사용자 수술명과 수술분류 code(ICD-9-CM) 일치율 향상에 관한 연구 : 수술실 OCS program 사용 활성화를 통하여

최향하,김미영,김도진,유지원,장정화,박수정,박재성 한국의료QA학회 2005 한국의료질향상학회지 Vol.12 No.1

Background : The necessity of unify and standardize codes used at hospital has been emphasized since OCS (Order Communicating System) was adopted. Therefore, the purpose of this study were to standardize operation code by continuous training of the ICD-9-CM code that is used as standard code in OCS program at operating room. Method : In 400 operation data, operation code entered in OCS program at operating room was compared to operation name recorded in medical record. In addition, a matching rate between input data of operation code by medical record department and computing input data of operation code in 3,710 cases was compared for each department. User operation name and operation code were matched and major diagnosis by operation department and operation name were also matched. Results : User operation name was reflected in operation classification code in detail, and operation code entered on user was registered. Input rate and matching rate of operation code were gradually improved after improvement activity. In particular, a matching rate was high at ophthalmology where operation name is segmented. Plastic surgery and orthopedics with a lot of emergency operation and comprehensive operation name show low input rates. Conclusions : As the medical field makes progress in computerlization, awareness of information exchange and sharing becomes higher. Among codes to classified medical institution, codes related to surgical operation are all different by user of hospital and department. Computerlization and standardization is essential. And when efforts of standardization continue in alliance with individual hospital and institution, initiative of preparing medical policy data at a national level will be accelerated.

습관제거장치와 근기능요법을 이용한 혀내밀기 원인성 개방교합의 치료

최지원,오유향,이창섭,이상호,이난영 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.2

흡지벽, 수직적 인 골격 발육부전 등 여러 원인을 갖는 개방교합은 치아와 치조돌기 에 국한되어 있는 단순 개방교합, 수직골격 발육부전에 의한 골격성 개방교합인 복잡 개방교합으로 나눌 수 있다 단순 개방교합은 흡지벽, 농설벽 등 국소적 원인에 의하며 치조돌기의 수직적 발육결여와 상하악 전치의 맹출 장애 등의 특징을 보인다 농설벽은 혀가 상하악 전치 사이에 위치하고 혀의 주변부위가 구치부 교합면 사이에 놓이지 못하게 됨으로써 구치부 과맹출에 의한 전치부의 개방교합과 상악전치의 전돌을 가속화하게 된다. 악습관에 의한 개방교합을 가진 어린이에서는 습관을 없애주는 것이 개방교합을 치료하는 가장 좋은 방법일 것이다. 그리고 Hawley type 장치에 crib을 첨가하거나 oral screen을 장착시켜 농설벽을 치료할 수 있다. 그리고 근기능요법은 동기유발과 혀의 기능을 조절하고 입술운동을 통해 새로운 연하운동을 발전시키도록 훈련하여 부정교합을 교정하거나 개방교합의재 발을 방지 한다. 본 증례는 농설벽에 의한 개방교합을 가진 8세 여자 환자에서 탄성고무, 발대를 이용한 연하연습과 발음연습을 포함한 근기능요법과 습관제거장치를 이용해 습관의 중지 및 개방교합의 개선을 얻었기에 보고하는 바이다. A problem that affects children's dentitions is the harmful habit which is difficult to treat. Harmful habits for children are such as abnormal swallowing patterns, low/forward tongue rest posture problem, habitual open-lips resting posture, habitual mouth-breathing, excessive digital sucking habit and tongue thrusting. Tongue thrusting habits cause a bit of cranio-facial skeletal changes and a great deal of dental malocclusion such as anterior open bite. Anterior open bite causes masticatory, speech, and esthetic problems in the growing children and difficulties in diagnosis, treatment, and the prediction of its prognosis. The treatments of such abnormal behaviors involve orofacial myofunctional therapy and using of habit breaking appliance. The prognosis is not determined by the presence of severity of oral habit but the skeletal tendency of the patient. Usage of tongue crib resulted in not only the discontinuance of the habit but also improvement in overbite and over jet. This study showed that relatively successful results could be generated by using removable tongue crib and myofunctional therapy in the case of open bite related to tongue thrusting habit.

