체중을 이용한 신생아 체표면적 측정공식 개발

안영미(Young-Mee Ahn) 한국생활환경학회 2010 한국생활환경학회지 Vol.17 No.1

While the direct measurement of body surface area (BSA) is impractical, there is an urgent need for the accurate BSA estimation in neonates considering increasing of high-risk infants. Particularly, it would be feasible to have a BSA equation using only weight of neonate, considering the body posture and inconvenience of measuring height of neonates. A research was conducted to develop BSA equation using weight of 5014 neonates including very-low-birth weight infants. BSA of subjects was calculated using existing BSA equations, from which Mean-BSA was arithmetically derived as a true BSA. Multiple-regression was performed to generate the equation for Mean-BSA with the best goodness-of-fitness of weight and height using Excel and SPSS 16.0. Then the final BSA equation with weight of neonates (Ahn-BSA) was formulated using the relationship between weight and height. Ahn-BSA equation was as follows: Ahn-BSA = 10.8 ×W<SUP>0.6539</SUP>. The validity of Neo-BSA was examined using 3-D scanning of neonate-simulator and paired t-test between Mean-BSA and Ahn-BSA. Ahn-BSA, using only body weight, could provide an accurate measurement of BSA in neonates from very low birth weight to normal weight. It would accelerate understanding the body of knowledge and serve as a base for accurate application of various interventions in BSA practice for neonates.

신생아의 성숙도 평정에 의한 재태기간 사정

안영미,구현영,Ahn Young Mee,Koo Hyun Young 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.1

Newborn period is a transitional stage for independent adaptation from intrauterine to extrauterine life by maintaining respiration, temperature and nutrition. In general, the adaptability of the newborn is proportional to the gestational age(GA), so knowing the accurate GA is critical to develop nursing process in the newborn nursery. A newborn ma turity rating, a Ballard examination, has been used to measure GA by assessing the maturity of new-born. It consists a total of 12 items, which is the 6 items for the neuromuscular maturity and the 6 items for the physical maturity A total of 75 new-born were assessed for the maturity and GA using the Ballard examination. The results are follows : 1) The score of each item of Ballard examination is propotional to GA using the Ballard examination as well as LMP. 2) There was a greater positive relationship between neuromuscular, physical and total maturity, and the GA measured by Ballard examination, than the GA measured by LMP. 3) Any stressful environment to the newborn could influence to the maturity of newborn. In summary, the study showed the Ballard examination Is more reliable and clincially feasible method to measure the accurate G4 compared to the GA by LMP. Therefore, it suggests the application of Ballard examination to measure the new born maturity and GA is beneficial in developing nursing process. The expansion of the study with the variety of the subject characteristics nil on hance the clinical applicability of the examination.

미숙아의 기관지흡인 전 흉곽진동 간호중재가 산소포화도, 심박동수와 기도분비물의 양에 미치는 영향

안영미,Ahn Young Mee 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2

Prematurity is the main cause for respiratory disorders in neonates. The goal in respiratory management is to maintain respiration with adequate oxygenation. Chest vibration(CV) prior to on dotracheal suctioning(ETS) has been arbitrarily applied to ventilated premature infants without the scientific evaluation of its safety and efficacy. A repeated measure within subjects experimental study was conducted to investigate the effects of CV prior to 875 on oxygenation and lung secretions in twenty-one ventilated premature infants. The independent variable was the type of research protocol, the control type (275 without C.V) and t he intervention(ETS with CV). The dependent variables were oxygen saturation(SpO₂), heart rate (HR), measured by pulse oximeter, and the amount of lung secretions measured in gram. The results showed there was no difference in SpO₂ responses regardless CV employed before ETS. But there was a significant difference in HR responses between the control and the intervention, even without clinical significance. There was a significant difference in the amount of lung secretions retrieved during ETS with CV, compared to ETS without CV. This study suggested the safety of CV by demonstrating no clinically significant changes in SpO₂ and HR in premature infants. The efficacy of CV could be supported by the increases in the amount of sputum during ETS with CV compared to ETS without CV in premature infants.

사시수술 후 소아환자가 느끼는 통증의 측정

안영미(Young Mee Ahn),백혜정(Hae Jung Paik) 대한안과학회 2000 대한안과학회지 Vol.41 No.4

Indomethacin coprecipitate 조제를 위한 combined water soluble carrier 의 영향

안영미 ( Young Mee Ahn ),구영순 ( Young Soon Ku ) 한국약제학회 1984 Journal of Pharmaceutical Investigation Vol.14 No.1

N/A

초등학생의 신체형태와 체표면적

안영미(Young-Mee Ahn),최선하(Sun-Ha Choi) 한국생활환경학회 2008 한국생활환경학회지 Vol.15 No.4-1

The body shape and body surface area(BSA) is a basic physiologic anthropometry of interest in children in growing process. This study was proposed to explore the body shape using a Broca index and body surface area(BSA) using a Boyd-, Dubois-, and Mosteller-formulas, then explore the relationship between body shape and BSA in 2197 4<SUP>th</SUP>-6<SUP>th</SUP> schoolers. The results revealed, surprisingly, only 42% belonged to the average shape while rest of them were either under average(36.4%) or over average(21.6%). The extreme pattern of either very skinny or severely obese was observed in 22%. It may be accounted for by deviated favor towards skinny body shape due to fast modernization and the nutritional imbalance due to prevail availability of junk food and rather than the lack of nutrition in children. As well, the validity of three BSA formulas was supported in schoolers with average shape. However, wide variation in BSA estimation was observed in cases of skinny or obese schoolers particularly using Boyd- or Dubois-formulas while the Mosteller one showed a minimum variation across body shapes. Careful caution is needed in application BSA formula to children of various physical shapes such as skinny or obese. As well the classification of body shape including skinny, average or obese shape, needs to be understood in terms of growth process of children and the evolutionary adapted ness to environments in those population.

