• Title/Summary/Keyword: chi test

검색결과 4,980건 처리시간 0.038초

일부 여대생들의 월경양상과 월경시 불편감에 관한 조사연구 (A study on the menstrual patterns and menstrual discomforts in women university students)

  • 이인숙
    • 한국보건간호학회지
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    • 제12권1호
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    • pp.116-131
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    • 1998
  • This study was undertaken to obtain the menstrual patterns and menstrual discomforts in women university students. For the data collection, self-administered questionnaire survey was made from December 10, 1996 to January 20, 1997 among the 180 women university students in Seoul. The resultant data were processed by SAS program for frequency, proportion, and chi-square test. The results of this study are as follows ; 1) The mean age of the subjects was 20.6 years old. The mean height was 162cm and weight was 52.3Kg. $26.9\%$ of the subjects responded that they had experienced the unbalanced diet, $56\%$ the irregular meal, $39.6\%$intermittent dizziness, and $63.4\%$ the premenstrual syndrome. $53.7\%$ had feeling that skin temperature of their four extremities was 'a little lower than others'. The mean BMI(Body Mass Index) was 19.8, 'normal level' was $41.8\%$. $18.7\%$ responded that their characters were 'introspective ones'. The mean age of menache was 13.8 years old. The subjects responded that the mean number of pads they used per day during menstrual periods was 4.6 sheets. The mean duration of menstruation was 5.4 days, $10.4\%$ responded that their menstrual cycles were 'extremely regular', $44.8\%$ was 'regular', $36.6\%$ was 'a little irregular', and $8.2\%$ was 'extremely irregular'. Out of them who had experienced the dysmenorrhea, $21.3\%$ had family history of dysmenorrhea in connection with their mother and $35.0\%$ in their sisters. The mean of the first time that they experienced dysmenorrhea was 15 years old. $94\%$ of the subjects responded that they had experienced the dysmeorrhea. $47.6\%$ of the subjects responded that they experienced the dysmenorrhea 'monthly' and $52.4\%$ 'intermittently'. $53.0\%$ of them who had experienced dysmenorrhea responded that dysmenorrhea was the severest 'on the first menstrual day' and $22.4\%$ 'on the second day'. $48.8\%$ of them who had experienced dysmenorrhea responded that the most painful region was 'low abdomen'. $40\%$ of them who had experienced dysmenorrhea responded that they used 'analgesics' to soothe dysmenorrhea, $24.8\%$ used nothing, $18.4\%$ lay in their beds or slept, and $12\%$ made their 'low abdomen' warm. $70.3\%$ who had used analgesics because of dysmenorrhea took analgesics 'one or two times per month', $25.7\%$ 'intermittently', and $4.0\%$ more than 3 times per month. The analgesics which they used were 'geworin$(33.8\%)$,' 'penzal$(32.4\%)$', 'tyrenol$(18.9\%)$', and 'aspirin$(4.2\%)$'. $(47.9\%)$ of them who took analgesics because of dysmenorrhea responded that the duration of analgesics effect was '4 to 8 hours'. $15.1\%$ of them who experienced dysmenorrhea responded that they had visited the hospital. 2) The incidence of premenstrual syndrome was no significant difference according to the BMI, unbalanced diet, pattern of meal, skin temperature of four extremites, and characters. 3) The incidence of dysmenorrhea was significant difference according to the BMI, unbalanced diet, pattern of meal, skin temperature of four extremites, and characters. 4) The incidence of analgesics usage was significant difference according to the BMI, subjects with low BMI took more analgesics than those with normal BMI (p<.05). The incidence of analgesics usage was significant difference in accordance with pattern of meal. The women who had a meal regularly took more analgesics than those who had a meal irregularly(p<.05). But the incidence of analgesics usage was no significant difference in accordance with the unbalanced diet, characters, the incidence of dizziness, skin temperature of four extremities, the incidence of premenstrual syndrome.

