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단체급식 관리에 관한 연구(Ⅱ) : 食單分布를 通한 through Menu Analysis
朴栽林,崔味愛 新羅大學校 1980 論文集 Vol.8 No.-
Menus from 20 facilities in which group food service was being done with nutritionist were analyzed to get useful data for better food service. Analyzed menus were those used in January, April, July and October in 1978 in Busan. The results are as follows: 1. The facilities provided calorie and nutrients more than what the survey of Nation's Nutrition has revealed or the amount recommended by Korea FAO Association as desirable. The calorie was supplied with 74.92 per cent of carbobydrate, 14.14 per cent of protein and 10.94 per cent of fat. 2. The least calorie was supplied in summer, and the least calorie and nutrients supplied to the middle-level of work among the three levels of work. 3. The food & descriptions such as group 1(cereal & grains), group 2(starch and starch roots) and group 4(legumes) showed negative correlation to the other groups but the rest showed positive correlation. Meanwhile, correlation between nutrients and food & descriptions did not go far beyond a common knowledge. 4. Nutrients intakes provided by each facility was more than the amount recommended by Korea FAO Association except for Fe in 4 facilities and vitamin A in 8 facilities. 5. Animal protein got 31.14 per cent among the whole protein intakes, and fish & shell fish was the main source of animal protein. 6. In summer, less calorie was supplied in 4 facilities than the amount recommended by Korea FAO Association.
김훈,임재석,최성원,김호겸,권종진,최미숙,김성문 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.1
There are various defects caused by trauma or resection of maignant tumor in the orofacial region, which can be reconstructed with various regional and pararegional flaps. Among these defects, it is very difficult to reconstruct palatal and midfacial defects after maxillectomy and patients have problems in speaking and swallowing of food. Therefore it is very important for surgeons to reconstruct these defects functionally and esthetically and to return the patients to the normal social activity. These defects are usually obturated with prosthodontic appliances to assist the phonation and swallowing. But nowadays surgical reconstruction by various flaps was considered and performed for better rehabilitation. For this purpose the forehead flap, the nasolabial flap, the tongue flap, the sternocleidomastoideous flap, the temporal flap, the latissimus dorsi flap, the scapular flap etc. are used. We reconstructed small-sized plalatal defects with tongue flap, medium-sized palatal and maxillary defects after maxillectomy with temporal myofascial flap and large midfacial defects including eyeball exenteration with latissimus dorsi myocutaneous flaps. Here we are to report 5 cases of these flaps used for the reconstruction of palatal and midfacial defects and consider the versatility, reliability and limitation in use of these flaps.
유년기 안구적출술 및 방사선치료로 인하여 발생된 안와 열성장에 대한 재건 치험례
홍관석,김성문,김훈,임재석,최미숙,최성원,권종진 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.1
There are many reports of the surgical management for the craniofacial abnormalities arising from the irradiation of the head and face for treatment of childhood cancers. Since the mordern combined-modality theraphy for childhood cancers began in the late 1960s and the early 1970s, recent reports have described the occular, dental and maxillo-facial abnormalities after irradiation in long-term survivors of cancers of the head and face. The resultant deformities may be known to be difficult to reconstruct with surgical techniques. This paper describes the late reconstructive surgery for the unilateral orbital and malar hypoplasia after eyeball enucleation and irradiation during childhood to correct the facial asymmetry and expand the contracted orbital socket into the functional dimension for the retaining eyeball prosthesis with spherical implant. We reports the satisfactory preliminary results from the midfacial osteotomy through the supero-lateral orbital rim and malar bone and the antero-lateral repositioning with the autogenous bone grafting in 26 year-old female patient who will be planned to make the new eyeball prosthesis by the department of ophthalmology.
NIHSS 활용을 통한 뇌졸중 환자 간호의 질향상 전략
박경현,송경애,공혜성,나화주,유수경,박소영,김상희,최혜림,배희준,한문구,양미화 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2
문제: 뇌졸중 환자를 돌보는 간호현장에서는 급성기 뇌졸중 환자의 증상악화에 대한 조기사정과 적절한 대처가 매우 중요한 문제이다. 그러나 임상현장에서는 이를 객관화하고 수치화하여 모든 의료진이 의사소통할 수 있는 유용한 도구를 사용하고 있지는 못하는 실정이다. 이러한 문제를 해결하기위해 NIHSS(National Institute of Health Stroke Scale)를 신경과 진료의사를 중심으로활용하고 있지만 아직 간호현장에서는보편적으로사용하지 않고있다. 이에 뇌졸중환자간호에 NIHSS를 활용하여 뇌졸중 증상악화의 조기사정과 빠른 대처로 궁극적으로는 뇌졸중환자 간호의 질을보다 향상시키기 위하여 본활동이 시도되었다. 목적: 첫째, 간호사의 NIHSS 측정 신뢰도의 현수준을 점검하고 이를향상시키기 위한 프로그램을 개발·적용한다. 둘째, 간호사가급성기 뇌졸중환자에게 NIHSS 측정을 통하여 뇌졸중악화를 얼마나 예측할 수 있는지 분석하고 이를 향상시킬수있는 방법을 모색한다. 셋째, 궁극적으로 급성기 뇌졸중 환자의 증상악화의 조기 발견과치료를위한의료진의 올바른 대처지침을 마련하여 이를 적용한다. 의료기관: 경기도에 소재한 대학병원의 뇌졸중 집중치료실 질 향상 활동: 첫째, 간호사의 NIHSS 측정 신뢰도 향상을 위해 「NIHSS 간호사 교육 프로그램」을 마련하였다.
