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검색결과 93건 처리시간 0.021초

원발성 및 전이성 척추종양에 대한 전 척추 절제술의 단기 추시 결과 (Short Term Result of Total en Bloc Spondylectomy in Spine Tumor)

  • 김재도;장재호;박찬재;정재윤
    • 대한골관절종양학회지
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    • 제13권1호
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    • pp.37-42
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    • 2007
  • 목적: 원발성 및 전이성 척추종양의 치료는 해부학적 특성상 근치적 광범위 절제술이 용이하지 않다. 원발성 및 전이성 척추종양에 대해 다양한 수술을 시도하였으며, 그 중 전 척추절제술이 양호한 임상결과를 보여, 본원에서 원발성 및 전이성 척추종양으로 전 척추절제술을 받은 5례를 대상으로 임상적, 방사선학적 결과를 분석하였다. 대상 및 방법: 1997년 6월부터 2006년 1월까지 본원 정형외과에서 치료하였던 환자 중 전 척추절제술을 받고 추시 관찰이 가능했던 원발성 척추종양 1례와 전이성 척추종양 4례를 대상으로 하였다. 전이성 척추종양의 원발 병소는 신장암 2례, 유방암 1례, 원발 병소 불명의 선암 1례였다. 전 척추절제술의 임상적 평가 방법으로 동통과 신경학적 증상을 McAfee의 4 point scale과 VAS(Visual Analogue Scale), 및 Frankel 분류를 이용하여 관찰하였다. 술 후 3개월마다 반복적인 이학적 검사를 시행하였으며, 단순 방사선촬영으로 국소 재발 및 골유합, 합병증을 관찰하였다. 결과: 동통의 평가는 McAfee scale에서 술 전 평균 3에서 술 후 평균 1.6으로 감소하였고, VAS는 술 전 평균 9.2에서 1.6으로 감소하였다. 술 후 신경학적 결손은 Frankel 분류 C에서 D로 호전되었다. 추시기간 중 제 4요추의 전이성 선암 1례에서 국소 재발이 관찰되었다. 결론: 전 척추절제술은 척수 신경을 완전하게 감압시키고 골격통을 신속하게 감소시키며 생존 기간 동안 삶의 질을 높이는 유용한 술식이다.

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국내 육성 FA종간잡종 나리 3품종의 생육특성 및 세포유전학적 분석 (Growth Characterization and Cytogenetic Analysis of Three FA Interspecific Hybrid Lilies Bred from Korea)

  • 황윤정;;김원희;임기병;강윤임
    • 화훼연구
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    • 제26권4호
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    • pp.195-201
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    • 2018
  • 농촌진흥청 국립원예특작과학원에서 육성된 formolongi-Asiatic (FA)종간잡종 나리 'Bonanza', 'Coral Candy', 'Purple Crystal'의 특성검정 및 FISH 분석을 통한 염색체 검경을 수행하였다. 'Bonanza', 'Coral Candy', 'Purple Crystal'의 개화시기는 6월 중하순, 중순, 상순으로 각각 중만생종, 중생종, 조생종에 해당한다. 개화방향은 3품종 모두 상향이며 약간의 향기를 가지고 있다. 절화장은 101.0cm('Purple Crystal')에서부터 142.3cm('Bonanza')로 초장 신장성이 우수하여 절화로서의 개발이 가능하다. 화폭은 'Bonanza'와 'Coral Candy'가 17,1cm, 16.9cm로 관찰되어 대형화로 분류되며 'Purple Crystal'은 12.3cm으로 좁으나 화폭이 4cm 이상으로 화폭이 안정적이다. 잎의 길이는 'Bonanza'는 15.7cm, 'Coral Candy'는 19.7cm, 'Purple Crystal'은 11.1cm로 관찰되었다. 염색체 분석 결과, 3품종 모두 3배체(2n=3x=36)로 관찰되었다. FISH 분석 결과, 'Bonanza', 'Coral Candy', 'Purple Crystal'의 5S/45S rDNA가 각각 4/11 loci, 4/12 loci, 4/11 loci로 관찰되었다. 3번 염색체를 제외하고 나머지 염색체에서 관찰되는 rDNA의 패턴이 달라 FISH 분석에 대한 결과는 품종을 구별하는 마커로 유용하게 이용 될 수 있을 것으로 기대할 수 있다.