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소아 환자의 치료 순응도 및 이에 영향을 미치는 요인 (Therapeutic compliance and its related factors in pediatrics patients)

  • 박기수;감신;김흥식;이정권;황진복
    • Clinical and Experimental Pediatrics
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    • 제51권6호
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    • pp.584-596
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    • 2008
  • 목 적 : 소아과 외래를 방문하는 환자의 치료순응도 및 이에 영향을 미치는 요인에 대해 알아보기 위하여 본 연구를 시행하였다. 방 법 : 2003년 10월에 1개 대학병원의 소아과와 개인 연합의원의 외래를 방문한 환자 보호자 357명을 대상으로 설문 조사하였다. 건강신념모형(Health Belief Model)을 바탕으로 어머니의 자기 효능감과 가족의 지지를 추가한 새로운 연구모형을 개발하였는데, 연구 모형에 포함된 변수로는 치료 순응도, 감수성, 심각성, 유익성, 장애도, 행동계기, 자기 효능감, 가족의 지지 그리고 사회인구학적 특성 등이었다. 결 과 : 소아 환자의 치료 순응도 중 재진 날짜를 정확하게 지키는 순응군은 62.9%, 약물 복용 간격과 시간을 지키는 순응군은 41.6%이었고, 마지막으로 정확한 양을 복용하는 순응군은 65.8%이었다. 세가지를 모두 정확하게 지킨 순응군은 27.2%이었다. 치료 순응도 중 정확한 양을 준수한 경우만을 소아 약물 치료에서 순응군이라고 정의하였을 때, 단순분석 결과에서는 건강신념모델의 변수 중 감수성, 심각성, 유익성, 장애도가 그리고 가족의 지지, 자기 효능감이 유의한 변수였으며(P<0.05), 로지스틱 회귀분석과 경로분석에서는 감수성, 심각성, 자기 효능감이 높을수록, 장애도가 낮을수록 치료 순응도가 유의하게 높았으며(P<0.05), 특히 자기 효능감이 가장 큰 영향을 미치는 것으로 나타났다. 결 론 : 소아 환자의 순응도를 높이기 위해서는 약물 치료에 대한 보호자 교육을 통하여 인지율을 높이고, 동기 유발과 보상, 그리고 가정에서도 쉽게 경구 복용이 가능하도록 향기롭고 맛이 좋은 시럽 형태의 약들이 개발되어야 하며, 정확한 양을 측정하여 복용할 수 있도록 측정용 주사기 또는 숟가락 제공시 의사와 약사의 조언 등으로 장애요인과 보호자의 자기 효능감을 고취시켜 환자의 치료 순응도를 높여야 할 것이다. 또한 의료인들은 소아 환자에서 치료 실패시 이의 원인으로 반드시 환아의 약물의 순응 여부를 점검할 필요가 있다.

소아에서의 첫 번째 급성 신우신염에 따른 임상 소견 및 방사선학적 검사의 진단적 유용성 (The Diagnostic Value of Clinical and Radiologic Findings in Children after the First Episode of Acute Pyelonephritis)

  • 김지혜;김미정;최병민;유기환;홍영숙;이주원
    • Childhood Kidney Diseases
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    • 제9권2호
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    • pp.201-212
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    • 2005
  • 목 적 : 본 연구에서는 급성 신우신염으로 진단 받은 환아에서 여러 임상 증상 및 검사 결과와 방사선학적 검사에서 확인된 신실질 손상의 관계를 알아보기 위하여 DMSA 신 스캔, 신장 초음파, IVP, VCUG 등의 방사선학적 검사의 유용성과 방사선학적 검사의 결과에 따른 환아들의 임상 증상 및 검사 소견을 비교 분석하였다. 방 법 : 1998년 1월부터 2002년 12월까지 열성요로 감염으로 처음 진단되어 입원 치료받았던 환아 115명을 대상으로 연구를 실시하였다. 이들은 DMSA 신 스캔, 신장 초음파, IVP, VCUG를 포함한 방사선학적 검사를 시행하였으며 각 검사의 양성률을 통하여 그 유용성을 비교하였다. 또한, 환아들의 연령, 성별, 발열 기간, 원인 균, 혈액학적 소견(백혈구 수, CRP, ESR)을 방사선학적 검사 결과와 비교 분석하였다. 연령에 따라 1군(1세 미만)과 2군(1세 이상)으로 분류하였으며, 각 군간의 검사 양성률 비교를 위해 chi-square test를 이용하여 통계 분석하였다. 결 과 : 방사선학적 검사 중 DMSA 신 스캔이 가장 높은 양성률을 보였다(DMSA 신 스캔 46$\%$, 신장 초음파 32$\%$, IVP 28$\%$, VCUG 22$\%$, P<0.05). 환아의 발열 기간, 백혈구 수, 원인균은 방사선학적 검사 결과와 관련이 없었으나 CRP, ESR이 DMSA 신 스캔의 양성률과 밀접한 관계를 보였다. 연령별로 비교했을 때 1군에 비해 2군에서 DMSA 신 스캔 양성률이 증가하였으며 (1군 40$\%$, 2군 79$\%$, P<0.05), VCUG 역시 2군에서 녹은 양성률을 보였다(1군 16$\%$, 2군 50$\%$, P<0.05). 그러나 신장 초음파와 IVP는 각 군간 유의한 차이를 보이지 않았다. 성별로 비교했을 때 남아에 비하여 여아에서 DMSA 신 스캔 및 VCUG의 양성률이 높았으나(DMSA; 남아 39$\%$, 여아 67$\%$, VCUG; 남아 15$\%$, 여아 43$\%$, P<0.05) 신장 초음파와 IVP는 성별에 따른 유의한 차이를 보이지 않았다. 결 론 : 급성 요로 감염에 이환된 환아는 신손상 여부의 확인을 위하여 DMSA 신 스캔을 시행하는 것이 가장 도움이 되며, DMSA 신 스캔과 VCUG의 이상은 여아와 2세 이상에서 양성률이 높으므로, 이와 같은 경우에는 이 두 가지 검사를 반드시 시행하여야 할 것으로 사료된다.

