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부인과적 복강경 수술 후 정맥 자가조절진통법을 사용하는 환자에서 예방적으로 투여한 haloperidol 1 mg이 오심 및 구토에 미치는 영향
문영은,정현도,유건희,문동언 대한마취통증의학회 2010 Anesthesia and pain medicine Vol.5 No.1
Background: Haloperidol, a major tranquilizer similar to droperidol,has been found to have a potent antiemetic effect on postoperative nausea and vomiting (PONV), but the supporting evidence was incomplete, especially in Korea. Therefore we evaluated the prophylactic effect of haloperidol on opioid-based IV patient-controlled analgesia (PCA) related PONV in susceptible patients after gynecological laparoscopic surgery. Methods: Ninety-six adult women scheduled gynecological laparoscopic surgery were enrolled in a randomized, double-blinded and placebo study. Patients received haloperidol 1 mg (Group H) or saline (Group C) 30 min before the end of surgery. Fentanyl-based IV PCA was administered after surgery. The incidences and severity of nausea, vomiting, rescue antiemetic administration, pain,and adverse effects (cardiac arrhythmias and extrapyramidal effects) were assessed for 24 h after surgery. The sedation score was recorded in the post-anesthesia care unit for 2 h. Results: The incidences and severity of nausea and the number of antiemetic administration were significantly lower in Group H than Group C (P < 0.05). But the sedation and pain score were similar. There was no QTc prolongation or extrapyramidal symptom in both groups. Conclusions: Prophylactic haloperidol 1 mg is effective in preventing PONV related to fentanyl-based IV PCA, with less adverse effects, in patients undergoing gynecological laparoscopic surgery.
문영은 한국코칭능력개발원 2024 코칭능력개발지 Vol.26 No.1
본 연구의 목적은 내러티브 연구방법을 활용하여 심리치료 과정에서 여가 경험이 내담자에게 어떠한 이야기로 이어지는지 탐색하는것이다. 연구 참여자 동식(가명)은 40세 남성으로 중증비만(소아비만), 신경증, ADHD, 강박장애, 당뇨병 및 고혈압 환자로 최근 11년간(2012-2023) 심리치료를 받고 있다. 동식이 심리치료 과정에서 레저경험과 관련하여 살아간 이야기의 의미적 구성은 다음과 같다. 첫째, 자기 문제를 자각하고 대인기피증에서 벗어나기, 둘째, 삶의 의미와 방향 그리고 ‘재미'를 찾기, 셋째, 미래의 행복을 추구하기이다. 여가 경험은 분명 사람에게 즐겁고 의미 있는 경험을 유발하지만, 그 경험이 성장과 치료적 개입이 되기 위해서는 계획적이고 목적적이어야 한다. 연구자는 동식의 이야기를 통해 레저경험이 심리치료 과정에서 어떻게 치료적 요인으로 작용하는지 살펴보고, 상담자가 심리치료 분야에서 치료방법으로 레저를 적극적으로 선택하기를 희망한다 The purpose of this study was to explore what kind of story leisure experience leads to the client in the psychotherapy process using narrative research methods. The study participant Dong-sik (pseudonym) is a 40-year-old male, a client with severe obesity (pediatric obesity), neuropathy, ADHD, obsessive-compulsive disorder, diabetes and high blood pressure, and has been undergoing psychotherapy for the past 11 years (2012-2023). The semantic composition of the story that Dong-sik lived in relation to his leisure experience in the psychotherapy process was as follows. First, escaping from interpersonal avoidance, second, finding the meaning and direction of life and 'fun', and third, pursuing design happiness in the future. Leisure experiences certainly provoked a person a pleasant and meaningful experience, but in order for the experience to be an intervention in growth and treatment, it must be planned and purposeful. Through Dong-sik's story, the researcher hope to see how leisure experience acts as a therapeutic factor in the psychotherapy process, and that counselors will actively choose leisure as a treatment method in the field of psychotherapy.
문영은 대한의사협회 2013 대한의사협회지 Vol.56 No.9
Drug abuse by healthcare providers is a serious public problem affecting not only the providers themselves but also their families, colleagues, and patients. It is not a new problem,but the medical community has historically been unwilling to accept and publicly acknowledge the problem, particularly a problem of its own members. Therefore, drug abuse by healthcare providers has either gone unnoticed or has been treated punitively, which has led to high prevalence and mortality. In South Korea, drug-abusing healthcare providers are considered criminals rather than patients. However, many studies have reported that punitive action alone is ineffective. This article describes the treatment principles, prognosis, and possibilities of returning to practice for drug-abusing healthcare providers. Early detection of drug abuse is key to subsequent treatment and prognosis. Furthermore, why relapse prevention as well as treatment is significant and which factors intensify the risk of relapse will be discussed. The use of opioids,coexisting psychiatric illness, and a family history of drug abuse are statistically significant factors. Finally, continuous and close monitoring is effective for relapse prevention, so it is considered another kind of therapy. An organized system for treating drug abuse is currently lacking in South Korea, not only for the general population but also for healthcare providers. In the future, a systematic approach and management by the medical community is necessary to resolve drug abuse by healthcare providers.
쇄골하 중심정맥 삽관 후 발생한 종격동혈종 - 증례 보고 -
문영은 대한마취통증의학회 2008 Anesthesia and pain medicine Vol.3 No.3
Central venous catheterization has been widely used in the anesthetic management. Unfortunately, the use of central venous catheter may be associated with adverse events that are hazardous to patients. We experienced a lethal hemomediastinum following subclavian venous catheterization and we discussed the facts that should be kept in mind to prevent the serious complications.
문영은,양승덕,최지철,김민상,오재광,김현아,김동활,신시옥 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.10
Background and Objectives Sudden deafness, an important disease characterized by abrupt sensorineural hearing loss, is rare in children and the prognosis in children is accepted to be worse than that in adults. However, clinical studies are not sufficient to define the clinical characteristics and prognosis of sudden deafness in children. The author analyzed clinical manifestation of sudden deafness in children and compared the treatment results of children with those of adults. Subjects and Method A retrospective analysis was performed in 25 patients (29 ears) who were treated for sudden deafness from January 1993 to May 2008. Results 1) The overall hearing recovery rate (79%) was significantly higher in adults (53.7%). The prognosis in children less than 10 years old (73%) was also higher than that in adults. 2) The rate of complete recovery (61%) was higher in children than in adults (38.5%). Conclusion The sudden deafness in children has unique clinical characteristics and the recovery rate is more favorable than in adults.