http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
IgA 신증 환자에서 valaciclovir 복용 중 발생한 급성 신부전
김정선 ( Jeong Seon Kim ),김혜원 ( Hye Won Kim ),이재원 ( Jae Won Lee ),최혜민 ( Hye Min Choi ),박상원 ( Sang Won Park ),이영모 ( Young Mo Lee ),이지은 ( Ji Eun Lee ),권영주 ( Young Joo Kwon ),표희정 ( Heui Jung Pyo ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.2
Valaciclovir is L-valyl ester of acyclovir which has the antiviral effect against herpes zoster virus and Cytomegalovirus. Its adverse effects were reported as nephrotoxicity and neurotoxicity. Although the mechanism of nephrotoxicity of valaciclovir is indeterminate, several hypotheses such as obstructive uropathy and interstitial nephritis have been suggested. We experienced a 54-year-old female patient with IgA nephropathy who developed acute renal failure after taking valaciclovir. She did not develop either central neuropathy or respiratory muscle weakness. The serum creatinine was normalized after 6 days by withdrawal of valaciclovir and hydration. When we use valaciclovir in the elderly or patients with preexisting renal disease, we should monitor the renal function carefully.
김정선(Jung Seon Kim),박영덕(Young Duk Park),윤덕빈(Duk Bin Yoon),배성민(Sung Min Bae) 한국소음진동공학회 2015 한국소음진동공학회 학술대회논문집 Vol.2015 No.4
In this paper, we present the hitting noise generation mechanism of discharge valve on swash-plate type compressor. Also we found primary parameters which affect the hitting noise of discharge valve. Main factors of operating noise were identified by both FEA of internal component and acoustic cavity resonance of discharge chamber as well as experimental validation. According to this study, operating noise of swash-plate type compressor could be improved obviously by optimal design of discharge valve system and the hardness of disc rubber. Finally, based on this study, we could reduce clearly operating noise of compressor and hitting noise mechanism of swash-plate type compressor was studied.
PET/CT 검사에서 동영상 홍보물을 통한 의료서비스 향상에 관한 연구
김우현,김정선,고현수,성지혜,이정은,Kim, Woo Hyun,Kim, Jung Seon,Ko, Hyun Soo,Sung, Ji Hye,Lee, Jeoung Eun 대한핵의학기술학회 2013 핵의학 기술 Vol.17 No.1
의료서비스의 만족도를 향상시키기 위한 방안으로 체감 대기시간 단축과 정확한 의료정보 제공, 검사의 정확도 등이 긍정적인 반응을 보여주고 있다. 이와 같은 방안에 동영상 홍보물이 유용성이 있는지 평가하였으며, 휴대용 DVD플레이어를 구입하여 검사 전 개인적으로 동영상을 시청하도록 한 방법이 서비스 만족도 향상에 도움이 되는 것으로 조사되었다. 체감대기시간 단축에 의한 만족도 향상은 예약시간보다 지연 되는 경우 보다 효과적이며, 현재 제공되고 있는 동영상의 활용도 향상을 위한 홍보를 적극적으로 시행한다면 정확한 의료정보 제공에 의한 만족도 역시 향상될 것이다. 방사성의약품 투여 후 표준섭취시간을 초과하는 시간대 중 가장 많은 부분을 차지하는 1~~3분대를 최소화하기 위해 약 7분 정도의 홍보 동영상을 제공한 결과 미준수 건수가 2.3% 감소하였으며, 이는 정확한 검사를 제공하여 고객의 만족도를 높일 수 있다. 향후 동영상 제공에 대한 홍보를 적극적으로 시행하고 검사 전 개별적으로 동영상을 시청할 수 있도록 휴대용 DVD 플레이어를 제공할 수 있는 구조적인 시스템이 갖춰진다면 의료서비스에 의한 고객 만족도 향상에 기여하리라 생각된다. Purpose: One of the current services, providing information to the patients and their guardians by using promotion materials induces positive responses and contributes to the improvement of the hospital reliability. Therefore, the objective of this study is to evaluate the effectiveness of audio visual materials, one of the means of promotion, as a way to give accurate medical information to resolve patient's curiosity about purpose and procedure of their examination and deplete complains about waiting which attributes negative effect to service quality assessment. Materials and Methods: 60 patients(mean age $53.97{\pm}12.24$, male : female = 26 : 34) who had $^{18}F-FDG PET/CT$ scan from July 2012 to August 2012 in Seoul Asan Medical Center were referred to the study. All of the patients having PET/CT scan were asked to watch an informative video material before the injection of radiopharmaceutical ($^{18}F-FDG$) and to fill in a questionnaire. Results: As a result of analyzing the contents of questionnaire, 52% of 60 patients had PET/CT scan for the first time and 72.4% of the patients read the PET/CT guidebook offered from their outpatient department or inpatient wards before their scan. After we searched the level of previous knowledge of the purpose and method of PET/CT scan, the patients answered 25.1% "know well", 34% "not sure", 40.9% "don't know" respectively. And 84.7% of the patients answered that watching the PET/CT guide video before the injection helps understanding what exam they were having and 15.3% of the patients did not. For the question asking ever the patients have experienced using our homepage or smart phone QR code to see the guide video before they visit out PET center, only 3.3% of them answered "yes". Lastly, the patients answered 60.1% "yes", 31.4% "so so" and 8.5% "no" respectively for the question asking whether watching the video makes the patients to fill the waiting time short. Conclusion: It is found that understanding of objective and method of the PET/CT scan and level of satisfaction was improved after the patients watched the guide video whether they had PET/CT scan before and read the PET/CT guidebook or not. Also, watching the video was effective for the reduction of perceptible waiting time. But while displaying the PET/CT guide video is useful for providing information about the scan and shortening the waiting time as one of the medical service, utilization of service was actually very poor because of the passive promotion and indifference of the patients about their examination. Therefore, from now on, it is necessary to construct the healthcare system which can be offered to more patients through the active promotion.