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스트레스가 고등학생의 흡연.음주에 미치는 영향 (The Influence of Stress on Smoking and Drinking of High School Students)

  • 김종문;박영수
    • 한국학교ㆍ지역보건교육학회지
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    • 제3권
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    • pp.35-58
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    • 2002
  • This research attempted to investigate the real state of adolescent smoking and drinking, and to study how stress influences on smoking and drinking of high school students. This data was collected from 837 first and second grade students in a vocational high school in Go-yang city, Gyeonggi province. Data analysis consisted of frequency, percentage, Chi-square, T-test, step-wise regression analysis, using SPSSWIN. The results of analysis were as follows: First, 51.7% of the students have never smoked, while 48.3% have experienced smoking. Most students started smoking in the second year of the middle school, though 17.6% of the smokers already started in the elementary school. The strongest motive of initial smoking was curiosity, next the inducement of friends, and 10.9% of them smoked to get rid of stress. Their favorite place for smoking was in the order of the entertainment centers, schools, and private academies. They personally purchased cigarettes mostly at the store. Most of them smoked less than 5 cigarettes a day, but 3.7% smoked more than a pack of cigarettes a day, usually with friends rather than alone. Second, the ratio of drinking was relatively high 78.1%, and their initial drinking experience was most frequent at the third year of the middle school. The initial motive of drinking was mostly curiosity and the inducement of friends, but 10.7% of them started drinking to reduce stress and anxiety. The places for buying alcohol and drinking were bars or restaurants. The ratio of habitual drinking was 45.1%, and the ratio of irregular drinking was 53.3%. 1.8% of the drinking students enjoyed drinking everyday. The amount of drinking varied from half a bottle to two bottles of Soju, and the drinking problem was serious to see that 11% of them drank more than two bottles at a time. Because 84.4% drank in groups with friends, a thorough and systematic supervision and education of the peer group drinking is essential. Third, as for the relationship between personal matters and smoking, it was found that there was a positive relation between smoking and sex, but there was no correlation between smoking and school years. Adolescent smoking was also related with scholastic achievement, the number of friends, and the existence of parents. Fourth, as for the relationship between personal matters and drinking, it was found that there was no correlation between drinking and sex, but there was a positive relation between drinking and school years. Fifth, the average index of stress was students themselves(2.58), school life(2.53), family life(2.19), friends(2.00), and the total index of stress was 2.33. Sixth, there appeared a marginal negative correlation between stress and 'drinking and smoking' in Pearson coefficient of correlation r to see the influence of stress on smoking and drinking. The difference of the average index of stress according to smoking and drinking bears meaningful difference for all students, smokers and non-smokers, drinkers and abstainers in students themselves, school life, family life, friends, and total stress. Smoking has an effect on family life most, school life next, and drinking has an effect on school life most, family life next, with the explanation power of 11% and 9% respectively, in a regression analysis to analyze the factors influencing on smoking and drinking among the factors of stress.

