Acute exacerbation of interstitial lung disease; subgroup analysis for causes, risk factors for mortality rate, and steroid responsiveness

( Seung Hyun Yong ),( Ah Young Leem ),( Song Yee Kim ),( Kyung Soo Chung ),( Ji Ye Jung ),( Young Ae Kang ),( Young Sam Kim ),( Joon Chang ),( Moo Suk Park ),( Hye Jin Jang ) 대한결핵 및 호흡기학회 2019 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.127 No.-

Background: Interstitial Lung Disease (ILD) has known as a poor prognosis disease, particularly idiopathic pulmonary fibrosis (IPF). Corticosteroid is widely used for treatment of acute exacerbation (AE)-ILD. This study aims to clarify efficacy of corticosteroid use, and compare the mortality rate depending on the subgroups of ILD. Materials and Methods: We collected the data from the patients who have diagnosed ILD and visited emergency room (ER) with the respiratory symptoms from January 1, 2016 to December 31, 2018. We classified AE-ILD patients into 3 groups depending on methylprednisolone dose per kilogram. Also, we compared the mortality of IPF patients to that of non-IPF patients. Results: A total case of AE-ILD visited ER from 2016 to 2018 was 209 cases, including IPF cases (n=122) and non-IPF cases (n=87). We divided total patients (n=209) into three groups depending on steroid use, and these include group 1 of 0-0.49 mg/kg (n=78), group 2 of 0.5-0.99 mg/kg (n=58), and above 1.0 mg/kg (n=41), each. We found poor prognosis from the cases of IPF compared to non-IPF cases (p=0.029, OR 2.463). Furthermore, there was significant differences of mortality rate according to steroid dose (p=0.036, OR 1.712), CRP elevation (p=0.016, OR 1.004), and intubated case (p=0.000, OR 8.152). Also, we categorized IPF (n=122) to non-IPF cases (n=87) and analyzed the mortality rate. Most of the patients were death from ILD itself (n=23, 63.9%), Pneumonia(n=8, 22.2%), and Lung cancer (n=5, 13.9%). Bacterial infection (n=26) was dominant cause of AE, followed by fungal infection (n=15), and viral infection (n=10). Conclusions: This retrospective analysis of corticosteroid treatment shows more fatal outcome when we use high dose steroid in AE-ILD cases, and there was significant difference in mortality rate depending on the subgroup of ILD and medical background, such as intubation status, higher CRP level, and IPF cases.

간호 학생의 임상실습 효율을 위한 기초 조사 연구

이애경,김정애,주미경,정안순,배경진,김정수,이정애,장은정 경복대학 2000 京福論叢 Vol.4 No.-

임상실습 교육은 간호이론을 실무에 적용하는 기회를 제공하는 과정으로서 임상실습이 간호교육의 중요한비중을 차지하고 있다는 것은 주지의 사실이다. 이러한 중요성에도 불구하고, 임상실습 교육에 즉각적인 해결이 어려운 많은 문제점이 있음도 이미 알고 있는 사실이다 이에 임상실습 교육의 기초 자료로 활용되고 있는 실습목록표에 대한 간호 학생들의 실습목표의 명확한 이해와 더불어 이론과 실습의 연계성을 강화시키고자 하였다. 성인간호, 모성간호, 이동간호 3개 영역 모두에서 공통적으로 기본임상간호 항목이나 기본간호술과 관련된 항목에서 직접수행의 빈도가 높았고 숙련된 기술적인 처치나 전문성을 필요로 하는 항목에서는 관찰과 수행경험이 부족한 것으로 나타났다. Clinical performance is not only the process of providing the opportunity for applying nursing theory into practice but also it is a well-known fact that clinical performance is an important part in nursing education. lnspite of this importance, it is also true that many problem with no immediate solution exist in clinical performance of nursing students. thus, through measuring and analyzing the degree of clinical experience of the nursing students, on the nursing checklist that is being used as the basic guide in clinical education, we tried to clearly understand the objectives of clinical performance and to emphasize the connection between theory and clinical performance. The results of the study showed that the frequency of directly performing tasks was high in all areas of adult health nursing, maternity nursing, and child nursing for the items of basics clinical nursing and items related with basic nursing techniques, and that the experiences of observation and execution were lacking in the items needing skilled treatment or speciality.

