단일 경장 영양액의 환자 영양상태 유지 및 개선 효과 적정성

유경화 ( Kyoung Hwa Yoo ),오인명 ( In Myung Oh ),박지은 ( Ji Eun Park ),박주상 ( Ju Sang Park ),장은정 ( Eun Jeong Jang ),박상종 ( Sang Jong Park ),김상중 ( Sang Jung Kim ),박상운 ( Sang Woon Park ),백현욱 ( Hyun Wook Baik ) 한국정맥경장영양학회 2013 한국정맥경장영양학회지 Vol.5 No.2

Purpose: It is a well-established fact that enteral nutrition is the preferred mode when compared with parenteral nutrition for the purpose of recovery and maintaining nutritional status not only in surgical but also in chronic debilitating patients. Further, this mode of nutrition is essential as it enhances preservation of gut mucosal integrity as well as immunity particularly in such patients. In a prospective multicenter clinical trial, we studied the effectiveness and safety of one specific enteral formula ‘M’. Methods: We recruited 30 patients who were admitted to three hospitals (two university hospitals and one general hospital) in a metropolitan area for either surgery or treatment. The patients were given the enteral formula M at the dose of 25 kcal/kg/day for 7±2 days. Thereafter, we evaluated the performance and nutritional status of each patient by applying subjective global assessment (SGA) scale, Karnofsky performance status scale, and stroke specific quality of life (SS-QOL) scale. We also measured the plasma markers specific to nutritional status of such patients. In addition, we also recorded the consequent dose-response clinical symptoms such as diarrhea, abdominal pain, abdominal discomfort, bloating, nausea, and vomiting. Results: We found that the SGA scale score did not show significant change compared to the baseline score. However, both the Karnofsky performance status score and the SS-QOL score showed the tendency of improvement compared to the baseline score. We also found that there was a decrease in the serum markers used to signify the nutritional status of the patients, but this decrease was statistically not significant when compared to the baseline score. Of the 30 patients enrolled for this study, 12 patients showed distinct clinical adverse symptoms. The most commonly observed adverse response was abdominal pain, although all other symptoms subsided spontaneously. Conclusion: We conclude that the administration of enteral formula ‘M’ to both perioperative and chronic debilitating patients hardly elicited serious adverse response. In fact, the formula was significant in preserving the performance status and quality of life of both perioperative and chronic debilitating patients. (JKSPEN 2013;5(2):76-81)

치과위생사의 계속교육을 통한 직무에 대한 만족도

유경화 ( Kyung Hwa Yoo ),이선경 ( Sun Kyoung Lee ),성정민 ( Jeong Min Seong ) 한국치위생학회(구 한국치위생교육학회) 2012 한국치위생학회지 Vol.12 No.4

Objectives : The purpose of the study was to explorer the extent to which the dental hygienist demand for higher education. Methods : T his study was done u sing the s tatistical p ackage f or s ocial sciences 12.0 (SP SS 1 2.0) f or windows. The results was as followed. Results : Participation continuing education 42.3%, do not attend the continuing education 57.7%. General characteristics of respondents according to education after graduation, in recognition of the existence, winning less than five years if is the most was higher with 42.9%, to 50.5% in the current academic year graduated colleges is the most highly(p<0.05). Through continuing education, improve `self-regard and identity` 3.12±.49 was the highest. General characteristics of subjects with continuing education in accordance with the highest satisfaction of the relevant item `future work areas hope` has been investigated(p<0.05). Conclusions : Dental hygienists as one of professionals taking responsibility and duties on oral health need to make effort to satisfy. While they show infinite ability, possible as they can and overcome given environment and situation.(J Korean Soc Dent Hyg 2012;12(4):771-780)

범부채 (Belamcanda chinensis)의 식물체 재분화에 미치는 식물생장조절제의 영향

권혜경,유경화,윤의수,Kwon, Hye-Kyoung,Yoo, Kyoung-Hwa,Yoon, Eui-Soo 한국식물생명공학회 2010 식물생명공학회지 Vol.37 No.3

범부채 (Belamcanda chinensis)의 기내 식물체 재분화 체계를 확립하기 위하여, 생장조절물질이 자엽, 뿌리줄기, 뿌리 절편체로부터 캘러스 유도와 식물체 재분화에 미치는 영향을 조사하였다. 조직별 캘러스 유도율은 자엽절 편체 보다 뿌리절편체에서 더 왕성하게 관찰되었으며, 3.0 mg/L 2,4-D의 단독처리와 1.0 mg/L 2,4-D와 3.0 mg/L BA의 혼합처리에서 캘러스가 가장 효과적으로 유도되었다. 또한, 3.0 mg/L 2,4-D를 단독처리 한 배지에서 유도된 캘러스를 치상하여 4주간 배양하였을 때 가장 많은 신초가 유도되었으며, BA를 혼합 처리한 배지에서는 다발성 신초가 유도되었고 신초의 생장이 양호하였다. 2,4-D와 BA를 혼합처리 한 배지로부터 유도된 신초를 생장조절 물질을 첨가하지 않은 MS 배지로 옮겨 주었을 때 보다 더 정상적이며 성장이 양호한 뿌리의 분화가 관찰되었다. 재분화 식물체는 순화처리를 위하여 당과 식물생장 조절물질이 첨가되지 않은 MS배지로 계대배양 한 후 인공토양의 화분으로 옮겨 이식하여 관찰한 결과 100%의 생존률을 보였으며 정상적인 재분화 식물체를 대량으로 획득하였다. To establish the optimum conditions of in vitro plant regeneration, the leaf, rhizome, and root explants of Belamcanda chinensis were cultured on the MS medium supplemented with different concentration of 2,4-D and BA. The callus induction was more effective in the root explants than the leaf and rhizome explants, and was the best on MS medium containing 3.0 mg/L 2,4-D or 1.0 mg/L 2,4-D and 3.0 mg/L BA. The highest numbers of shoots were regenerated when callus were cultured on MS medium containing 3.0 mg/L 2,4-D for 4 weeks. However, the multiple shoots were induced on MS medium supplemented with the combination of 2,4-D and BA. The normal root formation from shoot was effective on the MS medium lacking any plant growth regulators. For acclimatization, the regenerated plantlets were cultured on MS medium without sucrose and plant growth regulators for 2 weeks, and then transferred to the pot.

