, age, sex. The differences between fathering and mothering were reviewed. Fathers were poor at care giving. but their caring was similar to mother's. This subtle difference positively worked upon infant's growth and development. On the basis of these theoretical data, nurses can empower fathers to cooperate with mothers in caring infants.

• 디지털융복합연구
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• 제15권5호
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• pp.263-269
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• 2017

폐기능검사는 호흡기 질환을 진단하는 검사방법으로 정확한 검사 결과를 얻기 위해서는 환자의 이해와 협조가 절대적으로 필요하다. 본 연구는 폐활량검사에서 환자의 이해도와 자세의 중요성에 대하여 실험하였다. 2016년 110명의 건강한 사람을 대상으로 1) 검사자의 설명만으로, 2) 동영상 상영과 검사자의 시연 후, 3) 자세에 제한을 주기 위하여 다리를 꼰 후 어깨를 구부린 상태로 측정하였다. 폐활량 검사기기를 이용하여 FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF를 측정하였다. 대상자가 검사방법을 이해하기 전과 후의 FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF가 유의적으로 증가하였다. 잘못된 자세에서 검사 시 FVC, $FEV_1$, PEF의 유의적으로 차이가 있었다. 재현성은 대상자의 이해도와 자세이상에서, 적합성은 자세이상에서 유의적인 차이를 보였다. 폐기능 검사의 정확한 결과를 도출해 내기 위해서는 검사 시 환자의 정확한 이해와 올바른 자세를 유지하여야 신뢰할 수 있는 결과를 얻을 수 있을 것이다.

• 대한핵의학회지
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• 제25권1호
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• pp.46-52
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• 1991

Radioaerosol inhalation imaging (RII) has been used in radionuclide pulmonary studies for the past 20 years. The method is well accepted for assessing regional ventilation because of its usefulness, easy fabrication and simple application system. To evaluate its clinical utility in the study of impaired regional ventilation in bronchial asthma, we obtained and analysed RIIs in 31 patients (16 women and 15 men; age ranging 21-76 years) with typical bronchial asthma at the Department of Radiology, Kangnam St. Mary's Hospital, Catholic University Medical college, from January, 1988 to August, 1989. Scintiscans were obtained with radioaerosol produced by a BARC(Bhabha Atomic Reserch Center, India) nebulizer with 15 mCi of $^{99m}Tc-phytate$. The scanning was peformed in anterior, posterior and lateral projections following 5-minute inhalation of radioaerosol on sitting position. The scans were analyzed and correlated with the results of pulmonary function study and the findings of chest radiography. Fifteen patients had concomitant lung perfusion image with $^{99m}Tc-MAA$. Follow-up scans were obtained in 5 patients after bronchodilator therapy. The patients were divided into (1) attack type (4 patients), (2) resistant type (5 patients), (3) remittent type (10 patients) and (4) bronchitic type (12 patients). Chest radiography showed hyperinflation, altered pulmonary vascularity, thickening of the bronchial wall and accentuation of basal interstitial markings in 26 of the 31 patients. Chest radiographs were norma! in the remaining 5 patients. Regardless of type, the findings of RII were basically the same, and characterized by the deposition of radioaerosol in the central parts or in the main respiratory air ways along with mottled nonsegmental ventilation defects in the periphery. Peripheral parenchymal defects were more extensive than that of expected findings from clinical symptoms, pulmonary function test and chest radiograph. Broomstick sign was present in 17 patients. The abnormality of RII was poorly correlated with perfusion scans. In all 5 patients treated with bronchodilators, follow-up study demonstrated a decrease in the degree of radioaerosol deposition in the central air way with improved ventilation defects. This study indicates that RII is a useful technique for the evaluation of regional ventilation abnormality and the effect of treatment with bronchodilators in patients with bronchial asthma.