장결핵의 진단을 위한 대장내시경 생검과 장외결핵의 유용성
이윤정 ( Yun Jung Lee ),양석균 ( Suk Kyun Yang ),명승재 ( Seung Jae Myung ),변정식 ( Jeong Sik Byeon ),박일권 ( Il Gwon Park ),김정선 ( Jung Sun Kim ),이진혁 ( Gin Hyug Lee ),정훈용 ( Hwoon Yong Jung ),홍원선 ( Weon Seon Hong ) 대한소화기학회 2004 대한소화기학회지 Vol.44 No.3
Background/Aims: Intestinal tuberculosis can be difficult to diagnose because it may mimic many other intestinal diseases. The aim of this study was to evaluate the diagnostic yield of colonoscopic biopsy and frequency of concomittent extra-intestinal tub
조정애(Cho, Jung-Ae),김정선(Kim, Jeong-Seon) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.4
본 연구의 목적은 간호대학생들의 학과만족도 향상을 위한 재학생들의 교육프로그램 개발 및 학교 적응프로그램 개발을 위한 기초자료를 제공하고자 시도되었다. 연구대상자는 B·U 시 소재 4개 간호대학에 재학 중인 학생 235명으로, 자아 탄력성, 간호전문직관, 학과만족 정도를 설문지로 측정하였다. 자료수집기간은 2015년 10월 16일부터 11월 25까지이었다. 수집된 자료는 Spss 18.0을 이용하여 t-test, ANOVA로 분석하였으며, 사후검정은 Scheffé test, Pearson's correlation coefficient, Stepwise multiple regression을 실시하였다. 연구 결과, 간호학생의 학과 만족도에 미치는 영향을 파악한 결과 전체적 영향 요인은 25.3%였으며, 가장 높은 관련요인은 간호전문직관으로 19.9%로 가장 설명력이 높았다. 그 다음으로 자아탄력성을 추가하였을 때 24.4%, 교우관계를 추가 하였을 때 25.3%의 설명력을 나타났다. 본 연구의 결과를 토대로 학과만족도를 높이 기 위해서는 간호전문직관을 향상 시킬 수 있는 교육전략을 개발하여 적용하는 것이 필요하다고 제언한다. The purpose of this study was to provide basic information for the development of an educational program and a school adaptation program both of which aim to improve the nursing college students' satisfaction with their department. The participants were 235 nursing students at four different colleges located in B·U City. A questionnaire survey was conducted on those students to determine their ego-resiliency, view of the nursing profession, and satisfaction with the nursing department. The data were collected from October 16th to November 25th, 2015. The collected data were analyzed using a t-test and ANOVA in accordance with SPSS 18.0. A post-test was then conducted through a Scheff? test, Pearson's correlation coefficient, and the stepwise multiple regression. These findings can be summarized as follows. All factors affecting nursing the students' satisfaction with their department had an explanatory power of 25.3%. Of those factors, the view of the nursing profession was highest in the explanatory power, or 19.9%. That power increased to 24.4% when ego-resiliency was added as another factor. This also increased to 25.3% when peer relations were added. Based on the study results, this study suggests that it is necessary to develop and apply an educational strategy to improve the nursing profession for the nursing department
김현수,서일복,박세근,김정선,서정철,최선미,구성태,김이화,Kim, Hyun-Soo,Seo, Il-Bok,Park, Se-Keun,Kim, Jeong-Seon,Seo, Jung-Chul,Choi, Sun-Mi,Koo, Sung-Tae,Kim, Ee-Hwa Society for Meridian and Acupoint 2006 Korean Journal of Acupuncture Vol.23 No.1
목적 :본 연구는 collagenase로 유도된 흰쥐의 골관절염 모델에서 진범약침자극이 흰쥐 dorsolateral periaqueductal gray (DL-PAG)에서 NOS 및 nNOS 발현에 미치는 영향을 관찰하였다. 방법 : 흰쥐의 관절강내로 collagenase 용액을 주사하여 골관절염 모델을 만들고 정상군, 대조군 및 진범약침군으로 실험군을 분류한 후, nNOS(neuronal NOS)와 NOS에 대하여 미치는 영향을 nNOS immunohistochemistry와 nicotinamide adenine dinucleotide phosphate-diaphorase(NADPH-d) 검사법을 통하여 조사하였다. 결과 : 골관절염이 유발된 흰쥐의 DL-PAG 영역에서 nNOS와 NOS의 발현억제가 관찰되었으며, 진범약침군이 collagenase로 유도된 골관절염에서 감소된 nNOS와 NOS의 발현이 증가되었다. 결론 : 본 연구를 통하여 진범약침자극은 골관절염이 유발된 흰쥐의 DL-PAG에서의 nNOS와 NOS의발현에 영향을 미친다는 결과를 얻을 수 있었다.