소아 요로 감염증 환아의 항생제 치료 48시간 후 반복적 요 배양 검사의 임상적 유용성

박경희,염정숙,박지숙,박은실,서지현,임재영,박찬후,윤희상,Park, Kyung-Hee,Yeom, Jung-Suk,Park, Ji-Suk,Park, Eun-Sil,Seo, Ji-Hyun,Lim, Jae-Young,Park, Chan-Hoo,Youn, Hee-Shang 대한소아신장학회 2009 Childhood kidney diseases Vol.13 No.1

목 적 : 요로 감염증 환아를 요로계 기형이 있는 요로 감염군과 이러한 기형이 없는 요로 감염군으로 나누어 반복 요 배양검사에서 균의 재배양 양성율을 비교하여 반복 요 배양 검사의 임상적 유용성에 대해 알아보고자 하였다. 방 법 : 1998년 1월 1일부터 2008년 8월 1일까지 경상대학교병원에 내원하여 발열 또는 요로감염의 전형적인 임상양상을 보이고 농뇨가 있으면서 소변배양 검사에서 균이 $10^5$ colony-forming units (CFU)/mL개 이상 자란 요로 감염 환아 369명을 대상으로 2일 후에 다시 요 배양검사를 시행하였다. 요로기형이 없는 요로 감염군과 요로기형(방광요관역류, 수신증)을 동반하는 요로 감염군으로 나누어 각각의 군의 성비, 나이, 재배양 양성율을 통계적으로 분석하였다. 통계량 분석은 Students t-test와 Fishers exact test를 사용하였고 SPSS 14.0 버전을 사용하여 P값이 0.05미만인 경우에 통계적으로 유의한 것으로 평가하였다. 결 과 : 요로 기형이 없는 요로 감염군의 성비는 M:F=1.9:1 (183/96)이었고 요로 기형을 동반하는 요로 감염군의 성비는 M:F=3.5:1 (70/20)으로 요로 기형이 있는 요로 감염군에서 통계적으로 유의하게 남자가 많았다(P=0.019). 나이는 요로 기형이 없는 요로 감염군이 $0.82{\pm}1.83$세이고 요로 기형이 있는 요로 감염군이 $1.18{\pm}2.57$세로 통계적으로 차이가 없었다. 재배양 양성율은 정상요로를 가진 요로 감염군이 3/279 (1.1%)이고 요로 기형이 있는 요로 감염군이 1/90 (1.1%)으로 통계적으로 차이가 없었다. 결 론 : 정상 요로를 가진 요로 감염군과 요로 기형이 있는 요로 감염군에서의 균의 재배양 양성율은 통계적으로 차이가 없을 뿐만 아니라 재배양 양성율 자체의 빈도도 매우 드물었다. 따라서 반복 요 배양 검사 결과를 치료의 성공 지표로 삼는 것은 임상적 유용성이 부족하며, 정상 요로를 가진 요로 감염군과 요로 기형이 있는 요로 감염군 모두에서 반복 요 배양 검사는 불필요한 검사라고 생각된다. Purpose : We aimed to compare the frequency of positive repeat urine cultures 48 hours after antimicrobial treatment between anatomically normal and abnormal urinary tract Infection (UTI) groups to determine the potential clinical usefulness of the tests. Methods : We reviewed medical records of 930 patients under age 14, who had been admitted for UTI at Gyeongsang National University Hospital from January 1, 1998 to August 1, 2008. The eligible patients were divided into two groups the anatomically normal UTI group and the anatomically abnormal UTI group. Statistical analyses were performed with variables consisting of the sex ratio, age distribution and the frequency of positive repeat urine cultures of each group. Results : The sex ratio of the anatomically normal UTI group was M:F=1.9:1, whereas that of the anatomically abnormal UTI group was M:F=3.5:1 (P=0.019). For age distribution, it was found that the mean age of the anatomically normal UTI group was $0.82{\pm}1.83$ years, whereas that of the anatomically abnormal UTI group was $1.18{\pm}2.57$ years (P=0.113). The frequency of positive repeat urine cultures in the anatomically normal UTI group was 3/279 (1.1%), whereas that of the anatomically abnormal UTI group was 1/90 (1.1%) (P=0.675). Conclusion : We conclude that performing a repeat urine culture is not justified in terms of clinical usefulness, and it is unreasonable to use the results as an index of therapeutic success. A follow-up urine culture is unnecessary in patients with both the anatomically normal and abnormal UTI group.

