• Journal of Trauma and Injury
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• 제23권2호
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• pp.175-179
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• 2010

Purpose: Sternal fractures after blunt thoracic trauma can cause significant pain and disability. They are relatively uncommon as a result of direct trauma to the sternum and open reduction is reserved for those with debilitating pain and fracture displacement. We reviewed consecutive 11 cases of open reduction and fixation of sternum and tried to find standard approach to the traumatic sternal fractures with severe displacement. Methods: From December 2008 to August 2010, the medical records of 11 patients who underwent surgical reduction and fixation of sternum for sternal fractures with severe displacement were reviewed. We investigated patients' characteristics, chest trauma, associated other injuries, type of open reduction and fixation, combined operations, preoerative ventilator support and postoperative complications. Results: The mean patient age was 59.3years (range, 41~79). The group comprised 6 male and 5 female subjects. Among 11 patients who underwent open reduction and fixation for sternal fracture with severe displacement, 6 cases had isolated sternal fractures and the other 5 patients had associated other injuries. Sternal fractures were caused by car accidents (9/11, 81.8%), falling down (1/11, 9.1%) and direct blunt trauma to the sternum (1/11, 9.1%), respectively. 3 of the 7 patients (42.9%) who underwent sternal plating with longitudinal plates showed loosening of fixation. Otherwise, none of the 4 patients who underwent surgical fixation using T-shaped plate had stable alignment of the fracture. Conclusion: Sternal fractures with severe displacement need to be repaired to prevent chronic pain, instability of the anterior chest wall, deformity of the sternum, and even kyphosis. In the present study, a T-shaped plate with a compression-tension mechanism constitutes the treatment of choice for displaced sternal fractures.

• Journal of Gastric Cancer
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• 제10권4호
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• pp.182-187
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• 2010

Purpose: Additional surgery is commonly recommended in gastric cancer patients who have a high risk of lymph node metastasis or a positive resection margin after endoscopic resection. We conducted this study to determine factors related to residual cancer and to determine the appropriate treatment strategy. Materials and Methods: A total of 28 patients who underwent curative gastrectomy due to non-curative endoscopic resection for early gastric cancer between January 2006 and June 2009 were enrolled in this study. Their clinicopathological findings were reviewed retrospectively and analyzed for residual cancer. Results: Of the 28 patients, surgical specimens showed residual cancers in eight cases (28.6%) and lymph node metastasis in one case (3.8%). Based on results of the endoscopic resection method, the rate of residual cancer was significantly different between the en-bloc resection group (17.4%) and the piecemeal resection group (80.0%). The rate of residual cancer was significantly different between the diffuse type group (100%) and the intestinal type group (20%). The rate of residual cancer in the positive lateral margin group (25.0%) was significantly lower than that in the positive vertical margin group (33.3%) or in the positive lateral and vertical margin group (66.7%). Conclusions: We recommended that patients who were lateral and vertical margin positive, had a diffuse type, or underwent piecemeal endoscopic resection, should be treated by surgery. Minimal invasive procedures can be considered for patients who were lateral margin positive and intestinal type through histopathological examination after en-bloc endoscopic resection.

• 한국콘텐츠학회논문지
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• 제10권12호
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• pp.378-386
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• 2010

최근 응급상황에서 일반인의 심폐소생술 수행 능력에 많은 관심이 모아지고 있다. 이에 본 연구는 응급 상황을 경험한 일반인의 심폐소생술 교육 경험과 심폐소생술 수행의 관계를 알아보기 위해 수행되었다. 자료는 2008년 중앙응급의료센터에서 2000명 대상의 성인을 조사한 것으로 응급상황을 경험한 최종 169명을 대상으로 전화 설문조사 하였다. 응급 상황에서 심폐소생술 교육을 받고 수행한 사람은 13.6%로 나타났고, 교육을 받았으나 심폐소생술을 시행하지 못한 경우는 23.6%, 심폐소생술 교육 경험이 없는데 수행한 사람은 7.1%, 교육받지 않고 심폐소생술도 시행하지 않은 경우는 55.6%로 나타났다. 특히 교육경험이 있으면서 심폐소생술을 시행한 경우 그렇지 않은 경우에 비해 지식(p=0.001), 1339 번호 인지(p=0.006) 및 이용경험(p=0.001)에서 유의한 차이가 나타났다. 따라서 사회적 특성이나 경제적 조건을 반영한 다양한 심폐소생술 교육 전략이 필요하다 하겠다.

