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      • KCI등재

        Critical Illness-Related Corticosteroid Insufficiency in Patients with Low Cardiac Output Syndrome after Cardiac Surgery

        옥유정,임주영,정성호 대한흉부외과학회 2018 Journal of Chest Surgery (J Chest Surg) Vol.51 No.2

        Background: Low cardiac output syndrome (LCOS) after cardiac surgery usually requires inotropes. In this setting, critical illness-related corticosteroid insufficiency (CIRCI) may develop. We aimed to investigate the clinical features of CIRCI in the presence of LCOS and to assess the efficacy of steroid treatment. Methods: We reviewed 28 patients who underwent a rapid adrenocorticotropic hormone (ACTH) test due to the suspicion of CIRCI between February 2010 and September 2014. CIRCI was diagnosed by a change in serum cortisol of <9 μg/dL after the ACTH test or a random cortisol level of <10 μg/dL. Results: Twenty of the 28 patients met the diagnostic criteria. The patients with CIRCI showed higher Sequential Organ Failure Assessment (SOFA) scores than those without CIRCI (16.1±2.3 vs. 11.4±3.5, p=0.001). Six of the patients with CIRCI (30%) received glucocorticoids. With an average elevation of the mean blood pressure by 22.2±8.7 mm Hg after steroid therapy, the duration of inotropic support was shorter in the steroid group than in the non-steroid group (14.1±2.3 days versus 30±22.8 days, p=0.001). Three infections (15%) developed in the non-steroid group, but this was not a significant between-group difference. Conclusion: CIRCI should be suspected in patients with LCOS after cardiac surgery, especially in patients with a high SOFA score. Glucocorticoid replacement therapy may be considered to reduce the use of inotropes without posing an additional risk of infection.

      • KCI등재

        Surgical Reconstruction for High-Output Chylothorax Associated with Thrombo-Occlusion of Superior Vena Cava and Left Innominate vein in a Neonate

        옥유정,김영휘,박천수 대한흉부외과학회 2018 Journal of Chest Surgery (J Chest Surg) Vol.51 No.3

        We report a case of high-output chylothorax associated with thrombo-occlusion of the superior vena cava (SVC) and left innominate vein (LIV) following an arterial switch operation in a neonate. The chylothorax was resolved by 3 weeks after surgical reconstruction of the SVC and LIV using fresh autologous pericardium. We confirmed the patency of the SVC and LIV with a 1-year follow-up computed tomographic scan at our outpatient clinic.

      • KCI등재

        인터넷 커뮤니티가 고혈압 근로자의 지식, 자기효능감, 자가간호행위에 미치는 효과

        유정,조영복 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.8

        Purpose: This study was aimed to evaluate the effect of an internet community on knowledge, self-efficacy, and self-care behavior in workers with hypertension. Method: The research design used was a nonequivalent control group pre-test and post-test design. Sixty hypertensive workers participated in this study(Exp.=29, Cont.=31). The data was collected from the 3rd of November 2003 to the 27th of February 2004 using an interview with questionnaires. Information related to hypertension was provided on the internet community weekly and an e-mail newsletter was sent in order to increase participation in the internet community. We used a tool developed by Park Young-Im(1994) that measured knowledge related to hypertension and self-efficacy. A tool developed by Jung Mi-Young(2001) was used for self-care behavior. The collected data was analyzed with an χ2-test and t-test using the SPSS WIN 10.0 program. Result: The internet community helped workers with hypertension to increase their knowledge related to hypertension, as well as increasing their self-efficacy and self-care behavior. Conclusion: An internet community could be applied as hypertensive nursing intervention.

      • KCI등재

        자궁 내막에 발생한 Clear Cell Carcinoma 1 예

        유정,문기호,박내형,이태원 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.4

        저자들은 비교적 희귀한 자궁 내막에 발생하는 clear cell선종을 30세의 월경 연령에서 발견하였기에 간단한 문헌고찰과 함께 보고하는 바이다. Clear cell adenocarcinoma of the endometrium, an infrequent variant sharing a common M滸lerian origin, accounts for a few percent of all endometrial cancers. These tumors occur predominantly in postmenopausal women and carry a relatively unfavorable prognosis. But, we experienced a case of clear cell adenocarcinoma of endometrium in menstrual woman. This paper presents this case and a brief review of the literatures.

      • KCI등재

        청소년의 수면시간과 수면 후 피로 회복이 학교 내 손상에 미치는 영향

        유정,김정순 한국지역사회간호학회 2015 지역사회간호학회지 Vol.26 No.2

        Purpose: To explore the association between sleep and the risk of accidental injury at school among Korean adolescents. Methods: From the database of the Ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researcher selected 63,307 adolescents who responded to a survey on sleep hours. We conducted logistic regression with sleep duration and fatigue after sleep as independent variables, the risk of injury at school as a dependent variable, and gender, grade, school type, economic status, parents’ education level, number of participations in physical education, and current smoking and drinking as control variables. Results: Using 9 hours of sleep as the reference, the adjusted injury risk (odds ratio) was 1.74 for those sleeping less than 5 hours a day, 1.61 for 5 hours, 1.45 for 6 hours, 1.31 for 7 hours, 1.13 for 8 hours, and 1.40 for 10 hours or longer. The difference between each pair of groups was statistically significant. In this study, injury risk increased as sleep duration decreased and fatigue after sleep increased. Conclusion: The findings suggest that a short nightly duration of sleep and fatigue after sleep can be considered potential risk factorsfor unintentional injuries at school among Korean adolescents.