2단계 욕창 치유에 영향을 주는 요인 분석

박경희,김금순,Park, Kyung-Hee,Kim, Keum-Soon 한국중환자간호학회 2010 중환자간호학회지 Vol.3 No.2

Purpose: This study was designed to identify the factors affecting healing of Stage 2 pressure ulcer in an acute care facility in Korea. Methods: 286 Stage 2 pressure ulcers of 145 patients were examined. Data were collected in the period between October $1^{st}$, 2006 and September $30^{th}$, 2007. Data were analyzed with Kaplan-Meier survival analysis for cumulative recovery rate of Stage 2 pressure ulcers. Cox proportional hazard model was used to examine effects of multiple variables simultaneously. Results: Out of 286 initial Stage 2 pressure ulcers, 204 (71.3%) pressure ulcers healed completely. The median time to heal was 15 days according to Kaplan-Meier survival analysis. Cox proportional hazard model showed that the Stage 2 pressure ulcers healed more quickly when pressure redistribution surfaces were used (p<.001, HR=2.184), patients were administered with vitamins (p= .038, HR=1.451), and the size of the pressure ulcers were small (${\leq}3.0cm^2$, p= .006, HR=1.765). Conclusion: The factors contributing to the healing of Stage 2 pressure ulcer in an acute care setting were the application of pressure redistribution surface, small ulcer size (${\leq}3.0cm^2$), and the administration of vitamins.

MOCVD로 제조한 SnO₂ 박막의 표면반응 특성

박경희,서용진,홍광준,이우선,박진성,Park, Kyung-Hee,Seo, Yong-Jin,Hong, Kwang-Jun,Lee, Woo-Sun,Park, Jin-Seong 한국재료학회 2003 한국재료학회지 Vol.13 No.5

Tin dioxide($_SnO2$) thin films were deposited on alumina substrate by metal-organic chemical vapor deposition (MOCVD) as a function of temperature and time. Thin films were fabricated from di-n-butyltin diacetate as a precursor and oxygen as an oxidation. The microstructure of deposited films was characterized by X-ray diffraction and field emission scanning electron microscopy(FE-SEM). The thickness was linearly increased with deposition time and $SnO_2$structure was found from $375^{\circ}C$ for the deposition time of 32 min. The maximum sensitivity to 500ppm CO gas was observed for the specimens deposited at $375^{\circ}C$ for 2 min at the operating temperature of $350^{\circ}C$. Gas sensitivity to CO increased with decreasing the film thickness. The sensing properties of response time, recovery and sensitivity of CO were changed with variations of substrate temperature and time.

열처리에 따른 SnO₂ 박막의 표면형상

박경희,류현욱,서용진,이우선,홍광준,박진성,Park, Kyung-Hee,Ryu, Hyun-Wook,Seo, Yong-Jin,Lee, Woo-Sun,Hong, Kwang-Jun,Park, Jin-Seong 한국재료학회 2003 한국재료학회지 Vol.13 No.7

Tin dioxide ($SnO _2$) thin films were deposited at $375^{\circ}C$ on alumina substrate by metal-organic chemical vapor deposition. A few hillocks like a cauliflower were observed and the number of hillock on thin film surface increased with annealing temperature in air atmosphere. The oxygen content and the binding energy during air annealing at$ 500^{\circ}C$ came to close the stoichiometric $SnO_2$. The cauliflower hillocks seem to be the result of the continuous migration of the tiny grains to release the stress of an expanded grain. Sensitivity of CO gas depended on annealing temperature and increased with increasing annealing temperature.

방송 메시지 전달 속도의 통시적 비교에 관한 연구: 라디오뉴스 전달 속도 분석을 중심으로

박경희,Park, Kyung-Hee 대한음성학회 2007 말소리 Vol.64 No.-

The purpose of this paper is to examine the change of the times on the transmission rate of broadcast message. In order to find out the research results, I collected past recorded news tapes and selected 22 radio news out from era of Japanese Imperialism, 1950's, 1960's and contemporary age. Next I measured each announcer's reading rate, and compared change on news-reading rate between present and past approximately 50 years ago. The results of study with such procedures and methods are as follows : the average reporting rate of newscasters in each era is different. From these results, we can easily grasp diachronic change in the transmission rate of broadcast message. Namely, the results show us that present announcers read news faster than the group of past era of Japanese Imperialism by 68%.

서비스품질이 고객만족에 미치는 영향에 관한 연구 -피부미용실을 중심으로-

박경희 ( Kyung Hee Park ),이은아 ( Eun Ah Lee ),한채정 ( Chae Jung Han ),한필구 ( Pil Koo Han ) 한국미용학회 2008 한국미용학회지 Vol.14 No.2

Lately in Korea, due to the increase in economic and cultural standards of living, personal desire is becoming increasingly diverse, and as the interest in the quality of living is growing, the desire to pursuit beauty is increasing. Yet the beauty industry in Korea is changing too slowly compared to other industries, due to the characteristics of the beauty industry. It relies too much on human resources such as technician`s skill or know-how. A well structured management system or marketing plan is lacking so that the past management system is still in use and there are not enough related researches in this area. The purpose of this research is to find out the influence of service quality on customer satisfaction. Especially during the well-being era, people pay more attention to health. This research is to find out ways the impact of service quality have on customer satisfaction. The target is skin care customers who value health and beauty. As a result of examining the hypothesis, both hypotheses, the professionalism in service quality and the image of the store which affects customer satisfaction, were appropriate. From the customer`s point of view, as the standards of professional skills and other related skills are higher, customer reliability will increase, and when a customer chooses and evaluates a store, he or she will do so based on other people`s advice, ads or the atmosphere of the store.