임상실습 교육개선을 위한 간호학생의 간호활동시간 분석

이애경,김정애,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2001 京福論叢 Vol.5 No.-

신규간호사의 능력은 간호학생 때의 다양한 임상경험에 기초를 둔다. 따라서, 간호대학의 교수, 병원 지도자, 임상지도자는 간호학생들이 다양한 지식을 획득하고 간호기술을 경험할 수 있도록 도와주는 중요한 역할을 한다. 이 연구의 목적은 이러한 간호학생들의 임상실습에서 수행하는 간호활동과 간호활동 시간을 분석하고자 하는데 있다. 연구결과 간호학생 1인당 직접간호활동 시간은 185.5분(직접간호비율은 56.7%)으로 141.65분(간접간호 비율은 43.3%)인 간접간호활동 시간보다 많았다. 직접간호활동 시간 중 활력징후 측정이 51.9분으로 가장 많은 시간을 차지하였고, 간접간호활동 시간 중에는 차트보기가 22.98분으로 가장 많은 시간을 차지하였다. 전반적으로 기본적인 임상간호 수행기술에 소요되는 시간이 고도의 숙련된 간호기술을 수행하는데 드는 시간보다 많은 것으로 나타났다. 따라서, 본 연구결과를 토대로 간호대학의 지도자와 병원의 지도자 및 임상지도자가 함께 임상실습 교육과정의 지침서와 평가서를 평가할 필요가 있다고 제언하는 바이다. The competence of newly graduated nurses is based on various clinical experiences gained when they were students. Therefore, professors in nursing schools, directors in hospitals or preceptors must play a critical role in assisting them to obtain various knowledge and experienced nursing skills. The purpose of this study is to investigate nursing care activities and nursing care hours practiced by nursing students in clinical experience. The results of this study showed that the direct nursing care hours per each nursing student are 185.5 mins(direct nursing care rate 56.7%) and it is higher than indirect nursing care hours, 141.65 mins(indirect nursing care rate 43.3%). The hours of checking vital signs are the longest(51.9mins) among the direct nursing care activities, and the hours of reviewing chart are the longest(22.98mins) among the indirect nursing care activities. In general, the time of performing basic clinical nursing technique was higher than that of performing high skilled nursing technique. And nursing observation was higher than that of directly performing task. So, we suggest based on the results of this study as follows. It is needed for nursing instructors in nursing schools and hospitals together to evaluate the guidelines and check-list of clinical practice courses.

일 전문대학 간호과 학생들이 인지하는 강의평가 기준에 대한 조사연구

김정애,이애경,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2004 京福論叢 Vol.8 No.-

일개 전문대학 간호과 학생들을 대상으로 강의평가 기준을 파악하고자 하였다. 개방형 질문지를 이용하였으며 7개의 교수관련 강의평가 문항 각각에 대해 좋은 점수 및 나쁜 점수를 부여하는 기준을 조사하였다. 각 문항별로 다양한 기준이 확인되었으며, 간호과 학생들의 강의 만족도를 높일 수 있는 교수설계를 위한 기초 자료로 활용할 수 있을 것이다. We aimed to set standards for the student evaluation of instruction for college students of Nursing. We used an open questionaire and surveyed the standards for how students judge the instruction good of bad by using seven questions related to the instructor. Various standards set from each question could be used as basic materials to meet the students' needs in the classroom when the instructors try to find out new instructional design.

행정서비스헌장 고객만족도 조사

김미애,문장용 고신대학교 영도발전연구소 2003 영도연구 Vol.5 No.-

This paper is to study on assessment of the level of customer satisfaction on the public service charter settled up in Yeongdo-Gu. So, this study was conducted by oral interviews and obtained 214 users of Yeongdo-Gu public sector. As the result, the respondents are likely to be satisfied with the public services. For the betterment of public service in Yeongdo-Gu, an assessment of the level of customer satisfaction on the public service charter must be carried out regularly and consistently.