• Journal of Gastric Cancer
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• 제10권2호
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• pp.63-68
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• 2010

Purpose: Remnant gastric cancer (RGC) are generally detected at advanced stages or infiltration of adjacent organs. We retrospectively reviewed the surgical outcomes and clinicopathologic results of remnant gastric cancers that have operated during fourteen years in one institution of Korea. Materials and Methods: 34 patients who were diagnosed with RGC at Ajou University Hospital from April 1995 to October 2009 were enrolled. We analyzed the features of previous operation, and according to these results, surgical outcomes and clinicopathologic results for RGC were analyzed. Results: Of 34 patients, 20 patients had previously undergone distal gastrectomy for malignant disease, and 14 patients for benign disease. The period between previous operation and surgery for RGC in the patients underwent operation for malignant disease was shorter than that in benign patients (P<0.001). In surgical field, 31 patients (91.0%) were resected and curative resection was possible in 23 patients (67.6%). When 31 patients who underwent resection for RGC were divided into previous malignant and benign disease, there was no significantly different in terms of surgical outcomes and pathologic findings between two groups. Meanwhile, the patients who recently (after 2005) underwent surgery for RGC showed less advanced stage compared with the patients who underwent surgery before 2004. Conclusions: Resection was possible in the higher proportion (91.0%) of patients diagnosed with RGC compared with previous reports. The cause of previous operation did not effect on the surgical outcomes for surgery of RGC. Recent trend of RGC is to increase the proportion of early stage gastric cancer. Therefore, surgeons should consider curatively surgical resection for RGC the regardless of pattern of previous operation.

• 대한한방부인과학회지
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• 제23권4호
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• pp.130-145
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• 2010

Purpose: The purpose of this study is to know stress and blood stasis pattern for the patients who had hysterectomy related with uterine myoma, adenomyosis, endometriosis. Methods: We got questionnaires from 55 patients among 243 patients who had hysterectomy related with uterine myoma, adenomyosis, endometriosis in the department of obstetrics and gynecology, OO medical center from April 11th 2010 to October 14th 2010, and analyzed them. We conducted correlation analysis between age, pain(VAS), duration of pain and blood stasis score, and between duration of pain, blood stasis score and the sum of Stress Response Index. We compared the sum of Stress Response Index, blood stasis score, VAS according to the result of pathology. For statistics, we used Pearson's correlation coefficient, Mann-Whitney test, oneway analysis of variances(ANOVA) and SPSS version 17.0 for windows. Results: The correlation between duration of pain and blood stasis score showed statistical significance. The correlation between sum of the Stress Response Index and blood stasis score showed statistical significance. There is no statistically correlation between age, VAS, duration of the pain and blood stasis score. There is no statistically significant difference in sum of Stress Response Index, blood stasis score, VAS according to the result of pathology. Conclusion: The result showed that Stress is related with static blood, and the longer patients suffer from pain, the easier patients' blood to be static. Further study will be needed.

• 한국산학기술학회논문지
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• 제11권10호
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• pp.3839-3845
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• 2010

본 연구는 치과 무면허 불법시술을 받은 사람들의 특성 및 패턴을 파악하고자 하였다. 2006년 국민구강건강 실태조사 자료를 이용하였다. 본 연구 대상자는 4,543명으로 치과 무면허 불법시술 경험 유무에 따라 그룹을 나누었다. 치과 무면허 불법시술 패턴을 기 분석에서 살아남은 변수로 조사하였다. 패턴 분석은 CHAID로 하였다. 연령은 68세 이상에 해당하는 사람들은 39%가 치과 무면허 불법시술 경험을 한 것으로 나타났으나, 33세 이하는 3%가 치과 무면허 불법시술을 경험을 한 것으로 나타났다. 연령이 55 또는 68세이면서 여성인 경우 45%가 치과 무면허 불법시술 경험을 한 것으로 나타났으나, 남성은 32%가 치과 무면허 불법시술을 경험을 한 것으로 나타났다. 최근 들어 건강에 대한 관심이 높아지고 있는 시점에서 의료비 등으로 인한 심적 부담도 많이 늘어나고 있는 실정이다. 그러나, 올바르지 못한 무면허 불법시술자에게 의술을 받고 부작용을 초래하는 경우가 종종 발생하고 있는 시점에서 무면허 불법시술에 노출될 위험이 높은 그룹의 특성 및 패턴을 사전에 파악하여 올바른 교육과 홍보를 통하여 건강을 효과적이고 효율적으로 관리할 수 있도록 하여야 할 것이다.

