분절성 괴사성 공장염(Segmental necrotizing jejunitis) 1례

유지형,김효신,김제우,정기섭,한석주,김호근,Yoo, Jee-Hyung,Kim, Hyo-Shin,Kim, Je-Woo,Chung, Ki-Sup,Han, Suk-Joo,Kim, Ho-Kun 대한소아소화기영양학회 1999 Pediatric gastroenterology, hepatology & nutrition Vol.2 No.2

Segmental necrotizing jejunitis is characterized by severe abdominal pain of acute onset, bilious vomitings and foul smelling loose stools containing blood. Pathologic features include circumferential intestinal wall inflammation ranging from edema with minimal congestion to severe congestion, hemorrhage with necrosis, ulceration, and gangrene with perforation. Early diagnosis and suitable supportive measures prevent unnecessary laparatomy and complications. There was no report of this disease entity in children in Korea. We experienced a case of segmental necrotizing jejunitis with fever, abdominal pain and bloody stools, which was diagnosed by exploration and was treated successfully by antibiotics and supportive measures. 분절성괴사성공장염은 소아에서 주로 발생되는 드문 질환으로서 복통, 구토 및 혈변을 일으키고, 공장에 괴사성병변을 일키는 것을 특징으로 하며, 금식과 적절한 항생제투여로 대부분 치료가 가능하지만 심한 경우에는 수술적 절제술이 필요하다. 저자들은 1년 11개월된 여아로 내원 1주일 전부터의 발열, 복통, 구토와 혈변을 주소로 입원하여 치료하던 중 병세가 호전되지 않아 시험개복술과 함께 장간막임파선생검을 시행한 결과 분절성괴사성 공장염으로 확진된 환아 1례를 치험하였기에 보고하는 바이다.

대장의 Angiodysplasia 1례

오하나,유지형,이창한,정기섭,Oh, Ha-Na,Yoo, Jee-Hyung,Lee, Chang-Han,Chung, Ki-Sup 대한소아소화기영양학회 2000 Pediatric gastroenterology, hepatology & nutrition Vol.3 No.2

저자들은 1년 전부터의 간헐적인 혈변을 주소로 내원한 14세 남자 환아에서 대장내시경 검사로 진단된 혈관이형성증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Angiodysplasia is an important vascular lesion of the gastointestinal tract, located at the site of ectasia of intestinal submucosal veins and overlying mucosal capillaries. It is a major cause of morbidity from gastrointestinal bleeding in old age, but rather rare in children. Its cause is still unknown, though is mostly considered to be acquired as a result of a degenerative process associated with aging. We experienced a case of colonic angiodysplasia in 14-year old boy, diagnosed by colonoscopy. The patient had a history of repeated hematochezia for a year. This report summarized our case and reviewed the literature.

아연 결핍증에 동반된 Pellagra 1례

오하나,유지형,이창한,정기섭,Oh, Ha-Na,Yoo, Jee-Hyung,Lee, Chang-Han,Chung, Ki-Sup 대한소아소화기영양학회 2000 Pediatric gastroenterology, hepatology & nutrition Vol.3 No.2

Pellagra is a systemic disease associated with neuropathy, caused by dietary insufficiency of nicotinic acid and it's precursor, tryptophan, which are vital to the function of cellular dehydrogenases in tissue respiration. Clinical triads are dermatitis, dementia, and diarrhea. The authors experienced a case of pellagra in 5-year old girl. She had a history of acrodermatitis enteropathica, three years ago. Erythematous scaly patches and hyperpigmentation developed on her great toes, bilaterally. Diarriea and ataxic gait were also noted. After vitamin B complex with nicotinamide therapy, diarrhea and dermatitis were dramatically improved within a few days, and ataxic gait was gradually improved. 저자들은 2세경 아연결핍증을 진단받고 외래 추적관찰 중이던 5세된 여아에서 피부염, 설사, 신경증상 등을 보이는 전형적인 pellagra 1례를 경험하였기에 이에 보고하는 바이다.