• 대한핵의학회지
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• 제24권2호
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• pp.229-236
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• 1990

Perfusion and ventilaion imagings of the lung are well established procedure for diagnosing pulmonary embolism, differentiation it from chronic obstructive lung disease, and making an early detection of chronic obstructive lung disease. To evaluate the usefulness of radioaerosol inhalation imaging (RII) in chronic obstructive lung disease, especially pulmonary emphysema, we analyzed RIIs of five normal adult non-smokers, five asymptomatic smokers (age 25-42 years with the mean 36), and 21 patients with pulmonry emphysema (age 59-78 years with the mean 67). Scintigrams were obtained with radioaerosol produced by a BARC nebulizer with 15 mCi of Tc-99m-phytate. Scanning was performed in the anterior, posterior, and lateral projections after five to 10-minute inhalation of the radioaerosol on sitting position. The scans were analyzed and correlated with the results of pulmonary function studies and chest radiographs. Also lung perfusion scan with $^{99m}Tc-MAA$ was performed in 12 patients. In five patients, we performed follow-up scans for the evaluation of the effects of a bronchodilator. Based on the X-ray findings and clinical symptoms, pulmonary emphysema was classified into four types: centrilobular (3 patients), panlobular (4 patients), intermediate (10 patients), and combined (4 patients). RII findings were patternized according to the type, extent, and intensity of the aerosol deposition in the central bronchial and bronchopulmonary system and lung parenchyma. 10 controls, normal five non-smokers and three asymptomatic smokers revealed homogeneous parenchymal deposition in the entire lung fields without central bronchial deposition. The remaining two of asymptomatic smokers revealed mild central airway deposition. The great majority of the patients showed either central (9/21) or combined type (10/21) of bronchopulmonary deposition and the remaining two patients peripheral bronchopulmonary deposition. Parenchymal aerosol deposition in pulmonary emphysema was diffuse (6/21), discrete(6/21), intermediate (3/21), or combined (6/21). In 12 patients studied also with perfusion scans, perfusion defects matched closely with ventilation defects in location and configuration. But the size of the ventilation defects was generally larger than the perfusion defects. In all four patients treated with bronchodilators, the follow-up study demonstrated decrease in abnormal of radioaerosol deposition in the central airway with improvement of ventilation defects. RII was useful technique for the evaluation of regional ventilatory abnormality and the effects of treatment with bronchodilators in pulmonary emphysema.

• 디자인학연구
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• 제11권
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• pp.48-58
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• 1995

우리 나라에서도 1981년 UN이 정한 세계장애인의 해를 기점으로 장애인에 대한 인식이 점진적으로 개선되기 시작하였고, 장애 문제에 대한 일반인이 이해도 향상되었다. 본 연구에서는 장애인의 소득수준이나 우리 나라의 복지수준을 고려하여 가장 일반적이고 많이 사용되고 있는 수동식 휠체어를 연구대상으로 선정하였다. 디자인 전개를 위한 본 연구의 주요 분석내용은 다음과 같다. 1. MAN-AMCHINE INTERFACE에 의한 연구 분석/휠체어의 기본개념이 걸어서 이동할 수 없는 사람이 ‘앉아서’이동할 수 있도록 하기 위함이므로 의자에 바퀴를 설치한 기구라는 점을 고려하여 의자와 바퀴와의 상관관계를 중점적으로 연구 분석하였다. 2. 휠체어 주행동작 연구 분석/ 인간공학의 기본이라 할 수 있는 동작반석과 실험측정을 통하여 주행동작시의 움직임 및 그에 따른 동작변화를 관찰하고자 실시한 동자관찰 연구이다. 3. 뒷바퀴 및 핸드림이 사용성에 대한 동작 분석/휠체어의 주요 구성부분인 의자와 바퀴에 해당되는 것으로서, 장애인 본인이 이동할 때 핸드림과 손과의 관계를 실험을 통하여 살펴봄으로써 보다 효율적이고 쾌적함을 줄 수 있는 핸드림에 관한 연구이다. 이상과 같이 세 가지 연구방향으로 추진하여 그 결과 및 자료를 기초로 차체는 접는 식 X형을 기본으로 하고, 운반이 용이하게 최소화할 수 있는 구조 적 디자인을 바탕으로 휠체어의 각 부분을 크게 좌석(공기주머니 방식), 핸드림(미끄럼 방지 턱), 팔걸이(트랜스퍼 동작, 고무 받침대, 조형미), 손잡이(각도 조절, 둥근 형태) 구분, 개선된 휠체어 디자인을 제안하였다. 본 연구를 통하여 기술한 내용은 장애인을 이해하기 위한 목적 중 극히 일부분에 지나지 않는다. 또한 장애인 복지 증진을 위한 많은 사업중의 하나인 재활사업의 중요성, 재활을 위한 보장구 중에 단편적인 한 품목을 연구한 것에 불과하다.