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치과위생사의 구강보건지도 실천분석 -진료실내의 성인환자를 중심으로- (An Analysis of the Practices of Dental Hygienists in Offering Oral Health Education -In Case of Adult Patients Visiting Dental Clinics-)

  • 이성숙;조명숙;김설악
    • 한국학교보건학회지
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    • 제12권1호
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    • pp.131-141
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    • 1999
  • The purpose of this study was to serve as a basis for the planning of oral health education and the development of an oral health-promotion program for patients who visited dental clinics by examining how much dental hygienists offered oral health education to adult patients at dental clinics. A parent group was selected, being made up of 1,600 dental hygienists who registered with the Dental Hygienist Association and worked in Seoul. The questionnaire survey was carried out and an ${\chi}^2-test$ was made using the data collected from 218 subjects to determine how their practice of oral health education was different according to certain general characteristics(the sort of organization for which they worked, age, the term of their service, and the mean number of patients per day). As a result, the following findings were obtained: 1. Thees general characteristics made the following differences to the content of oral health, education: The sort of organization for which the subjects worked made a significant difference in the following tooth brushing instruction (p<0.05), the effect of oral prophylaxis or education about aftereffects (p<0.05), the regular examination of prosthesis (p<0.05), smoking-prohibition education (p<0.05), and the prevention poor-quality fillings (p<0.01). The mean number of patients per day made significant differences to the regular examination of prosthesis (p<0.05) and the prevention poor-quality fillings (p<0.01). But no significant disparity was generated by age or the term of service. 2. The general characteristics made the following differences to education about nutrition and diet counseling: The sort of organization for which the subjects worked had a significant effect just on the importance of a balanced menu (p<0.05). Age made significant differences in advice for vitamin, mineral, protein or other nutrients (p<0.01), and the importance of balanced menu (p<0.001). The term of service made significant differences in the importance of balanced menu (p<0.01), and advice for nutrients including vitamin, mineral or protein (p<0.01). 3. The general characteristics made the following differences to the recommendation and use of oral hygiene aids: The sort of oragnization for which they worked made significant differences only to a gingival massager and water pick (p<0.05). No significant difference was produced by age, the term of service or the mean number of patients per day. 4. The use of educational media for oral health was different according to the general characteristics: The use of pamphlets or booklets significantly varied depending on the organization for which they worked and with the mean number of patients per day (p<0.05). The use of slides or slide projectors was significantly affected by age (p<0.05). But no significant disparity was yielded by the term of service. 5. The general characteristics made the following difference as to whether a continued oral management system was carried out or not: The sort of organization for which they worked had very a significant effect on this result (p<0.001), and no significant disparity was made by age, the term of service or the mean number of patients per day. 6. The place where oral health education was giver differed according to the following general characteristics: The sort of organization for which they worked made very a significant difference as to the use of an examination room's dental unit chair or waiting room (p<0.01), and to the use of an oral health education room or reception counter (p<0.001). The term of service had a significant effect on the use of a counseling room (p<0.01). And the mean number of patients per day made significant differences in the use of a dental unit chair or reception counter (p<0.05), and to the use of an oral health education room or waiting room (p<0.01).

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초등교사의 구강보건교육 경험에 따른 구강보건 인지 및 태도 (The Impact of the Oral-Health Education Experiences of Elementary School Teachers on Their Oral-Health Awareness and Attitude)

