본 연구는 암환자를 대상으로 한 원예치료 프로그램이 자율 신경계 활동에 미치는 영향을 분석하고자 하였다. 연구 대상은 항암화학요법, 방사선치료, 호르몬 치료 등의 보조 치료를 완료 한 20대부터 60대까지의 15명의 여성으로 구성되었다. 원예치 료 프로그램은 테라리움 제작과 계절을 주제로 한 꽃꽂이 활동 의 두 차례 세션으로 구성되었다. 자율신경계 지표로는 교감신 경 활성(LF), 부교감신경 활성(HF), 자율신경균형도(LF/HF), 평균 맥박수, 맥박 표준편차(SDNN)를 프로그램 실시 전과 후에 의료용 측정장비를 통해 측정하였다. 그 결과, HF는 모든 연령 층에서 증가하는 경향을 보였으며 특히 60대에서 유의미한 증 가가 나타나 부교감신경계 활성이 증가하는 것을 확인하였다. LF는 모든 연령대에서 큰 변화 없이 안정적인 수치를 보였다. LF/HF 비율은 전 연령대에서 감소하였으며, 이는 자율신경 균 형 상태의 긍정적인 효과를 의미한다. 또한 평균 맥박수는 프로 그램 후에 전반적으로 감소하였으며, 특히 고령층에서 유의미한 감소가 나타났다. 이러한 결과는 원예치료 프로그램이 암환자의 생리적 스트레스를 완화하고 자율신경계 균형 회복에 긍정적인 영향을 미칠 수 있음을 보여준다. 본 연구는 자율신경계 활동의 생리적 지표를 활용하여 원예치료의 효과를 객관적으로 입증하 고자 하였다는 점에서 의의가 있다.

Cellular myxoma is an uncommon type of myxoid benign tumor, predominantly occurring in adult female patients aged >40 years. This report aims to document a case of cellular myxoma that occurred in the buccal mucosa. Compared to intramuscular myxomas, cellular myxoma demonstrates hypercellularity and vascularity. Its manifestation in the soft tissue of the head and neck area is exceptionally rare. Generally, cellular myxoma manifests as a firm and immovable mass covered with normal oral mucosa, with no associated clinical symptoms. Homogenous low signal intensity on T1-weighted scans and high-signal intensity on T2-weighted magnetic resonance scans reveal cellular myxoma, as most lesions show well-defined margins and heterogeneous contrast enhancement. The significant histologic features include a focal or diffuse increase in cellularity with fibroblast-like cells and vascularity with an abundant collagenous matrix. Our presented case reflects these facts examinations, based on which a final diagnosis of cellular myxoma was made. Immunohistochemistry revealed locally and diffusely positive SMA and CD34. The clinical tendency of cellular myxoma with hypercellularity may affect the production of myxoid and collagenous substrates, and if complete resection is not performed, the possibility of local recurrence in the primarily affected region remains. Hence, complete surgical excision was performed under general anesthesia, and follow-up until a year after treatment revealed no observed recurrence. To achieve precise diagnosis and complete treatment without local recurrence, several diagnostic examinations should be considered.

Purpose: This study aimed to understand the COVID-19 vaccination experience of nursing students and explore its importance. Methods: A descriptive qualitative study and content analysis was conducted. The participants were 14 nursing students who expressed their rejection of COVID-19 vaccination. Data were collected through in-depth interviews from November 24, 2021, to January 30, 2022. Results: The COVID-19 vaccination experience of nursing students included four themes: “nostalgia for everyday life before COVID-19”, “hesitancy to get vaccinated against COVID-19”, “different thoughts about COVID-19 vaccination”, and “future direction of COVID-19 vaccination”. Conclusion: The COVID-19 vaccination experience of nursing students may be due to a lack of trust in COVID-19 vaccination. Therefore, accurate information about COVID-19 vaccination should be provided to lower the vaccination hesitancy of nursing students.

The characteristics of grounds influences on the safety of stone bridge structure. Therefore, this study performs the modelling and analysis considering the formation of soft ground. Also, this study evaluates the structural performance through the design variables according to the characteristics of soft ground.