류마티스 관절염 환자의 지식, 자기효능감 및 치료이행과의 관계연구 (A study on knowledge, self-efficacy and compliance in Reumatic arthritis Patients)

  • 김순봉
    • 근관절건강학회지
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    • 제5권2호
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    • pp.238-252
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    • 1998
  • Reumatic arthritis is a disease with joint pain being one of the key symptoms. The patient suffers from the pain, stiff sensation and edema due to the inflammation taking Place In one or more joints. Accompanying these problems are fatigue, unusual exhaustion, fever, tachycardia and weakness. Inaddition, joints are often deformed and muscles shrink along with the progress of edema, coupled with depression and psychological instability resulting from the loss of the mobile function and limitations on the daily life. Some patients become fed up with the long and hard flight with the disease and just give up, which aggravates the symptoms. Others come to the hospital only when the conditions have become serious. We need to prevent these and guide the patients in the right direction. Against this backdrop, this study aims to look into the relations between the knowledge on the part of the patients together with their feeling of self-efficacy and the compliance. The results are expected to help the patients improve their life, In addition to providing useful materials for setting up appropriate plan for nursing intervention. The study was conducted by distributing questionnaire to 88 patients selected from the out-patient department of a university hospital in Inchon, from April 6 to 27, 1998. The following tools were used the yardstick of self-efficacy, developed in 1997 by the Society for the Health of Rheumatism Patients, was used for measuring the levels of knowledge and the feeling of self-efficacy. The degree of compliance was measured by the data collected from documents in addition to the results of the analysis of the interviews with the patients. The reliability of the tools was confirmed. In the analysis, the general characteristics were expressed in figures and percentages. The levels of knowledge, feeling of self-efficacy, and compliance were expressed in the average values and standard deviations. The relations among the variables following the general characteristics were analysed by the t-test and one-way ANOVA. The Pearson correction coefficient was used for the analysis of factors. Multiple-loop analysis was used to identify the variables affecting the compliance. The following are the results of this study. 1. Among the 88 patients, 18 were men and the remaining 70 were women, with a ratio 1 : 3.87. Regarding the age groups, 23 were between 50 and 59 years old, with those between 50 and 69 accounting for 51.1% of the total. High school graduates or higher amounted to 58%. Religious patients was 67% or 59 persons. Fifty nine percent were unemployed, and 58.3% (49 persons) had two children or fewer. The period of suffering from rheumatism varied between 2 months and IS years, with 70% less than years. 2. The average figure In relation to the of knowledge was 17.63 points over 30 or 58. 76%, which means a medium level. 3. The average figure of the feeling of self-efficacy was 60.06 points. 4. The level of compliance was 3.26, which was above average. 5. The relation between the feeling of self-efficacy and compliance showed an "r" value of 0.37, which was significant. It means that the higher the feeling, the greater the compliance points. 6. The analysis of the knowledge level revealed that the difference is found only between the college graduates and junior-high graduates or lower. 7. The feeling of self-efficacy varied along with the age and education level. 8. The general characteristics of patients as discussed above did not show significant difference with the compliance. 9. Regarding the elements influencing the compliance, the number of children, period of suffering, income, age, feering of self-efficacy, knowledge, and compliance had 54% of significance. In conclusion, rheumatism victims can lead a better life if they are appropriately educated, based on efficient training program from the early days of the disease ; if they become able to manage themselves thanks to the training ; and if they are helped by a program focusing on the increase of the feeling of self-efficacy aimed at changing patient's behavior.

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