• 가정과삶의질연구
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• 제26권2호
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• pp.115-127
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• 2008

The purpose of this study was to examine the characteristics of change in the composition of indoor spaces in Korean-style houses which have been repaired and improved extensively through the 'Bukchon Improvement Project' and are being utilized for public purposes. For this, we conducted a field survey through visiting the house sites from the 5th to the 26th of May, 2006. Conclusions drawn from this study are as follows. Bukchon Korean-style houses maintain centripetal space composition, in which the rooms surround the court. Centering on the court, the hierarchy of spaces is determined, and the hierarchy of spaces and the composition of internal layout are restructured centering on the court and the main hall without change in direction and position. The main hall is sometimes converted to a room, but it maintains an open space relation with other spaces centering on the court, and therefore, even after its use has been changed, it is still the most Korean-style space. In addition, with floor heating, the common sitting-style life is maintained continuously although the rooms have been converted and standing-style furniture is used. In this way, publicly promoted policies for Korean-style houses are allowed within the limit that the appearance is maintained and the internal spaces do not change the overall structure. However, in order to maintain the tradition of Korean-style houses and utilize them as various spaces, the following supplementations are necessary. First, the main hall and the inner court of a Koreanstyle house should be utilized actively. The court sometimes keeps individuals' privacy or expands the space by extending the view to outdoor spaces, and is sometimes used as an open space through interconnection between the inside and the outside of the house. Second, consideration should be given to vertical spaces. Horizontal expansion causes a change of floor plan. Thus, space should be secured using various cross-sectional changes, such as a kitchen and a loft over the kitchen. Third, structure should be changeable in order to adjust the size of spaces. Thus, through research on traditional windows, we need to develop changeable walls that can be installed and removed easily according to the use of spaces.

• The Journal of Korean Physical Therapy
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• 제12권2호
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• pp.185-190
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• 2000

본 연구는 1999년 10월 1일부터 2000년 3월 30일까지 대구시 세종 신경외과의원에서 요통을 진단 받고 물리치료실에 내실한 환자 40명과 대조군 40명을 합한 총 80명을 대상으로 하였다. 대상자에게 요추 1번과 5번의 상연을 연결하는 요추 전만각도 측정에서 요통환자의 $29.88^{\circ}$는 대조군의 $35.31^{\circ}$보다 통계적으로 유의하게 감소했다(p<0.01). 성별 전만도 차이는 여성 환자의 $32.32^{\circ}$가 남성 환자의 $27.32^{\circ}$보다 유의하게 증가했고(p<0.05), 대조군에서도 여성이 $36.63^{\circ}$로 남성의 $34.12^{\circ}$보다 증가했으나 통계적 차이는 없었다. 연령별 전만도 차이는 40세 이하의 환자가 $27.95^{\circ}$로 이상의 $32.32^{\circ}$보다 감소하였으나, 대조군은 각각 $35.82^{\circ}$와 $34.27^{\circ}$ 40세 이하가 조금 증가했으나 통계적 유의성은 없었다. 작업자세와 요추 전만도 차이에서 앉아서 작업하는 환자$(31.35^{\circ})$는 서서 작업하는 환자$(28.93^{\circ})$ 보다 증가했으나, 대조군은 양자가 비슷하였다. 따라서 본 연구결과 환자의 요추 전만도가 대조군 보다 유의하게 감소했고, 여성 환자가 남성 환자 보다 증가했다.

• 대한간호학회지
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• 제7권1호
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• pp.39-46
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• 1977