  • 장종화;장선희;김미정;이지연;장윤정
    • 한국치위생학회지
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    • 제1권2호
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    • pp.227-242
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    • 2001
  • The purpose of this study was 10 examine whether or not the dental- health education experiences of elementary school teachers have any influence on their oral-health awareness and attitude. The subjects in this study were 414 selected teachers from Seoul and North Cholla province. The instrument used by Lee Heung-su was modified into self- reporting questionnaire, and the schools where the subjects were working were visited to conduct a survey for 28 days from September 15 to October 13, 2000. For data analysis, SPSS was employed, and chi-squre, t-test and ANOVA were implemented. The findings of this study could be listed as below: 1. 184(44.4%) out of the techers investigated had ever been educated in dental health, and 230 teachers(55.6%) hadn't. 47% replied they hadn't received oral-health education for the lack of education opportunities. 2. In regard to dental-health awareness and attitude. the presence or absence of dental-health education experiences didn't make any difference to their daily toothbrushing frequency(p>0.05). The use of fluorine was significantly different between the groups(p<0.01), as 42.9% of the teachers with dental-health education experiences and 63.9% of the others with no such a experience didn't use that, 45.7% of the former group and 29.1 % of the latter accurately knew how to brush teeth, and the difference between the two was significant (p<0.01). 3. Concerning student-related dental-health awareness and attitude, the dental-health education experiences make 45.7% of the educated group and 31.7% of the uneducated group agreed to the strong need for oral examination, and the gap between the two was significant(p<0.01). 90.8% of the former group gave counsel to students on dental health, and 77.2% of the latter didn't. The gap between the two was significant as well (p<0.01). 77.2% of the educated group and 41.3% of the uneducated group offered frequent dental-health education, and the difference between the two was significant (p<0.01). 4. Their awareness of the fluorine-based toothbrushing project differed significantly by region(p<0.05), as the teachers from North Cholla province recognized it better than those from Seoul. The female teachers provided more education regarding that project, and those who were older or had more teaching experiences were more aggressive in instructing that project(p<0.01). And the married teachers took more forward attitude than the unmarried (p<0.01). By school location, the teachers from Seoul showed more active attitude than those from North Cholla province(p<0.01), and the gap between the two was significant. As to cooperation, those who were older or had more teaching experience were more cooperative, and the married teachers joined forces better than the unmarried. The gap was significant (p<0.01). 5. Concerning the awareness and attitude of the fluorine-based toothbrushing project, the educated teachers took more aggressive attitude, and the difference between the two was significant(p<0.01). The above-mentioned findings suggested that the dental-health awareness and attitude of the elementary school teachers were under a lot of influence of their oral-health education experiences, and there is a need to develop and carry out education programs for teacher.

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종합건강진단 수진자들의 건강진단에 대한 인식 및 태도에 관한 연구 (A Study on Perception and Attitudes of Examinees of Health Screening Center towards Health Examination)

  • 배성욱;이경수;강복수
    • Journal of Yeungnam Medical Science
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    • 제13권1호
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    • pp.59-77
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    • 1996
  • 본 연구는 종합건강진단 수진자들의 건강진단에 대한 인식 및 태도를 조사하여 예방진료 행위에 대한 이용형태를 분석하고자 1995년 3월부터 1995년 5월까지 영남대학교 의과대학 부속병원 종합건강진단센터를 방문한 총 468명을 대상으로 설문조사를 실시하였으며, 분석한 결과는 다음과 같다. 조사대상자 468명 중 40-49세가 48.3%로 가장 많았으며, 대졸이상이 68.6%이었다. 학력이 높고 사회경제적으로 안정된 연령층에서 건강진단에 대한 관심도가 높았다. 현재 종합건강진단을 이용하고 있는 대다수가 자발적 동기보다는 기업체의 직원복지 차원에서 이루어지고 있고, 자발적으로 건강진단을 받은 137명 중에서는 건강유지를 위해 검진을 받았다고 응답한 경우가 43%로 제일 높았다. 응답자의 대부분인 95.7%가 종합건강진단이 질병 조기발견에 효과가 있다고 응답했으며, 92.5%는 종합건강진단이 유익성이 있는 것으로 인식하고 있었다. 종합건강진단에 소요되는 시간과 절차가 적당하다고 생각하고 있었으며, 적정건강진단 간격을 묻는 물음에서는 1년이 가장 많았다. 또한 검진 추가항목으로는 뇌검사, 신경계통 검사, 위내시경검사, 각종 암검사에 대한 의견이 높게 나타났다. 건강유지를 위한 실천여부와 수진 횟수와의 관계 및 적정 건강진단 간격과 수진횟수와의 관계는 통계학적으로 유의한 관련성이 있었다(p<0.01). 종합건강진단 수가에 대한 의견과 적절 비용을 묻는 물음에서는 현재비용이 비싸다고 응답한 경우가 61.8%로 가장 높았으며, 적절한 비용으로는 15만원 정도가 적당하다고 보는 의견이 가장 많았다. 건강진단 결과에 대한 판정시 의사와 상담하고 싶은 내용으로는 각종 성인병에 대한 정보가 가장 많았으며, 다음으로 정기적 건강관리 내용에 대한 문의나 가족들의 건강문제에 대한 상담 등이 많은 수를 차지하였다. 요망사항으로는 예약기간의 단축, 검진비용의 인하 및 상세한 설명에 대한 요구의 순으로 나타났다. 이상의 결과로 보아 종합건강진단을 질병의 예방 및 조기발견의 측면에서 예방진료기능이 높은 것으로 인식되고 있으며, 수진자들의 의견을 반영하여 상담내용의 내실화를 기하고 수진자가 선택할 수 있는 건강진단 항목의 개발과 수진자 교육을 위한 보건교육 교재 등을 개발함으로써 단순한 검사 결과의 판정이나 일회성 건강진단의 수준을 극복하고 보다 지속적이고, 포괄적인 건강관리를 위한 기전과 방안이 필요하다고 생각된다.

