PURPOSE : The purpose of this study to suggest the exercise programs for improving the function and structure by applying the Masan university scoliosis program exercise method and electrical therapy method to the scoliosis patient. METHODS : The subjects were 18 patients who were diagnosed with scoliosis. They were randomly assigned either to a Masan university scoliosis program exercise group (n=11) that received Masan university scoliosis program exercise program or to a electrical therapy group (n=7). Flexibility, static balance, dynamic balance, and spinal angles were measured by using one leg standing with closed eyes, functional reach test, and Cobb``s angle, respectively. The chest expansion were calculated using differences of chest circumference between maximum inspiration and maximum expiration. RESULT : Masan university scoliosis program group before and after the intervention there was a difference in the static balance, spine angle(p<.05). Masan university scoliosis program group before and after the intervention there was a difference in the flexibility, static balance, spine angle, chest expansion (p<.05). CONCLUSION : These results revealed that Masan university scoliosis program exercise program improved flexibility, static standing balance, spine angle, used as scoliosis management and intervention. Therefore, it is expected to be used as a method for the treatment and prevention in the process of rehabilitation of patients with scoliosis.
To evaluate the diagnostic accuracy of serum complement level as an early diagnostic tool of hepatocellular carcinoma in cirrhotic patient, we examined 22 cases of liver cirrhosis and 16 cases of liver cirrhosie with hepatocellular carcinama. The results are as follows; 1) In liver cirrhosis with hepatocellular carcinoma, serum complement level was higher than liver cirrhosis. 2) When the serum cornplement levels, C3; 61 mg/dl and C4; 41 mg/dl, were indicated as the cutoff value in differential diagnosis of liver cirrhosis and hepatocellular carcinoma with liver cirrhosis, the poeitive predictive value, negative predictive value, and accuracy were 90%, 75%, and 79%, respectively. 3) When in serum AFP level, the cutoff value was disclosed as 400 ng/ml, the positive predictive value, negative predictive value, and accuracy of serum alpha fetoprotein were 100%, 31%, and 74% respectively, 4) Considering combination of above described data of serum C3, C4 and AFP, the positive predietive value, negative predictive value, accuracy were 92%, 81%, 84% respectively. Based on these data, serum complement level may be used as a valuable tumor marker in the die oais of hepatocellular carcinoma in cirrhotic patient eapecially when it is considered together with rum alpha fetoprotein level.
본 연구는 대학생활에서 경험하는 스트레스가 자살생각으로 이어지는 경로에 있어서 실수염려 완벽주의, 사회적 지지, 우울의 매개효과를 구조모형을 통해 검증하고자 하였다. 특히 친구, 교수, 부모로부터 받는 사회적 지지의 매개효과를 각각 나누어 살펴보았다. 본 연구에는 대학생, 대학원생 446명이 참여하였다. 연구 결과, 우울은 스트레스와 자살생각 간의 관계를 매개하는 효과가 나타났다. 한편 실수염려 완벽주의는 스트레스와 자살생각 사이를 우울을 통해 다중 매개할 뿐, 직접 매개하지는 않았다. 친구나 교수로부터 받는 사회적 지지 역시 스트레스와 자살생각 사이를 우울을 통해 다중 매개하였으나 스트레스와 자살생각 사이를 직접 매개하지는 않았다. 그러나 부모지지의 경우는 스트레스와 자살생각 사이를 우울을 통해 다중 매개 할뿐만 아니라 직접 매개하는 것으로 나타나 대학생들과 대학원생들의 자살을 예방 하는데 있어 부모의 지지가 상대적으로 더 중요한 역할을 함을 알 수 있었다. 마지막으로 본 연구가 상담에서 갖는 함의와 제한점, 후속연구를 위한 제언에 대해 논의하였다.
This study aimed to examine the relationship between nutrient intake and attention deficit hyperactivity (ADH) of children suffering atopic dermatitis. We examined clinical symptoms as well as the status of ADH and the dietary intake of 47 children with atopic dermatitis aged between 4 and 6 against 84 children in the control group. Family history of the atopic dermatitis group was significantly higher than the control group. There was no significant difference between the diet habit of the two groups. The daily energy intake of the atopic dermatitis group and the control group were 1,189.7 kcal and 1245.0 kcal, respectively. There was no significant difference between the nutrient intake of the two groups. In regards to the clinical symptom items, the point for 'anxieties' was 0.5 in the atopic dermatitis group, which was significantly higher than 0.3 of the control group (p＜0.05). In terms of the detailed items in ADH assessed by kindergarten teachers, the point for 'changeable feeling' was 0.8 in the atopic dermatitis group, which was significantly higher than 0.5 of the control group (p＜0.05). As for the correlation among nutrient intake, the ADH score and clinical symptoms, total fat intake (p＜0.05) and animal fat intake (p＜0.05) showed a significantly negative correlation with the point of ADH assessed by the teachers, while the intake of fiber (p＜0.05) displayed a significantly negative correlation with the point of ADH assessed by the parents. Since atopic dermatitis and ADH may be caused by the same dietary factors, it will be necessary to conduct more studies in this field in the future. In addition, appropriate nutrition management will be necessary for children in the growing period who suffer from atopic dermatitis.
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