Kim, Min Jeong,Kwon, Mi Jung,Kang, Ho Suk,Choi, Kyung Chan,Nam, Eun Sook,Cho, Seong Jin,Park, Hye-Rim,Min, Soo Kee,Seo, Jinwon,Choe, Ji-Young,Park, Hyoung-Chul Hindawi 2018 BioMed research international Vol.2018 No.-
<P>Mitotic counts in the World Health Organization (WHO) grading system have narrow cutoff values. True mitotic figures, however, are not always distinguishable from apoptotic bodies and darkly stained nuclei, complicating the ability of the WHO grading system to diagnose well-differentiated neuroendocrine tumors (NETs). The mitosis-specific marker phosphohistone H3 (PHH3) can identify true mitoses and grade tumors reliably. The aim of this study was to investigate the correspondence of tumor grades, as determined by PHH3 mitotic index (MI) and mitotic counts according to WHO criteria, and to determine the clinically relevant cutoffs of PHH3 MI in rectal and nonrectal gastrointestinal NETs. Mitotic counts correlated with both the Ki-67 labeling index and PHH3 MI, but the correlation with PHH3 MI was slightly higher. The PHH3 MI cutoff ≥4 correlated most closely with original WHO grades for both rectal NETs. A PHH3 MI cutoff ≥4, which could distinguish between G1 and G2 tumors, was associated with disease-free survival in patients with rectal NETs, whereas that cutoff value showed marginal significance for overall survival in patient with rectal NETs. In conclusion, the use of PHH3 ≥4 correlated most closely with original WHO grades.</P>
Efficient radiolabeling of rutin with 125I and biodistribution study of radiolabeled rutin
Choi, Mi Hee,Rho, Jong Kook,Kang, Jung Ae,Shim, Ha Eun,Nam, You Ree,Yoon, Seonhye,Kim, Hye Rim,Choi, Dae Seong,Park, Sang Hyun,Jang, Beom-Su,Jeon, Jongho Springer-Verlag 2016 JOURNAL OF RADIOANALYTICAL AND NUCLEAR CHEMISTRY Vol.308 No.2
( Mi Rim Choi ),( Sung Sik Oh ),( Hyun Ju Yang ),( Myung Woo Choi ),( Jong Hwa Lee ),( Sun Kyung Song ),( Ji Hye Kim ),( Ki Hoi Kim ),( Cho Ok Baek ),( Seol Bong Yoo ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Kikuchi disease (KD) is characterized by fever and lymphadenitis. Its pathogenesis is unclear, but two hypotheses have been reported: one, that it is caused by a viral infection, and the other, that it is an autoimmune origin. Patients with different types of autoimmune diseases have been reported to have had KD. A 32-year-old man presented painful cervical lymphadenopathy. The pathological examination from the LN excision showed necrotizing lymphadenitis. The patient was found to have had an anti-TPO antibody, and KD with concurrent autoimmune thyroiditis was confirmed. The thyroid sonogram revealed a thyroid nodule. The calcitonin level increased to 16.3 pg/ml, but histology was further required to come up with a treatment plan. Two-time aspiration cytology revealed severe atypia, which was needed for diagnostic confirmation of poorly differentiated carcinoma. After the surgery, the patient was confirmed with MTC. Based on the negative result of the RET mutation, sporadic type MTC was confirmed. The association of KD with SLE has often been reported. However, the association of KD with autoimmune thyroid diseases has seldom been reported. Based on the association of KD with autoimmune diseases, the pathogenesis of KD is also considered associated with autoimmune etiology. MTC is usually diagnosed based on the results of fine needle aspiration, but it is sometimes dif. cult to diagnose due to the extremely diverse microscopic findings. The level of calcitonin is important in diagnosing MTC. However, problems concerning false positive results, and low prevalence of MTC limit this approach. When the baseline serum calcitonin concentration level is 100 pg/ml or higher, MTC is strongly suspected. However, when the calcitonin concentration level is lower than 100 pg/ml and autoimmune thyroiditis are also found, additional tests may be required.
Choi, Kyung-Mi,Hoon, Kim Man,Won, Hwang Tae,Kim, Jong-Dae,Park, Keum duck,Kim, Mi-Young,Jung, Young-Rim,Shin, Hye-Seoung The Korean Society of Analytical Science 2016 분석과학 Vol.29 No.4
The purpose of this study was to compare the relative bioavailability of synthetic Vitamin C and Nutra-C<sup>®</sup> (calcium ascorbate) using a randomized parallel pharmacokinetics study design. Under fasting conditions, 20 healthy volunteers were randomly allocated to receive a single oral dose (500 mg of ascorbic acid) of either synthetic Vitamin C or Nutra-C<sup>®</sup>. Fasting blood was collected pre-dose and 1, 2, 3, 4, 7 and 10 hr post-dose. The ascorbic acid content of human serum was determined using HPLC with ultraviolet detection. The fasting serum ascorbic acid concentrations of synthetic Vitamin C and Nutra-C<sup>®</sup> were 6.734 ± 2.09 ng/mL (n = 10) and 7.542 ± 2.96 ng/mL (n = 10), respectively. The bioavailability of Nutra-C<sup>®</sup> was significantly greater (128 %, p < 0.05) than that of the synthetic Vitamin C.