소아 후두기관협착 환자에서 single-stage 방법의 후두기관재건수술

고문희,손영익,백정환,정한신,정만기,Ko, Moon-Hee,Son, Young-Ik,Baek, Chung-Hwan,Jeong, Han-Sin,Chung, Man-Ki 대한기관식도과학회 2007 大韓氣管食道科學會誌 Vol.13 No.2

Background and Objectives: Laryngotracheal stenosis and its reconstruction in children is a highly challenging field to airway surgeons, and the way of stenting after a reconstructive surgery is still controversial. The aims of this study were to analyze the single institutional experiences of laryngotracheal reconstruction (LTR) in the pediatric patients with laryngotracheal stenosis and to compare the outcomes of single-stage LTR (SSLTR) with conventional two-stage LTR (TSLTR) in these patients. Materials and Methods: Medical records of 14 children (mean age 4.1 years) were reviewed, who received 20 LTR including 6 revisions for their moderate to severe subglottic stenosis and/or combined posterior glottic stenosis. Of these 20 LTR, tracheostoma was temporarily maintained after LTR in 12 cases (TSLTR) or not in the other 8 cases (SSLTR). Results: Overall decannulation rate of LTR that were performed before and after the year of 2003 was 40% (4/10) and 70% (7/10) respectively. Decannulation rate was 42% (5/12) in TSLTR group and 75% (6/8) in SSLTR group (P = 0.197). Mean interval to decannulation after LTR was 9.8 months and 7.2 days in TSLTR and SSLTR groups respectively (P = 0.004). A number of additional touch-up procedures that were required after LTR was 4 in TSLTR and 2.7 in SSLTR group (P = 0.238). Major complication rate was similar in both groups (33% in TSLTR and 38% in SSLTR, P = 0.910). Conclusion: A laryngotracheal reconstruction in children is a technically demanding procedure and its outcome is largely dependent on the surgeon's experience. Albeit there was a tendency that SSLTR ofters a higher decannulation rate, less additional touch-up procedures and similar complication rates, a shorter interval to decannulation after LTR was the only advantage that was confirmed as statistically significant in this study.

후두 접촉성 육아종의 치료

고문희,손영익,장전엽,소윤경,정만기,Ko, Moon-Hee,Son, Young-Ik,Jang, Jeon-Yeob,So, Yoon-Kyoung,Chung, Man-Ki 대한후두음성언어의학회 2008 대한후두음성언어의학회지 Vol.19 No.2

Background: Laryngeal contact granuloma is an inflammatory hypertrophic granulation tissue arising at around the vocal process of arytenoid cartilage. Various approaches are currently used for the treatment, but a solid guideline has not been established. Objectives: We aimed to compare the each treatment modality in the hope of suggesting a guideline for the successful management of laryngeal contact granuloma. Method: Eighty-seven treatment cases of 56 patients were analyzed. Cases having recent intubation history were excluded from the study. All patients received vocal hygiene education. Proton pump inhibitors (PPI, N = 33) or H2 receptor antagonists ($H_{2}RA$, N =26) were used as a first-line treatment. Among the non-responders to $H_{2}RA$, 11 cases received PPI as a second-line therapy. Eight cases received botulinum toxin injection and 9 cases had laryngomicrosurgical removal. Results: As an initial therapy, response rate to PPI and $H_{2}RA$ was 60.6% and 38.5% respectively, which was not statistically different (p=0.091). Response rate of PPI as the second-line therapy was 36.3% (p=0.162 when compared to that of first-line PPI therapy). Response rate of Botulinum toxin injection was 75%. All cases of surgical removal recurred in a relatively short period (mean 1.9months). Conclusion: In patients having laryngeal contact granuloma, combined therapy with vocal hygiene education and PPI medication would provide more than 60% of therapeutic response. Botulinum toxin injection is highly effective even in non-responders to antireflux therapy. The only indications of surgery are to resolve diagnostic doubt or to treat acute airway compromise.

자살 시도자의 고통에 대한 현상학적 연구

고문희 ( Moon Hee Ko ),이미옥 ( Mi Ok Lee ),이명선 ( Myung Sun Yi ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.4

Purpose: The purpose of the study was to understand essential meanings of suffering experienced by suicide attempters. Methods: Data were collected in 2009 through individual narrative interviews from 7 suicide attempters. Texts from literary works and movies containing suicide were also included as data. Data were analyzed using the hermeneutic phenomenology of van Manen. Results: Thirteen themes were identified in four dimensions. In the dimension of ‘lived body’, ‘unbearably sweet temptation to death’, ‘body surrendered by emotional damage’, ‘chaos in life and death’, ‘squashed body by the heavy weight of life’, and ‘loss of meaning in life’ were identified. ‘The black hole, one is not able to get out’ represents the experience in the dimension of ‘lived space’, ‘The moment on the edge of a profound abyss’ and ‘the worst present and hopeless future’ represent ‘lived time’. In the dimension of ‘lived human relation’, ‘I who am alone in the world’, ‘fear of being abandoned’, ‘unbreakable relationship trap’, ‘I who am not recognized’ and ‘guilty feeling’ were included. Conclusion: Results of the study should be helpful in developing personalized suicide prevention programs by showing the various types of suffering deeply ingrained into the personal history of suicide attempters.

