A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea

Yong Sung Choi,정성훈,김은선,Eun Sun Kim,Eunhee Lee,Euiseok Jung,So-Yeon Lee,이우령,Hye Sun Yoon,Yong Joo Kim,Ji Kyoung Park,Son Moon Shin,Ellen Ai-Rhan Kim 대한신생아학회 2022 Neonatal medicine Vol.29 No.1

Purpose: Pediatricians have a significant responsibility to educate mothers about the importance of breastfeeding. However, there have been minimal efforts in the courses of resident training in Korea. The purpose of this study is to evaluate the change in knowledge and attitude before and after a 4-week breastfeeding educational intervention among multicenter residents. Methods: Prospective interventional educational research was designed for residents at eight training hospitals in Korea. Institutional reviews were obtained in each hospital. The education curriculum consisted of 14 courses regarding breastfeeding theory and practice. These materials were used to teach pediatric residents for 4 weeks. Knowledge-based tests were administered before the course, and re-tests were administered after the course using different test items of similar levels. Test scores and survey responses were compared before and after the intervention. Results: A total of 73 residents (1st year 20, 2nd year 23, 3rd year 16, and 4th year residents 14) from eight training hospitals completed the intervention. Their average age was 30.3±2.9 years, 17 (23.3%) were male, 22 (30.1%) were married, and eight had more than one child of their own. The mean pre-test score was 61.8±13.4 and the mean post-test score was 78.3±7.5 (P<0.001). The inter-grade difference in the score was significant in the pre-test (P=0.005), but not significant in the post-test (P=0.155). There were more responses of obtaining confidence after the intervention (P<0.001). Conclusion: In our study, pediatric residents showed improvement in their knowledge and confidence level after 4 weeks of the breastfeeding curriculum. This will provide a basis for future policymaking in the training of pediatric residents regarding breastfeedReceived: 6 January 2022 Revised: 15 February 2022 Accepted: 15 February 2022 Correspondence to: Ellen Ai-Rhan Kim, MD Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-3390 Fax: +82-2-3010-6978 E-mail: arkim@amc.seoul.kr A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea Yong-Sung Choi, MD,PhD1, Sung-Hoon Chung, MD, PhD2, Eun Sun Kim, MD, PhD3, Eun Hee Lee, MD4, Euiseok Jung, MD5, So Yeon Lee, MD, PhD5, Wooryoung Lee, MD6, Hye Sun Yoon, MD, PhD7, Yong Joo Kim, MD, PhD8, Ji Kyoung Park, MD, PhD9, Son Moon Shin, MD, PhD9, and Ellen Ai-Rhan Kim, MD, PhD5 1Department of Pediatrics, Kyung Hee University Hospital, Seoul, Korea 2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea 3Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea 4Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea 5Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 6Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea 7Department of Pediatrics, Nowon Eulji Medical Center, Eulji University, Seoul, Korea 8Department of Pediatrics, Hanyang University Seoul Hospital, Seoul, Korea 9Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 pISSN 2287-9412 . eISSN 2287-9803 Copyright(c) 2022 By Korean Society of Neonatology This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Original Article 29 Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 ing in Korea.

근막 결손의 복원과 자궁천골인대 고정을 통한 전자궁적출술 후 질탈출의 성공적 교정

문화숙(Hwa Sook Moon),최진국(Jin Koo Choi),김경서(Kyung Seo Kim),박근식(Kyun Sik Park),황지영(Ji Young Hwang),문성은(Sung Eun Moon),한지원(Ji Won Han),김상국(Sang Gook Kim),김상갑(Sang Gap Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

목적 : 본 연구는 전자궁적출술 후 질탈출을 부위-특이적인 결함의 개념에 입각하여 치골경부 근막과 직장질 격막의 연결을 통한 골반내 근막의 복원과 자궁천골인대 고정술을 이용한 질탈출의 성공적인 수술적 교정의 방법과 결과를 보고하고자 한다. 연구 방법 : 1999년부터 2001년 8월까지 자궁적출술 후 질궁탈출 증상으로 문화병원 산부인과를 내원, 탈출된 질의 근막을 재건시킨 다음, 이를 자궁천골인대에 고정시킴으로써 질의 부위-특이적인 교정술을 받은 3명의 환자를 대상으로 하였다. 3명중 1명은 개복술을 하였고 2명은 내시경 수술을 하였다. 결과 : 환자의 연령 분포는 49-67세였으며, 수술시간은 평균 113분 (105-125)이었다. 세 환자 모두 수술 후 질의 상태가 해부학 및 기능적으로 정상이었으며, 9일째 특이사항 없이 퇴원하였다. 수술 후 HRT를 시행한 1명을 포함한 3명 모두 각각 24개월, 12개월, 7개월간의 추적 검사에서도 특이한 합병증이나 재발 없이 좋은 경과를 보였다. 결론 : 골반 근막 결손의 복원과 자궁천골인대 고정술은 전자궁적출술 후 질탈출의 교정에 매우 안전하고 효과적이며, 기능적인 방법으로 사료되며, 자궁천골인대를 질탈출 교정에 이용한 연구는 본 연구가 국내에서 처음이다. Objective : To report the method and efficacy of the site specific-defects repair in the endopelvic fascia and uterosacral ligament suspension for the correction of posthysterectomy vaginal vault prolapse. Methods : This study was performed in 3 patients with posthyterectomy vaginal vault prolapse who underwent the surgery for the reconstruction of endopelvic fascia and the correction of vault prolapsed vagina by using uterosacral ligament suspension at the department of Obstetrics and Gynecology in Moon-Hwa Hospital. Among them, 1 patient was treated by laparotomy, and 2 patients were treated by laparoscope. Results : The age of patients ranged from 49 to 67 years. The mean operation time was 111 minutes (105-120 minutes). The status of postoperative vagina was normal in all 3 patients, who were discharged 9 days after operation without symptoms. No complication or recurrence were found in them despite long-term follow-up for 24 months, 12 months, 7 months, respectively after operation. One patient has been treated with HRT therapy. Conclusion : The reconstruction of the defect of endopelvic fascia and uterosacral ligament fixation may be very safe, effective, and functional in the correction of vaginal vault prolapse. This study reports the treatment of vaginal vault prolapse using uterosacral ligament within Korea for the first time.