항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

Purs Lane의 유용성분과 아질산염 소거능 검색

김향숙,변복수,최주희,박지영 충북대학교 교육생활연구소 2001 생활과학연구논총 Vol.4 No.-

This study was carried out to examine the useful components of Purs Lane and their nitrite scavenging effect. Leaves and stems were separated and analyzed fo general chemical composition, amino acid composition, and dietary fiber contents. Anti-oxidant nutrient such as total vitamin C, total phenol ice, and vitamin E contents were also analyzed. Nitrite scavenging effects of methanol extract and aqeous extract were examined.

국소적 복막염으로 발현한 대나무 가지에 의한 위천공 1례

서지현,황지영,강기수,박찬후,우향옥,최명범,윤희상 대한소아과학회 2001 小兒科 Vol.44 No.7

영․유아 그림 표상 특성에 관한 연구

이승옥,최은영,임지향 대구대학교 특수교육재활과학연구소 2005 再活科學硏究 Vol.23 No.2

The purpose of this study was to refer a symbolic characteristic of painting during scribbling period by applying a task condition, to present basic data about effective symbolic painting by analyzing a process of a construct activity, and to examine verification of effectiveness in the Korean infant. The one way anova is carried out to find out a symbolic characteristic of painting of Age(4)X group and the two way anova to Group(2)×Age(4), is conducted to figure out the difference of NC performance owing to task presented type upon age bracket. The followings were ostensive purposes of this study. First, there would be differences in symbolic characteristic by tasks and ages(the total score, the score of symbol inside the outline, the score of constituent, the score of pair symbolic). Second, the NC performance would differ in symbolic characteristic by age and painting type(the total score, the score of symbol inside the outline, the score of constituent, the score of pair symbolic). The study participants were randomly selected one - three years old infants (total of 80) who attend in an infant home in northern Daegu. They were divided in four groups. Each age group was presented two type of painting and multivariate analysis was taken in order to compare and analyze paintings. The result of this study was followed. First, the characteristic of painting symbol was different by task and age. The expressive ability in total score, constituent of object, pair symbolic in P task and DC task was increased as aging. Among the group of infants aged 1.5 - 2.5, P task was performed better than DC task, and the score of P task and DC task was equally heightened as they become age of 3. Second, NC performance owing to task presented type upon age bracket would be different (the total score, the score of symbol inside the outline, the score of constituent, the score of pair symbolic). The older has shown more expressive ability in two type of painting. NC task was taken after pre- P task and -DC task, but the symbolic score of NC task differed from. NC task followed by P task represented the more constituents and pair symbols than by DC task. Therefore, this study found out that the development of symbolic level in infant had close relationship with an age, the symbolic abilities in different painting tasks differed order of P task, DC task, and NC task, and symbolic painting was shown from infant age 1.5-2. 본 연구는 초기 그림 표상 출현과정을 살피기 위한 것으로 구체적인 가설은 다음과 같다. 첫째, 과제별 연령에 따른 그림 표상의 특성(총점수, 윤곽선 안의 표상의 점수, 대상의 구성요소 표상의 점수, 쌍표상의 점수)은 차이가 있을 것이다. 둘째, 연령별 과제 제시유형에 따른 NC과제 수행(총점수, 윤곽선 안의 표상의 점수, 대상의 구성요소 표상의 점수, 쌍표상의 점수)은 차이가 있을 것이다. 연구대상은 00시에 위치한 어린이집에 재원중인 1-3세 유아 총80명을 무선선정하여 연령별로 4집단을 나누고 각 연령집단별로 두 그룹으로 나누어 서로 다른 유형의 과제를 실시하였다. 즉 한 그룹은 P과제 이후 NC과제를 실시하였고, 다른 한 그룹은 DC과제 이후 NC과제를 실시하였다. 과제실시 이후 각 과제에서 얻어진 표상그림을 채점하였다. 자료처리는 과제별 연령에 따른 그림표상의 특성을 살펴보기 위해 연령(4)x집단간의 일원 다변량분석을 실시하였고, 연령별 과제 제시유형에 따른 NC과제 수행의 차이를 보기 위하여 집단(2)×연령(4)에 대하여 2원 다변량분석을 실시하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 과제별 연령별에 따른 그림 표상의 특성은 차이가 있다. 연령에 따라 P과제 또는 DC과제 모두가 총점수, 대상의 구성요소, 쌍표상의 표현능력은 연령이 높음에 따라 표상능력이 증가함을 알 수 있었다. 1.5세-2.5세에서는 P과제가 DC과제보다 훨씬 잘 수행했으며 3세가 되면서 P과제와 DC과제 점수가 같이 높아졌다. 둘째, 연령별 과제 제시유형에 따른 NC과제 수행은 차이가 있다. 연령이 증가 할수록 과제 제시유형에서 과제의 표상 능력도 증가하였다. 연령에 따라 P과제 선행 후 NC과제와 DC과제 선행 후 NC과제의 표상의 점수는 다르다. P과제 선행 후 NC과제가 DC과제 선행 후 NC과제에서 보다 더 많은 대상의 구성요소, 쌍표상을 표현한 것으로 나타났다. 따라서, 본 연구를 통해 유아의 표상 수준의 발달은 연령과 밀접한 관계가 있고 과제에 따른 그리기 표상능력도 P과제, DC과제, NC과제 순으로 일어나며, 표상적 그리기가 1.5세와 2세경에 시작된다는 것을 보여준다.