학령기아동의 체형 별 비만지표 비교

최선하(Sun-Ha Choi),안영미(Young-Mee Ahn),이상미(Sang-Mee Lee) 한국생활환경학회 2009 한국생활환경학회지 Vol.16 No.6

There is a need to explore the body shape of children, a basic physiologic anthropometry, in growing process. This study investigated the body shape of 2,197 children using three methods for body shape; K-Obesity index, Body Mass Index (BMI), and Rohrer index. Results revealed, first, the inconsistency in classifying body shapes (5 types from very skinny to obese) by the methods for body shape. Rohrer index showed the largest values in both weight and height for skinny and average body shape, than other two indexes. However for overweight and/or obese children, K-Obesity index showed the largest values of weight and height. Secondly, strong relationship between BMI and Rohrer index was observed across all types of body shapes, while positive relationship for overweight and obese types between K-Obesity index and BMI, and negative relationship for very skinny types and positive relationship for average and more obese types between K-Obesity index and Rohrer index. Finally, the strongest correlation was observed between K-Obesity index and weight, while negative relationship between Rohrer index and height. Careful caution is needed in classifying the body shapes using existing index, particularly in identifying overweight and obese children.

남녀 대학생의 생활환경과 건강행태 및 삶의 질 간의 관계

최선하(Choi Sun-Ha),안영미(Ahn Young-Mee),임미영(Im Mi-Yeong) 한국생활환경학회 2016 한국생활환경학회지 Vol.23 No.1

The living environment, health behavior and quality of life (QOL) were compared between 321 male and 342 female Korean college students. The life-environment consisted of the biological aspects (gender, age, body mass index, sleeping duration, perceived physical types and health status), the habitat environment (resident types and cohabit members) and social environment such as eligibility of medical care. The results showed that there were gender differences in various aspects of life-environment; particularly, the association of life-environment to health patterns and QOL seemed to be complicated in females, indicating that enhancing self-empowerment skill may be more effective strategy of health management in females, rather a single solid intervention compared to male students.

입원 신생아에 있어 환경 온·습도에 따른 체온변이

이상미(Sang-Mi Lee),이은영(Eun-Young Lee),강애리(Ae-Ri Kang),안영미(Young-Mee Ahn) 한국생활환경학회 2012 한국생활환경학회지 Vol.19 No.6

A cross sectional explorative study was conducted to invest the relationship between the temperature and humidity of the environment that newborns were l℃ated at and the central and peripheral body temperatures of newborns in hospitalized newborns using a primary dataset on 199 high-risk infants. Data was collected on the temperature (℃) and humidity (%) of the environments (incubator, radiant warmer and room), the temperatures (℃) from the central part (right upper quadrant of abdominal surface) and the peripheral part (dorsal surface of hand) of newborns. As well the weight and length was deducted from main dataset with general characteristics of newborns. The result showed that all of newborn revealed the peripheral hypothermia regardless of 88% of them in normothermia, 9% in hypothermia and 3% in hyperthermia. The low humidity of the environment, rather than the low environmental temperature of either incubator or radiant warmer, was mainly responsible for the massive peripheral hypothermia. Proper environmental humidity should be provided to maintain the normothermia of entire body system in high-risk newborns at NICU.

학령기 아동의 가족환경 건강문제 및 건강위험행위 간의 관계

최선하(Sun-Ha Choi),손민(Min Sohn),안영미(Young-Mee Ahn) 한국생활환경학회 2011 한국생활환경학회지 Vol.18 No.5

This is a cross sectional descriptive study to explore family environment (family structure and family function) health problems and health risk behaviors and to determine the relationships among them in school aged children. A structured questionnaire was used to collect the data from children in four elementary schools and their parents. The data of 1,882 children and same number of their parents were included in data analysis. The majority of their family type was a nuclear family (79.7%); 71% of fathers and 28% of mothers were regularly employed; parents were well educated; and the average number of householder was four. Their mean Family APGAR score was 7.4 (±2.04) which refers highly functional families. In children 32% had any kind of health problems and the most common health problem was atophy/allergy (15.7%). Their most common health risk behavior was alcohol drinking (42%) followed by being attacked with sexual verbalism (32.2%). Being highly functional family was associated with a nuclear family (F=5.750 p<.001) having regularly employed fathers (F=54.306 p<.001) not employed mothers (F=13.191 p<.001) well educated parents (father F=55.970 p<.001; mother F=55.103 p<.001) and absence of children's health problems (t= 7.753 p=.005). Trying health risk behaviors seems associated with lower Family APGAR score but the results were not statistically significant. In conclusion family environment health problems and health risk behaviors in school age children were all associated with each other. It is highly recommended to consider family environment to assess and intervene health problems and health risk behaviors in school age children.