Mn-X-Bi系 薄膜의 磁氣-光學的 特性

朴愛珠,金斗姬,李章魯 淑明女子大學校 1980 論文集 Vol.20 No.-

Magnetic and mageto-optic properties of the ferromagnetic compound Mn_5Ni_2Bi_4 thin films are studied. The films are prepared by vacuum evaporation. Bi, Ni and Mn films are evaporated successively onto glass substrates at room temperature. The experimental conditions of the evaporatina process and thermal treatment of thin films of the Mn-Ni-Bi tennary system are examined. The specific conditions required are obtained to be more than ten hours of annealing at 350℃ in vacuum of 10^-5∼10^-6 Torr. The formation of compound Mn_5Ni_2Bi_4 films was confirmed by X-ray diffraction. The magnetic hysteresis loop of Mn_5Ni_2Bi_4 films of the thickness 800 A˘ measured by a magneto-optical method are rectangular, that is, the remnant magnetization equals the saturation magnetization. The magneto-optic Kerr effect of the films are inverstigated by measuring the rotation angle of the polarization and the ellipticity of the reflected light from the film surface using an ellipsometer. The state of polarization is analytically represented by using the poincare' sphere. The optical indices such as the refractive index, the index of absorption, the magneto-optic amplitude, its phase are obtained by analyzing the measured rotation angles and ellipticities in terms of the reflection coefficient derived by Voigt. The absorption coefficient, the figure of merit, the electric conductivity, and the electric polarizability are also calculated using the above quantities. The dependence of the magneto-optic constants upon the wave length of the light have also been investigated. The largest value of kerr rotation, magneto-optic amplitude and figure of merit obtained near the wave length 5000∼5200A˚are attributed to the resonance of the electric conductivity term and polarizability term of off-diagonal elements of the dielectric tensor. It is found that the center of the dispersion of magneto-optic constants is at the above region of the wave length showing that the magneto-optic transition occurs around this wave length. The figures of merit Mn_5Ni_2Bi_4 film are smaller than those of MnBi. The films are very resistant to oxidation by the surrounding atmosphere. The Mn_5Ni_2Bi_4 film seems promising as a magneto-optic memory medium

Mn-X-As 박막의 자기 및 자기광학적 특성

李章魯,朴愛珠 淑明女子大學校 1984 論文集 Vol.25 No.-

For the Mn_5Ni_2As_4 and Mn_3Cu_4As_4, compound thin films magnetic and magneto-optic properties are studied. The films are prepared by vacuum evaporation. As, Ni, Cu and Mn films are evaporated successively onto glass substrates at room teperature. The experimental conditions of the evaporating process and thermal treatment of thin films of the Mn-X-As tennary system are examined. The specific conditions required are obtained to be more than ten hours of annealing at 300℃ in vacuum of 1∼5×10Torr. The formation of the compound films was confirmed by X-ray diffraction. The magnetic hysteresis loop of the films of the thickness 1000Å are measured by a magneto-optical method. The magneto-optic Kerr effect of the films are investigated by measuring the rotation angle of the polarization and the ellipticity of the reflected light from the film surface using an ellipsometer. The state of polarization is analytically represented by using the poincare' sphere. The optical indices such as the refractive index, the index of absorption, the magneto-optic amplitude, its phase are obtained by analyzing the measured rotation angles and ellipticities in terms of the reflection coefficient derived ay Voigt. The absorption coefficient, the figure of merit, the electric conductivity, and the electic polarizability are also calculated using the above quantities. The dependence of the magneto-optic constants upon the wave length of the light have also been investigated. The largest value of kerr rotation, magneto-optic amplitude and figure of merit obtained near the wave length 5400Å are attributed to the resonance of the electric conductivity term and polarizability term of off-diagonal elements of the dielectric tensor. It is found that the center of the dispersion of magneto-optic constants is at the above region of the wave length showing that the magneto-optic transition occurs around this wave length. The figures of merit of the films are smaller than those of MnBi. The Mn_5Ni_2As_4 and Mn_3Cu_4As_4 films are very resistant to oxidation by the surrounding atmosphere. The films seem promising as a magneto-optic memory medium.