연구논문 : 서울지역 초등학생의 인공식용색소에 대한 인식 및 정보요구도

고문희 ( Moon Hee Ko ),김정원 ( Jeong Weon Kim ) 한국식품조리과학회(구 한국조리과학회) 2011 한국식품조리과학회지 Vol.27 No.6

The purpose of this study was to investigate the perceptions, intake levels and information needs of elementary school students on artificial food colorants in order to provide better understanding and proper dietary education to these students. From May to June 2010, a survey was conducted from 315 elementary school students at fifth and sixth grade level who were living in Seoul. The questionnaire was distributed by 14 elementary school teachers to their classroom students. The results showed that food safety was regarded as the most important factor in purchasing food items, and artificial food colorants were the most interested among various food additives. Although there was a lack of general knowledge and the students` estimated intake levels of artificial food colorants from processed foods were comparatively low, most (82.7%) believed that artificial food colorants were dangerous for health. The information they wanted to know most was the safety, necessity, and function of artificial food colorants, in order. Above results suggested the necessity of providing accurate information on artificial food colorants to elementary school students possibly by developing educational materials which can improve the perceptions on artificial food colorants and encourage a safe dietary life.

제2형 당뇨 동물모델을 이용한 방풍통성산의 고혈당 개선효과

고문희(Moon Hee Ko),조현우(Hyun Woo Cho),노종현(Jong Hyun Nho) 한국약용작물학회 2020 한국약용작물학회지 Vol.28 No.4

정신간호 수가개발을 위한 간호행위 수행 분석

임숙빈 ( Sook Bin Im ),장화순 ( Wha Soon Chang ),고문희 ( Moon Hee Ko ),박영숙 ( Young Suk Park ),김은경 ( Eun Kyung Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2012 정신간호학회지 Vol.21 No.1

Purpose: Purpose of this research was to identify nursing activities and the time required in the psychiatric ward to provide basic knowledge for development of cost of psychiatric nursing. Methods: In this research ``a list of psychiatric nursing activities`` was used to identify the issues. A list of psychiatric nursing activities was developed by a professional psychiatric nursing panel, and 138 nursing activities in 15 domains were identified. Results: The result of this research showed that the average number of work hours per duty was 515.1 minutes and the average number of minutes per patient per nurse while on duty was 35.7 minutes. Also the results showed that the nurses used the majority of their time in ``Nursing care and information management`` (528.0 minutes/day, 33.6%), followed by ``communication and coordination`` (209.2 minutes, 13.3%), ``safety care`` (185.3 minutes, 11.8%), and ``medication`` (120.9 minutes, 13.3%). Conclusion: The result of this research indicate that the number of nursing staff is insufficient for the performance of necessary therapeutic activities. Nursing practices such as counseling, activity therapy, and psychiatric treatment and specific therapy need to be developed and nursing care fees need to be included in psychiatric nursing fields.

병원 간호사들의 이직 결정 과정

이명선,김원옥,김덕희,고문희,이경숙,김증임 성인간호학회 2003 성인간호학회지 Vol.15 No.4

Purpose: The purpose of the study was to explore how hospital nurses decide to quit working as professional nurses using the grounded theory method. Method: The data was collected by individual in-depth interviews with 12 hospital nurses who recently resigned from work and it was analyzed using 'constant comparative analysis.' Result: The core category that emerged was "in search of new balance with self, work, and family". Three stages were identified: 1) "unconditionally accepting the working situation of itself," 2) "weighing advantages and disadvantages of working as a hospital nurse", and 3) "redesigning a future". Each stage contains three major strategies. The major strategies of the first stage are "maintaining a learning attitude", "enduring physical burnout," and "enduring unfair interpersonal relationships". The second stage contains "identifying advantages of working", "identifying disadvan- tages of working, and "comparing the advantages with the disadvantages". Lastly, the third stage includes "reassessing the aim of life", "beginning to construct an alternative life", and "deciding to quit working at a certain point". Conclusion: The results of the study will help nursing administrators in designing and implementing an effective turnover prevention program for nurses by understanding more deeply the process of turnover phenomenon among hospital nurses.