증례 : 알레르기 ; 내장 유충 이행증과 안구 유충 이행증이 동시에 발현된 개회충증 1예

박지은 ( Ji Eun Park ),오미정 ( Mi Jung Oh ),오동현 ( Dong Hyun Oh ),오인명 ( In Myung Oh ),유경화 ( Kyoung Hwa Yoo ),임성규 ( Sung Gyu Im ),길현경 ( Hyun Kyung Ghil ) 대한내과학회 2012 대한내과학회지 Vol.83 No.4

Toxocariasis is an infection in a human host caused by Toxocara canis or Toxocara cati larvae. Clinical manifestations are classified according to the organs affected, such as visceral larva migrans (VLM) and ocular larva migrans (OLM). Epidemiological evidence suggests that OLM tends to occur in the absence of systemic involvement and vice versa, which has led to two manifestations of this infection being reclassified as VLM and OLM. No case of a patient with VLM combined with OLM has been reported in Korea. Here, we report a case of VLM combined with OLM in a 51-year-old female caused by massive ingestion of raw cow meat, manyplies, and liver. (Korean J Med 2012;83:543-549)

건강한 한국인에서 김치의 섭취가 대사증후군의 위험에 미치는 상관관계

오인명 ( In Myung Oh ),정효지 ( Hyo Jee Joung ),오상우 ( Sang Woo Oh ),윤영숙 ( Yeong Sook Yoon ),유경화 ( Kyoung Hwa Yoo ),박지은 ( Ji Eun Park ),박주상 ( Ju Sang Park ),장은정 ( Eun Jeong Jang ),박상종 ( Sang Jong Park ),박상운 한국정맥경장영양학회 2013 한국정맥경장영양학회지 Vol.5 No.3

Hospital, Goyang, Korea Purpose: Metabolic Syndrome (MetS) is defined as the coexistence of several metabolic risk factors. Diet is thought to play a major role in development of MetS. We attempted to determine whether the Korean diet is related to a reduced risk for development of MetS. Methods: A total of 425 healthy Korean adults were recruited by advertisement to Bundang Jesaeng Hospital from January 1 to June 30, 2009; those not taking regular medications and without diagnosis of disease were included. Data were collected on three-day dietary intake, anthropometric measurements, and diagnostic parameters, including levels of lipid panel, glucose, adiponectin, and inflammatory cytokines (interleukin-6 [IL-6], tumor necrosis factor-α [TNF-α]) for MetS from individuals enrolled in the study. The National Cholesterol Education Program (NCEP) scoring system was used for diagnosis of MetS. Results: Out of 425 (11.8%) subjects, 50 were diagnosed as having MetS. As NCEP scores increased, the levels of inflammatory cytokines (IL-6, TNF-α) showed an increasing tendency, however, the adiponectin level had decreased (P<0.0001). A greater amount of total vegetable consumption appeared to be associated with decreased risk for MetS. A higher carbohydrate consumption represented by the amount of rice intake (refined starch) appeared to be associated with higher risk of MetS. However, increasing consumption of rice combined with Kimchi showed an association with increased high-density lipoprotein cholesterol (56.7±1.6 vs. 62.8±2.2, P for trend: 0.0321) and decreased adiponectin level (9.0±0.8 vs. 11.4±1.2, P for tend: 0.0255). Conclusion: Among healthy Korean volunteers consuming an ordinary Korean diet, the prevalence of MetS was found to be 11.8%. Greater consumption of rice showed an association with greater risk of MetS, while greater consumption of rice combined with Kimchi, the main staple of the Korean diet, showed an association with lower risk of MetS. (J Korean Soc Parenter Enter Nutr 2013; 5(3):110-116)

복부 결핵으로 발현된 후천성 면역 결핍증 1예

고병성,김상중,유경화,이경한,노기탁,허원석 이화여자대학교 의과학연구소 2015 EMJ (Ewha medical journal) Vol.38 No.3

The incidence of tuberculosis (TB) had gradually been declining all over the world, but in recent years, TB has been increasing due to the spread of the human immunodeficiency virus (HIV). When immune-suppression status deteriorates further, extrapulmonary TB generally appears more often. Abdominal TB is one type of extra-pulmonary TB, which may involve the gastrointestinal tract, peritoneum, lymph nodes or solid viscera. We encountered a case who had initially been diagnosed as having abdominal TB, had progressed to acute respiratory distress syndrome and was eventually confirmed as having developed acquired immune deficiency syndrome. In cases of coinfection of TB and HIV, it is reported that immunological responses become poor and complications with higher morbidity frequently occur. Therefore, the Korean guidelines for TB should be revised to ensure whether HIV infection exists in TB patients.