지역 중·고등학교 태권도 선수들의 체조성 및 체형 특성

박경희(Kyung Hee Park),이영길(Young Gil Lee),김기학(Ki Hack Kim),유명종(Myoung Jong Yoo) 한국발육발달학회 2003 한국발육발달학회지 Vol.11 No.1

국내에서 발생한 열성 질환 환자의 라임병균, Borrelia burgdorferi에 대한 혈청학적 및 항원학적 분석

박경희(Kyung-Hee Park),이승현(Seung-Hyun Lee),장원종(Won-Jong Jang),김상만(Sang-Mahn Kim),장우현(Woo-Hyun Chang) 大韓微生物學會 1993 大韓微生物學會誌 Vol.28 No.5

항암화학요법을 받는 유방암 수술환자를 위한 자기효능증진 프로그램의 개발과 효과

박경희(Park, Kyung Hee),태영숙(Tae, Young Sook) 고신대학교 전인간호과학연구소 2016 전인간호과학학술지 Vol.9 No.-

Purpose : The purpose of this research was to develop of self-efficacy promoting program for self-management of chemotherapy in breast cancer patients receiving and identify the effects of this program on patient`s self-efficacy, self-care behavior and quality of life. The theoretical framework was derived from Bandura`s Self-Efficacy theory. Methods : The research design was non-equal, comparative pre and post expermental design with convenient sampling method was utilized. 45 chemotherapy in breast cancer patients receiving agree to participate in this study and were divided into two group, experimental (22) and control (23). This study was conducted from February 26 to september 27, 2014. The collected data were analyzed by χ²-test and Fisher`s exact test, t-test and ANCOVA using SPSS/Win 18.0 program. Result : The experimental group had been significantly greater the increase in the level of self-efficacy(F=5.30, p=.009), self-care behavior(F=3.96, p=.027), quality of life in overall health(F=4.94, p=.012) and had been no significant difference in the increase in the level of quality of life in functional(F=0.21, p=.809), quality of life in symtoms(F=0.03, p=.966) than control group. Conclusion : The self-efficacy promoting program in breast cancer patients receiving chemotherapy was effective in increasing patient`s degree of self-efficacy, self-care behavior and quality of life in overall health. This experimental study validates the effectiveness of the theory Bandura, this program can also be found useful for any other cancer patients, for clinical practice and for home care.

신생아 시기에 전형적인 특징을 보인 Galloway-Mowat syndrome 1례

박경희 ( Kyung Hee Park ),임영경 ( Ryoung Kyoung Lim ),김아영 ( Ah Young Kim ),김성현 ( Seong Heon Kim ),손승국 ( Seung Kook Son ),이윤진 ( Yun Jin Lee ),변신연 ( Shin Yun Byun ) 대한주산의학회 2015 Perinatology Vol.26 No.1

Galloway-Mowat syndrome은 태내 성장지연, 조기발현 신증후군, 소두증이나 뇌이랑 병변과 같은 신경계 이상, 식도열공 탈장을 보이는 증후군으로 현재는 식도열공 탈장이 진단에 필수 요건이 아니지만 이전에는 신증후군, 신경계 이상, 식도열공 탈장을 clinical triad 라고 명명하였다. 상염생체 열성으로 유전되는 것으로 알려져 있으며 신증후군의 발현시기는 대부분 3세이전으로 신조직검사 소견상 미만성 메산지움 경화증을 비롯하여 다양한 소견을 보인다. 현재까지 국내에는 두 개의 증례가 보고되었는데 이들은 모두 신생아기에 clinical triad를 나타내지 않은 증례들이다. 이에 저자들은 신생아기에 신증후군, 신경계 이상(lissencephaly), 식도열공 탈장의 clinical triad를 모두 보인 증례를 경험하였기에 보고하는 바이다. Galloway-Mowat syndrome (GMS) is a rare autosomal recessive disorder comprising of early-onset nephrotic syndrome and central nervous system involvement including microcephaly, seizure and developmental delay. Although hiatal hernia is no longer considered essential findings for diagnosis, clinical triad of GMS included nephrotic syndrome, neurological manifestations, and hiatal hernia in the original description. We experienced a case of newborn with GMS presenting these clinical triad in neonatal period. A male infant weighing 2,250 g was born at gestational week 39+3 by cesarean section. The patient revealed mild dysmorphic facial features and microcephaly. On day 7, Nissen fundoplication was done because of hiatal hernia with gastric volvulus. At the age of 2 weeks he developed nephrotic syndrome with proteinuria and hypoalubuminemia. This is the first case of GMS that three classic findings were present in neonatal period in Korea.