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Antrum Formation and Growth of Mouse Pre-antral Follicles Cultured in Two Different Culture Media without Hormones

  • Kim, Ju-Hwan;Kim, Hwan-Tae;Park, Kee-Sang;Song, Hai-Bum;Chun, Sang-Sik
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2001년도 춘계학술발표대회
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    • pp.8-8
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    • 2001
  • Mouse follicles require the addition of gonadotropins (Gns) to complete maturation and ovulation of oocyte and antrum formation of follicles in vitro. However, we tried examination of in vitro growth of mouse pre-antral follicles in medium without Gns and physiological factors. And also, pre-antral follicles were isolated from ovaries by mechanical method. Our present studies were conducted to evaluate on the growth of follicles and intra-follicular oocytes and antrum formation in vitro of mouse pre-antral follicles in two different media. Pre-antral follicles (91-120${\mu}{\textrm}{m}$) were isolated mechanically by fine 30G needles not using enzymes from ovary of 3-6 weeks old female ICR mice. Isolated pre-antral follicles were cultured in 20 ${mu}ell$ droplets of TCM (n=17; follicles: 107.8 $\pm$ 1.58 ${\mu}{\textrm}{m}$; oocytes: 59.9$\pm$1.2 ${\mu}{\textrm}{m}$) or MEM (n=12; follicles: 109.3$\pm$2.53 ${\mu}{\textrm}{m}$; oocytes: 55.4 $\pm$1.6${\mu}{\textrm}{m}$) under mineral oil on the 60mm culture dish. All experimental media was supplemented with 10% FBS but without Gns and/or physiological factors. Pre-antral follicles were individually cultured in drops for 8 days. Antrum formation and growth of pre-antral follicles and intra-follicular oocytes were evaluated using a precalibrated ocular micrometer at $\times$200 magnifications during in vitro culture. Results between different groups were analyzed using combination of Student's t-test and Chi-square, and considered statistically significant when P<0.05. Antrum formation of pre-antral follicles had started in two culture media on day-2. On day-8, antrum formation had occurred in 58.3%(7/12) of pre-antral follicles cultured in MEM, but only in 23.5% (4/17) of those cultured in TCM (P=0.0364). Growth of pre-antral follicles and intra-follicular oocytes were observed on day-4 and -8. On day-4, follicular diameters was similar (P=0.1338) in TCM (119.4$\pm$2.58 ${\mu}{\textrm}{m}$) and MEM (125.4$\pm$4.52 ${\mu}{\textrm}{m}$). However, on day-8, diameters of pre-antral follicles cultured in MEM (168.9$\pm$17.29 ${\mu}{\textrm}{m}$) was significantly (P=0.0248) bigger than that in TCM (126.7$\pm$4.28 ${\mu}{\textrm}{m}$). On day-4 and -8, diameters of intra-follicular oocytes were similar TCM (67.1$\pm$1.3 and 72.4$\pm$0.9${\mu}{\textrm}{m}$) and MEM (65.2$\pm$1.7 and 73.3$\pm$1.5 ${\mu}{\textrm}{m}$), respectively. We can conform that medium not supplemented with Gns and/or physiological factors can be used for in vitro antrum formation and growth of mouse pre-antral follicles and intra-follicular oocytes. In conclusion, MEM supplemented with FBS can be used for growth in vitro of mouse pre-antral follicles isolated mechanically.