      • 카페인 약리작용에 민감한 지원자와 둔감한 지원자 및 뚱뚱한 쥐와 마른 쥐에 대한 카페인 약물동태 비교

        유정,권광일 충남대학교 약학대학 의약품개발연구소 1993 藥學論文集 Vol.9 No.-

        To determine the reason of individual variation of the effect of caffeine. the absorption and the disposition of caffeine were studied in caffeine sensitive and caffeine nonsensitive volunteers. And also to study the effect of obesity on caffeine pharmacokinetics, the caffeine disposition in the obese rat and in the lean rat were investigated respectively. In result the caffeine sensitive group showed a longer terminal half-life of caffeine(7.35±0.71 hr:5.49±0.73 hr) and a larger AUC (55.42±9.09㎍·㎖^-1·hr:440.0±7.81㎍·㎖^-1·hr) than that of caffeine non-sensitive group without statistical significance. The obese rat showed a longer terminal half-life (3.47hr : 2.31hr) and a larger AUC(35.3㎍·㎖^-1·hr:26.97㎍·㎖^-1·hr) than that of the lean rat. But there was no correlation in the amount of daily caffeine consumption and obesity. In conculusion, we suggest that the individual variation of the effect of caffeine are being caused from the individual differances of caffeine susceptibility or tolerance rather than the differances of the genetic metabolic capacity or metabolic tolerance.

      • KCI등재

        청소년이 지각한 부모의 심리적 통제가 자기효능감을 매개로 학습된 무기력에 미치는 영향

        유정,정문경 한국청소년학회 2016 청소년학연구 Vol.23 No.10

        The aim of this study is to identify the effects of parental psychological control as perceived by adolescents on their learned helplessness with self-efficacy as a mediator. . For this, in this study, the regression analysis suggested by Baron & Kenny (1986) was conducted on the data collected from 343 male and female middle and high school students living in Gyeonggi-do, using SPSS 18.0. The study produced the following results: first, the study found a positive correlation between parental psychological control and adolescents’ learned helplessness, and a negative correlation between self-efficacy and learned helplessness. Second, parental psychological control had an impact on learned helplessness with self-efficacy as a partial mediator. It means that by giving psychological autonomy and adopting a reasonable attitude towards children, parents can help improve their adolescent children’s self-efficacy and ultimately prevent them from developing learned helplessness. In addition, the implications of the study on the basis of these results and the limitations and future research directions are discussed. 본 연구는 청소년이 지각한 부모의 심리적 통제와 청소년의 학습된 무기력간의 관계에서 자기효능감이 어떠한 요인으로 작용하는지를 규명하고자 이루어졌다. 이를 위하여 청소년이 지각한 부모의 심리적 통제가 자기효능감을 매개로 청소년의 학습된 무기력에 영향을 미치는지를 분석하였다. 이를 위해 총 400명의 남녀공학 중·고등학교 학생들에게 부모의 심리적 통제척도, 자기효능감 척도, 학습된 무기력 척도로 구성된 설문지를 실시하였고, 이를 통해 수집된 343명의 자료에 대하여 상관분석과 회귀분석을 실시하였다. 분석 결과 첫째, 부모의 심리적 통제와 자기효능감, 부모의 심리적 통제와 학습된 무기력, 자기효능감과 학습된 무기력간에 상관관계가 있는 것으로 나타났다. 둘째, 부모의 심리적 통제는 자기효능감을 부분매개로 학습된 무기력에 영향을 주는 것으로 나타났다. 이는 청소년들이 부모의 심리적 통제가 높다고 지각하면 자기효능감이 낮아지고 이를 매개로 학습된 무기력이 나타날 수 있음을 시사한다. 이러한 결과를 바탕으로 본 연구의 시사점과 제한점 및 추후 연구를 위한 제언을 하였다.

      • KCI등재후보

        The relative regionally regular relation

        유정,신세훈 충청수학회 2007 충청수학회지 Vol.20 No.4

        In this paper the relative regionally regular relation is defined and it will be given the necessary and sufficient conditions for the relation to be an equivalence relation.

      • 새시대의 출발과 정착시대를 준비하는 지도자 수련

        유정 세계기독교통일신령협회 2001 統一世界 Vol.- No.4

        섭리의 귀한 자리에 현진님의 1차 부름받고 새시대의 새로운 출발을 위한 기대로서의 논의에 참석한 여러분들에게 진심으로 축하를 드립니다. 오늘 말씀은 ‘새시대의 출발과 정착시대를 준비하는 지도자 수련’이라는 제목으로 함께 이야기해 보고자 합니다. 이미 전 시간에 곽회장님의 메시지를 통해 우리가 이번 수련이 얼마나 귀중하다는 것을 들었고, 또 직접 이 수련을 주관하고 계시는 현진님께서 잠시나마 말씀을 주심으로 말미암아 이번 수련이 얼마나 소중하고 또 귀한 가치를 가지고 있는가 하는 것을 깊이 느끼게 되었습니다. 주어진 시간이 많지 않기 때문에 될 수 있으면 중복된 내용을 피하도록 하겠습니다.

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