Despite the fact that it is not a fatal symptom. the lower back pain of human species is considered a health problem of modern society: 80% of world population experience it and the distress and dysfunction caused by interferes daily life as well as the general productivity. This study was performed to investigate the general tendency of lower back Pain on nurses: influence of nursing activities, working condition and the physical characteristics of nurses on the pain in order to provide data for prevention and treatment. 386 nurses working at 16 general hospitals throughout the country were sampled. Questionaries developed by the researcher was used for data gathering. Results are as follows : 1. Lower back pain was experienced by most(72.3%) of the nurses: the highest rate of -Pain experience was revealed to be the a9e group of 35-39 (80.8%) followed by 25-29 group (74.2%). 2. In almost all instances (91.4%), the first pain attack occurred before the age of 29, and in 73.1%. the attack occurred between the age of 15-24. 3. In 10.1%, the pain was almost persistent or occurred every other day frequency. In 9%, the pain was relieved by the administration of analgesics or "unable to move". 4. More than 6 days′sick leave due to the pain revealed to be in 2.2%. No significant difference was revealed between specialities of service. 5. Pain experience and the over or under weight revealed not to have significant relations. (X$^2$=0.55224, p〉0.7587) 6. The length of working hour of I. C. U. and O. R, revealed to be longer than that of nurses general ward, however. no significant difference on the rate of pain occurrence apparent. (X$^2$=0.4952, p〉0.8239) No significant difference on the rate of pain occurrence between nurses working over 46 hours/week and under 45 hours/week. (X$^2$=3.86241, p〉0.078318) 7. The most frequent Pain related movement revealed to be "lifting patient or heavy object" (24. 7%, N=68) followed by "the sameness of position, either standing or sitting"(16.8%) 8. Regular physical exercise revealed to have no significant influence on the rate of Pain occurrence. 9. Higher raft of pain experience was revealed in the group of nurses wearing eye glasses. Uncomfortable shoes revealed to have influenced the pain. 10. The most frequent pain relieving treatment revealed to be "rest" (54.2%, N= 151) followed by "analgesics" (12.6%, N=35) and "hot compress/fomentation"(10.5%, N=29). In 13.7% (N=38) no special care was given.

• 대한간호학회지
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• 제25권3호
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• pp.538-548
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• 1995

Exercises are achievement oriented, the process is frequently perceived as hard and difficult Participants drop out from exercise programs in the middle of the training period. Dance movement, which is the deliberate and systematic use of movement, is enjoyable during the movement and provides opportunities for persons to express them-selves. Regular long term dance movement may in-duce a training effect with a decreased drop out rate. Dance movement could be one way to attain wellness, however, there have been few studies to evaluate both physiological and psychological aspects of dance movement. This study focused on evaluating the effects of dance movement training on body weight, resting blood pressure and heart rate, limb circumference and strength, stress response and subjective feelings. This quasi-experimental study was designed as a nonequivalent control group pre test -post test study. Ten healthy fe-male subjects, aged between 19 and 31 years volunteered for an eight week dance movement program. Ten healthy female subjects, between 19 and 21 years of age paticipated as controls. None of the subjects had performed regular physical activity for six months prior to the study. Dance movement was created with reference to Heber's movement guide. The Dance movement program consisted of approximately 30 minutes of dance, three days per week, for eight weeks. During each 30 minute work out, there were approximately 5 minutes of warm-up dancing, 20 minutes of conditioning dance and 5 minutes of cool-down dancing. The intensity for the conditioning phase was at between 60% and 65% of age-adjusted maximum heart rates. Body weight, resting blood pressure and heart rate, circumference of mid upper arm, mid thigh and mid calf, muscle strength of upper and lower limb, physical and psychological response to stress were measured prior to, and following the experimental treatment. Body weight was measured by digital weight scale(Kyung In Corp., Korea). Resting systolic and diastolic blood pressure were measured by sphygmomanometer, Resting heart rate was measured for one minute in a relaxed sitting position using the radial artery. Circumference of mid upper arm, mid thigh and mid calf was determined by tape measure. Muscle strength of the upper extremities was measured by a grip dynamometer (Takei Corp. No.1857, Japan) and that of the extremities was measured by the length of time the leg could be held at 45° Physical and psychological responses to stress were measured using the Symptoms of Stress (SOS)Scale. Paticipants in the dance movement were interviewed by the facilitator following the eight weeks, and their thematic responses about the dance movement were recorded. Following the eight week dance movement train-ing, body weight decreased significantly, circumference of mid thigh and mid calf increased. The length of time leg - raising could be held tended to increase following the dance movement training. Resting systolic and resting heart rate showed a tendency to decrease. Total mean score of stress response tended to de-crease, and mean score of habitual patterns, do-pression, anxiety / fear, anger and cognitive disorganization decreased remarkably following the eight week dance movement. Thematic responses about the dance movement were positive following the training.