심혈관계 질환으로 관상질환 집중치료실에 입원한 환자들의 혜후 측정을 위한 APACHEⅢ점수 체계의 임상적 유용성

이공섭,이창선,최현주,홍종서,강지향,김도형,이민영,오인균,김병엽,김상억,김학찬,한승혜,이재용,지영우,안경주 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

손마사지가 허혈성 심질환 환자의 불안에 미치는 효과

현경선,이향련,공송심,윤경자,김현섭,김효남,최지원,김운정 성인간호학회 2001 성인간호학회지 Vol.13 No.2

The purpose of this study was to investigate the effect of a hand massage program on anxiety, vital sign and pain in clients with ischemic heart disease. The design utilized for this stuffy was quail-experimental with a nonequivalent control group non-synchronized design The subjects were fifty-four patients, twenty-eight for the experimental and twenty-six for the control group, who were admitted with ischemic heart diease at a cardiac intensive care unfit in K medical center of K university. This study was carried out from May, 1999 to March, 2000. The level of anxiety and pain measured by Visual Analogue Scale, systolic blood pressure, diastolic blood pressure and pulse rate were measured before and after hand massage, the state of Anxiety was measured by the Spielberger (1970) scale at admission and after hand massage for three days. The collected data were processed by using the SPSS PC program and analyzed using χ2-test and t-test. The result of this study are as follows : 1. The scores of VAS anxiety and State of anxiety of the experimental group were lower than those of the control group. 2. The degree of systolic blond pressure, diastolic blood pressure and pulse rate of the experimental group were lower than that of the control group. 3. The score of VAS pain of the experimental group was lower than that of the control group. The results suggested that hand massage can decrease VAS anxiety, State of anxiety, vital signs and VAS pain of patients who were admitted with ischemic heart disease at cardiac intensive care unit Therefore, It Is proposed that hand massage is an appropriate nursing intervention to relieve anxiety of the patients who were admitted with ischemic heart disease at a cardiac intensive care unit.

복막투석복막염 환자에서 발생한 창자벽공기증 1예

정선영,나지훈,최윤정,고성애,조규향,박종원,도준영,윤경우 영남대학교 의과대학 2009 Yeungnam University Journal of Medicine Vol.26 No.1

Peritonitis is a serious problem in patients undergoing peritoneal dialysis. Rarely pneumatosis intestinalis can occur as a complication of this infectious process. Pneumatosis intestinalis is a potential life threatening condition with a challenging management. The mortality of peritoneal dialysis patients with pneumatosis intestinalis secondary to mesenteric ischemia is almost 100%. We describe a rare case of pneumatosis intestinalis in a peritoneal dialysis patient who developed Staphylococcus aureus peritonitis which was initially treated with appropriate antibiotics. Since initial response to therapy was not achieved, an abdominal computerized tomography was done which revealed a pneumatosis intestinalis. A laparotomy was performed and small bowel necrosis was seen. A segmented resection with ileostomy, jejunostomy was done. Though surgical treatment was performed, the patient died in 2 weeks after admission. Pneumocystitis intestinalis in peritoneal dialysis peritonitis is a uncommon complication which requires prompt evaluation to rule out mesenteric ischemia as it carries a high mortality and its management will be surgical.

폐 내 병변으로 인한 소아 급성 호흡부전의 원인 질환과 예후

이혜영,박지숙,최희라,서지현,김점수,임재영,최명범,박찬후,우향옥,윤희상 대한소아과학회 2004 小兒科 Vol.47 No.5