한방재료를 첨가한 타조 추출액의 영양학적 특성에 관한 연구

김애정,여정숙,장준혁,우경자,김혜진 동아시아식생활학회 2002 동아시아식생활학회지 Vol.12 No.3

This study was undertaken to analyze chemical composition, macro- and micro-mineral contents of ostrich bone with flesh meat (BF), ostrich bone with flesh meat with herb medicine (BFH) and ostrich bone with internal organs (BI). Crude fat of the BFH was lower, but crude protein and crude ash of the BFH were significantly higher than those of the BF and the Bl. Among the minerals, Ca, P. Mg, Fe, Cu, Zn content of the BFH were significantly higher than the content in the BF and the BE The minerals, Ph, Cd and As were not detected in ostrich and herb medicine extracts. From the sensory, test of ostrich and herb medicine, the preferences were in the following order: ostrich bone with flesh meat with herb medicine (BFH), ostrich bone with flesh meat (BF), and ostrich bone with internal organs (BI) in extracts.

중년기 여성의 노후생활 인지수준과 미래 노인복 구매행동

이혜임,장애란 서울保健大學 1995 論文集 Vol.15 No.1

The clothing for the elderly appers to be more crucial because the elderly become more and more important groups among customers as the number of the elderly is ever growing and their interest in the clothing is also growing, so that leads the fashion industries to concentrate the marketing for the elderly. The industries try to investigate the present fashion tates of middle aged-women and the expecting changes of their fashion tastes when they get older. In this study, the relationship between the aging and their psychological depression and the pattern of purchasing clothing was studied for middle aged -women. The random questionnaires were performed with 553 middle aged-women who lived in Seoul. Used major statistical methods were t-test, X^(2)-test, oneway-ANOVA, Scheffe's test, factor analysis, multiple regression analysis, Cronbach's α and path analysis. It was found that (i) the aging factor of middle aged-women psychologically affects on choosing clothing; the recognition by others, the psychological protection, the expression of beauty and social activity are important factors for the middle aged-women to select clothing(among the above four factors, the recognition by others and the psychological protection are more important), and (ii) the needs of purchasing elderly-clothing was somewhat strong. The information sources of reference, such as friends of fashion expertise, are very important to make the women's mind in selecting clothing. The middle aged-women generally purchase clothing on the beauty at department stores. The very important determinant of satisfaction after purchasing clothing is social psychology. First of all, dissatisfaction factors were understanded through the realities of the ready-to-wear, these factor were taken into consideration in the making clothing construction, and in future, the ready-to-wear of middle and old aged-women will be more improved.

B형 간염예방에 대한 교육매체의 효과 : 중·고등학생을 대상으로

김매자,신계영,장애경,서민희 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: Our research team developed two types of hepatitis B prevention materials: video tape and leaflet. We showed them to two groups of subjects separately, and the effect of education was compared to find out a more effective educational material for preventing hepatitis B. Method: Students at a middle school and a high school, one class for each school year, participated in the five areas of this study. They were educated for hepatitis management using the video tape and the leaflet. Before and after the education, they were tested for knowledge on hepatitis and health belief to analyze the effect of education. Results: 1) The video tape was more effective than the leaflet in delivering hepatitis knowledge and enhancing sensitivity & severity in health belief. 2) Hepatitis knowledge was improved significantly after the education. 3) Sensitivity & severity in health belief was improved significantly after the education. 4) Benefit in health belief was improved significantly after the education 5) Barrier in health belief decreased significantly after the education. 6) There was a correlation between hepatitis knowledge, sensitivity & severity in health belief and benefit in health belief. Conclusion: We suggest that for preventing hepatitis B it would be helpful to educate students in middle school and high school face to face with educational materials.