• Journal of Korean Biological Nursing Science
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• 제12권1호
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• pp.48-57
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• 2010

Purpose: The purpose of this study was to examine the effect of music therapy on pain, depression in terminally-ill patients. Methods: The subjects for this study were collected from 44 patients who were admitted in F hospital, located in D city from July 1 to July 31 in 2008. The subjects were divided into two groups: 23 experimental group members and 21 control members. While the control group was not received any additional intervention, the experimental group was received music therapy intervention. Data analysis were performed by the chi-square test, t-test and ANCOVA with SPSS/WIN 12.0 Program. Results: The 1st hypothesis is, "the experimental group who received music therapy would have less pain score than the control group who did not receive music therapy", was rejected (F=2.33, p=.14). The 2nd hypothesis is, "the experimental group who received music therapy would have less depression score than the control group who did not receive music therapy", was supported (F=11.616, p=.001). These results demonstrated that music therapy to terminally patients was an effective method in decreasing depression. Conclusion: Based on the results of this study, Music therapy can be utilized as an effective nursing intervention for the terminally ill.

• 한국학교보건학회지
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• 제23권2호
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• pp.143-150
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• 2010

Purpose: This study aims to examine what can be seen in children's paintings, their common characteristics, and what role art therapy plays in diagnosing the post-traumatic stress disorder in children who experienced trauma, through an art therapy program among elementary school students that witnessed the death of parents from a fire drill accident. Methods: A program of three times of art therapy was progressed among 34 children who witnessed a fire accident. Revised Children's Manifest Anxiety Scale (RCMAS) was used for comparative analysis of art therapy results. Results and Conclusion: First, children who had the possibility to develop post-traumatic stress disorder were found through art therapy. Second, an opportunity to express themselves were given to children who refused psychological tests or treatment through art therapy.

• 복식문화연구
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• 제18권3호
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• pp.541-549
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• 2010

The purposes of this study were to examine the slacks purchases and wearing satisfaction among old-aged women who were highly dissatisfied with their bodies and fit due to physical changes and to provide some basic data needed to develop slacks patterns to meet their needs. A survey was taken among 223 old-aged women aged 60~79 living in Seoul. Using the SPSS 12.0 program, the collected data were analyzed in descriptive statistics, t-test, and crosstab. The result were as follows: the most used place for them to shop slacks was a market(including the Dongdaemun and Namdaemun market), which was followed by a department store and a discount store in the order. As for their preference for slacks according to age, those who were in their sixties most preferred straight-line slacks, while those who were in their seventies semistraight-type slacks. As for fit for each body part according to age, there were significant differences only in crotch length. Those who were in their seventies were more dissatisfied with crotch length than those who were in their sixties, feeling that crotch length was short. As for their experiences of repair after purchasing a pair of slacks, 82.5% said they had such an experience. Most of the repairs with length, waist and slacks width involved in size reduction.

• 기본간호학회지
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• 제17권4호
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• pp.548-556
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• 2010

Purpose: This study was done to investigate the relationship between self esteem, stress, depression and school adjustment among adolescents who were victims of bullying and those who were not. Methods: The questionnaire included the Peer Victimization Scale (Callaghan & Joseph, 1995), Self-esteem Scale, (Rosenberg, 1965), Daily Hassles Questionnaire (Feiner, Ginter & Primavera, 1982) and Center for Epidemiological Studies-Depression (Radloff, 1977). Data from 738 questionnaires were analyzed using frequencies, means, ${\chi}^2$-test, t-test and logistic regression analysis with SPSS 14.0. Results: Victims of bullying accounted for 19.8% of the students. Significant differences were found for grade, school record, family living together, satisfaction with parents and satisfaction with friends between students who were victims of bullying and those who were not. Self esteem and school adjustment for the victims of bullying were lower than for those in the non-victim group, and stress and depression were higher. The logistic regression analysis revealed that school record, family living together, satisfaction with friends, self esteem, friend related stress, family related stress and depression were significantly associated with being a victim of bullying. Conclusion: The result of this study offer basic data for the development of intervention programs to prevent students becoming victims of bullying.