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        경장영양을 시행한 환자에서 영양집중지원에 따른 영양상태 비교

        김보희,김혜숙,권오란 한국영양학회 2018 Journal of Nutrition and Health Vol.51 No.2

        Purpose: The aim of this study was to determine the effects of nutritional intervention focused on a Nutrition Support Team (NST) in patients receiving enteral nutrition (EN) in general hospital wards. Methods: The electronic medical records of 95 adult patients admitted in C university hospital and received EN supply for more than 3 days at a general ward were analyzed retrospectively. The subjects were classified into the intervention group (n = 40) and non-intervention group (n = 55). Results: The calorie support rate (%) and protein support rate (%) increased significantly only in the intervention group after 2 weeks compared to the rate upon admission. The serum albumin levels increased in the intervention group after 2 weeks compared to the levels at admission, but decreased in the non-intervention group. The glucose levels decreased only in the intervention group compared to that at admission. Conclusion: The nutritional status of the patients was improved by the proper planning of nutrition management from the beginning of hospitalization and systematically managing the nutrition intervention of the NST. 본 연구는 일반병동에 입원하여 3일 이상 경장영양을시행한 성인 환자 95명을 대상으로 영양집중지원팀의 중재 효과를 평가하기 위해 영양중재를 받은 중재군과 받지못한 군으로 분류하여 열량 및 단백질 지원율과 생화학적지표를 비교 · 분석 하였다. 연구결과를 통해 환자의 입원초기부터 적절한 영양관리를 계획하고, 영양집중지원팀의영양중재로 체계적인 관리를 실시하면 환자의 영양상태가개선되는 것을 확인할 수 있었다. 결론적으로 영양불량 문제가 있는 환자에게 영양집중지원팀의 중재를 받아 문제를 개선할 수 있도록 절차를 마련한다면, 이는 환자의 임상적 치료에 긍정적인 영향을 줄 것으로 생각된다. 본 연구는 국내에서 경장영양을 시행한 일반병동 환자를 대상으로 영양집중 지원팀의 중재 효과에 대한 초기 연구이며, 집중영양치료료 수가 신설 이후 진행된 연구다. 추후 일반병동 환자를 대상으로 영양집중지원팀의 중재효과에 대한 연구가 다양하게 시행된다면 의료진의 관심이 증대 될 것이고, 나아가 영양집중지원팀의 중재를 통해진료의 질을 높일 수 있을 것이다.

      • 한국에서의 활주로(도로) 표면온도와 표면빙결 예보를 위한 수치모형

        김보희 한국항공대학교 1995 論文集 Vol.33 No.-

        A numerical model for the prediction of runway(road) temperature and ice has been tested on data from Susack. The model is based on the solution of the equation of heat conduction in the ground and the surface energy-balance equation. Sensitivity experiments have been carried out in order to assess the relative importane of the various active processes. It is importannt to specify a realistic temperature and cloud structure in the lower part of the atmosphere. The best results were obtained with a detailed temperature and humidity analysis using significant points in the applied radiosonde data. Some further improvement was obtaind with a simple capable of adjusting the initial atmospheric tmeparature profile for analysis bias. The results indicate that the model can be used for high-quality road temperature forecasts up to a range of at least 3h.

      • 大氣中 黃酸鹽粒子의 구름凝結核으로서의 可能性에 關한 實驗

        金保熙 한국항공대학교 1986 論文集 Vol.24 No.-

        To sudy directly the capability of atmospheric Sulfate particles as cloud condensation unclei (CCN), I cacrried out a series of experiments using a vertical flow type thermal diffusion cloud chamber in conjunction with the application of Bacl₂ thin film technique for the detection of soluble sulfate in individual particles. From this direet experimental result, the atmospheric sulfate particles with mass larger than ?? are infact served as very efficient CCN at low, cloud-like supersaturations of 1% or less.

      • 氣壓系에 수반하는 垂直氣流의 垂直分布에 關한 分析

        金保熙 한국항공대학교 1973 論文集 Vol.6 No.1

        The vertical velocity in pressure co-ordinates is computed from synoptic data with baroclinic model on two occasions for each loomb interval between l000mb and 200mb at the points, approximately 100Km apart, of a grid covering much of Korea and surrounding area, The results show that the vertical profile is approximately parabolic with respect to pressure in regions of great development, but that elsewhere the profiles are not of a simple shape.

      • Jet氣流가 Trough와 地上低氣壓에 미치는 영향

        金保熙 한국항공대학교 1977 論文集 Vol.12 No.-

        This study is treated physically and synopticaly to the trend of the surface pressures in the case of two troughs existing both side of the middle latitude jet stream over th Asia. The resoult shows that the increase of instability of the jet stream makes intensification of the trough, and unificate the small lows in one low pressure, and make the low pressure begin to move.

      • 極東地域의 젯트氣流에 關한 硏究

        金保熙 한국항공대학교 1976 論文集 Vol.10 No.-

        The jet stream over the Far East area is studied in accodance with the crosssection charts and upper charts with a view to enabling it to be applicable in flight. Through this study, it is derived that in the warm season the jet stream weakens and moves northward and that in the cold season it develops over wide aren conserving the height between 300mb and 200mb.

      • 水色에서 觀測한 (輻射) 안개의 性狀

        金保熙 한국항공대학교 1982 論文集 Vol.20 No.-

        To study the characteristics of Susaeck radiation fogs, 11 radiation fogs are collected on the meshes coated with cllodion thin film from June 1981 to March 1982. The collected fog droplets and their nuclei are observed by the vapor diposited thin film method and microscope. According to the results, the relation between fog droplets and their nuclei is represented by y=14.24x+3.64. And most of th nuclei are sulfate particles. The distribution of number and size of droplets are related to the distribution of number and size of muclei. On the water amount distribution, maximam water amount distributed in the interval 11-15μm droplet diameter. The results suggest that sulfate nuclei play an important role in the initiation and growth of Susaeck radiation fogs.

      • 山岳의 영향으로 生기는 垂直氣流의 速度를 卽時에 求하는 方法

        金保熙 한국항공대학교 1974 論文集 Vol.7 No.-

        The observed vertical distribution of wind and stablity has been modified in order to approximate the internal parameter in the lee-wave equation by an exponential function. This trought the results that a method of smoothing the original radiosonde data in order to obtain the appropriate l-curve and of measuring the numarical value of wave length and vertical velocities quickly. 1

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