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건강행태와 영양제 복용 유무의 관련성 (Relationship between health behaviors and nutrient supplement intake)

  • 이종숙;김인태
    • 한국산학기술학회논문지
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    • 제18권11호
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    • pp.498-508
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    • 2017
  • 이 연구는 영양제 복용 유무를 조사하고 영양제 비복용자에 대한 영양제 복용자의 건강행태의 관련성과 기타 의약품 복용자 집단에 대한 영양제 복용자의 건강행태의 관련성을 파악하여 건강한 집단이 영양제를 복용하면 더 건강해 질수도 있지만 오남용으로 될 수 있기에 실제 본연의 역할에 충실한지를 파악해 보는 기초 자료로 활용하고자 시도하였다. 2008년 한국의료패널 자료의 가구원 24,614명, 즉 7,006명의 가구주 중 2009년 부가조사 (appen)자료에 응답한 자는 총 6,009명이었으며 자료의 특성상 가구주의 수를 중심으로 연구하였다. 그 중 조사 시점에서 지난 1년 동안 약국에서 구매한 생활/건강증진 관련 의약품(01, 비타민제/영양제)을 3개월 이상(예정) 복용한다고 답변한 응답자를 영양제 복용자로 정의하였다. 그 외의 다른 의약품(05, 탈모 치료제, 06, 비만 치료제, 10.기타)을 복용한 사람을 기타 의약품 복용자로 보았다. 연구대상자의 인구 사회학적 특성과 집단별 차이를 분석하기 위해 카이제곱 검정을 실시하였고, 영양제 복용 유무에 따른 건강행태를 분석하기 위해 다중 로지스틱 회귀분석을 실시하였다. 영양제 복용자와 비복용자를 대상으로 분석(A)한 결과 여성, 50세 이상일수록, 평균 이상의 생활비를 지출하는 경우 영양제를 더 복용하는 것으로 나타났으며, 건강행태변수에서는 유의하지 않았다. 영양제 복용자와 기타 의약품 복용자를 대상으로 분석(B)한 결과 고졸 이상, 배우자가 있는 경우, 비흡연자일수록, 약물을 복용할수록, 규칙적인 식사를 하는 경우, 경제적, 가족 갈등으로 스트레스를 받지 않을수록 영양제를 더 복용하는 것으로 나타났다. 현재 건강이 좋지 않거나, 문제가 있다고 느끼거나, 좀 더 건강해지기 위한 노력의 방편으로 영양제를 복용하는 것이 아니라 단순히 건강해지고 싶다는 심리적 욕구에 의해 영양제를 복용하는 것으로 판단된다.

Northgate SD-3와 Modulith SLX 쇄석기를 이용한 체외충격파쇄석술의 비교분석: 단일 신결석 및 요로결석 2,000례의 치료결과 분석 (Comparison of Northgate SD-3 and Modulith SLX Lithotriptors: Treatment Results with 2,000 Renal and Ureteral Stones)

  • 이준영;정희창;문기학;조철규;박동춘
    • Journal of Yeungnam Medical Science
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    • 제16권1호
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    • pp.85-93
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    • 1999
  • 세대 및 특징이 다른 쇄석기종의 치료효과와 안전성을 비교하기 위해 2세대 Northgate사의 SD-3 쇄석기와 3세대 Storz사의 Modulith SLX 쇄석기로 체외충격과 쇄석술을 시행한 단일요로결석 환자 2000례를 분석한 결과, 치료효과를 판정해 볼 수 있는 요로결석의 위치 및 크기에 따른 성공률과 재시행률에서는 큰 차이가 없는 것으로 분석되어, 제 3세대 쇄석기인 Modulith SLX와 Northgate SD-3의 치료효과는 비슷한 것으로 나타났다. 그리고, 두 쇄석기종 모두에서 심각한 합병증의 발생은 없었으나, Northgate SD-3에서 Modulith SLX 보다 합병증으로 인한 입원치료를 받은 환자의 수가 많았다. 이상으로 두 기종 사이의 치료효과에는 큰 차이가 없고, Modulith SLX률 이용한 체외충격파쇄석술이 조금 더 안전한 것으로 나타났지만 두 기종의 장단점을 서로 보완하여 사용한다면 더욱 효과적인 치료방법이 될 것으로 생각된다.

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