소아의 Triple A 증후군의 변형 1례

한재혁,유지형,이창한,정기섭,Han, Jae-Hyuk,Yoo, Jee-Hyung,Lee, Chang-Han,Chung, Ki-Sup 대한소아소화기영양학회 2000 Pediatric gastroenterology, hepatology & nutrition Vol.3 No.2

Achalasia is very uncommon in children, and cases accompanied with alacrima and adrenal insufficiency is even more uncommon. When these three disorders are seen altogether, it is called triple A syndrome. It is inherited in an autosomal recessive manner and has potentially life-threatening sequelae. So, pediatricians should always consider the possibility of triple A syndrome when seeing children with achalasia. Neurological abnormalities such as autonomic neuropathy, peripheral neuropathy, sensory impairment and mental retardation occasionally accompany. We report a 2-year-old girl who presented with repeated vomiting, short stature and alacrima. Diagnosis of achalasia was made after perfoming esophagogram and endoscopy and was confirmed with esophageal manometry. After pneumatic dilatation, she became asymptomatic. 반복되는 구토로 인한 폐렴 증세로 내원하여 분문무이완증, 무루증, 신경인성방광 등의 소견을 보여 Triple A 증후군으로 진단받고, 식도하부 괄약근의 반복 확장술(pneumatic dilatation)로 증상이 소실된 환아 1례를 경험하였기에 이에 보고하는 바이다.

뉴스포츠 참여노인의 여가만족도에 관한 연구

심성섭(Shim Sung-Sub),유지형(Yoo Jee-Hyung) 한국체육과학회 2010 한국체육과학회지 Vol.19 No.2

The purpose of this study was to examine the leisure satisfaction of the aged people who were taking part in new sports. For this, a questionnaire survey of 410 the aged leisure sports participants over 65 years of age who belonged to the national leisure sports associations of park golf, ground golf and table tennis was carried out. And the data of 319 responses were used in the final analysis, except 91 responses of which reliability was problematic or answers were omitted. Therefore, this study's study tool was the questionnaire. Collected data were statistically analyzed with such analytic techniques as descriptive analysis, two-way ANOVA. In order to examine the difference between individual groups for significant results, Scheffe post hoc test was carried out. New sports participants' leisure satisfaction was significantly influenced by gender and the kinds of sports. In addition, the interactive effects of gender and the kinds of sports had a statistically significant influence upon leisure satisfaction. New sports participants' leisure satisfaction was not significantly influenced by gender and participatory motives. In addition, the interactive effects of gender and participatory motives had no statistically significant influence upon leisure satisfaction. New sports participants' leisure satisfaction was significantly influenced by gender and whether there was an instructor or not. However, the interactive effects of gender and whether there was an instructor or not had no statistically significant influence upon leisure satisfaction.

영양불량환자의 중증도 적용 향상을 위한 영양지원팀 협의진료체계 개선활동의 중요성

권국환 ( Kuk Hwan Kwon ),이형순 ( Hyung Soon Lee ),유지형 ( Jee Hyoung Yoo ),지수나 ( Soo Na Chi ),박현희 ( Hyun Hee Park ),김소원 ( So Won Kim ),김경란 ( Kyung Ran Kim ),윤난희 ( Nan Hee Yun ),라경택 ( Kyoung Taek Ra ),송현정 ( H 한국정맥경장영양학회 2018 한국정맥경장영양학회지 Vol.10 No.1

Purpose: The grade of complexity in the diagnosis related group (DRG) payment system is influenced by the secondary diagnosis of specific complication and comorbidity level, in which moderate or severe malnutrition is included. This study examined an existing proportion of patients with malnutrition who were supposed to be qualified for the complexity level and devised quality improvement measures to increase the proportion of qualifying complexity payments. Methods: The goal of the activities was to increase the rate of complexity payment claims for patients with malnutrition (%). Cases ineligible for the DRG payment system and cases with no diagnosis of malnutrition were excluded. We established a collaborative system between the nutrition support team and departments related to each improvement factor (i.e., patient care, medical records, insurance review, and medical information). Results: Before implementing the activities, this study investigated the current level of complexity payment claims for malnutrition patients who were discharged within a specific period (June 1, 2015∼August 31, 2015). The results showed that complexity payment claims were filed in 10.00% (2 of the 20 malnutrition cases). After the activities, the rate of complexity payment claims for the patients with malnutrition within the study period (June 1, 2016∼August 31, 2016) was 46.43% (26 out of 56), showing an approximately 364% increase from the pre activity rate. This change was statistically significant according to the chi-square test on Microsoft Excel 2010 (P<0.01). Conclusion: Collaborative efforts by the related departments enabled the smooth implementation of each activity. In addition, moderate or severe malnutrition was revealed to be a variable in the complexity-specific payment system. In the future, hospital-wide awareness and effort are crucial to promot the steady practice of these activities and expand their implementation.