장기요양노인병원에서 발생한 보라색 오줌 증후군 또는 Purple Urine Bag Syndrome 16예 보고 및 문헌 리뷰

최규동(Gyu-Dong Choi),가혁(Hyuk Ga),박기호(Ki-Ho Park),유병익(Byung-Ik Yoo),김성민(Sung-Min Kim),강문철(Moon-Chul Kang),이은자(Eun-Jah Lee),박승태(Seung-Tae Park) 대한임상노인의학회 2007 대한임상노인의학회지 Vol.8 No.2

연구배경: 1978년 란셋 잡지에 보라색 소변에 대한 보고가 최초로 있은 이래, 이 현상에 대한 생화학적, 미생물학적, 임상적 규명이 있었다. 보라색 소변은 환자나 환자 가족에게 불편하거나 걱정스러운 질병이다. 그러나 대개의 경우 환자의 건강에 실제적인 위험이 되는 경우는 거의 없다. 심지어 보라색 소변은 열심히 치료할 필요가 없다고 주장하는 사람도 있다. 이에 대조군 연구를 통하여 보라색 소변의 위험요인과 임상적인 의미(심각성)에 대하여 평가를 하고자 한다. 방법: 2007년 2월부터 4월 사이에 인천은혜병원에 입원하고 있는 381명의 환자들 중 도뇨관을 삽입하고 있는 65명을 대상으로 하였다. 이 65명은 65세 이하이거나 1개월 이하동안 도뇨관을 갖고있는 환자는 제외한 숫자이다. 대상 환자는 모두 실리콘제의 폴리카테터와 일회용 소변주머니를 사용하였고 카테터의 교환주기는 특별한 경우 외에는 1개월마다 교환하였다. 대상환자 중 16명이 보라색 소변을 보여, 멸균생리식염수로 방광세척을 한 뒤 카테터와 소변 주머니를 소독된 새 것으로 무균적으로 교환한 뒤 소변배양을 실시하였다. 관련 환자와 대조군의 비교항목들을 통계처리하여 통계적인 유의성을 확인하였으며, 변수의 분석은 신뢰도 95%로(P value 0.05) 카이스퀘어 가설검정과 만-휘트니 U검사를 실시하였다. 결과: 보라색 소변을 보였던 환자들의 나이 평균은 80세였고 전원이 와상상태의 할머니였다. 대상환자의 진단명 중 가장 많은 것은 치매였다. 평균 도뇨기간은 22개월 이었다. 보라색소변을 보인환자군은 보이지 않은 환자들 보다 평균 도뇨기간이 길었으며, 변비가 더 심하였고 변비치료용 좌약 사용빈도가 높았다. 대조군에서는 조사기간 전 1개월 이내에 항생제를 사용한 빈도가 약간 더 높았으나 통계적인 의미는 확실하지 않았다. 결론: 보라색소변은 장기요양노인병원에서 흔히 발생하는 문제이다. 이전 연구들에서 없었던 보라색 소변과 항생제사용과의 관련성 및 변비치료제로 bisacodyl 좌약사용과의 관련성, 소변 카테터의 삽입기간 등에 대한 정보를 추가하여 얻을 수 있었다. Background: Since the first report of purple urine bag syndrome (PUBS) by Barlow and Dickson in 1978, many researchers have tried to reveal the clinical and bacteriological background of this phenomenon. To the best of our knowledge, most of them were case or case series reports and only three were case-control studies which compared the clinical, biochemical, or bacteriological background between patients with and without PUBS. It is certain that PUBS is an uncomfortable or troubling issue for some patients and their families. However, most of the patients who presented with PUBS were, largely, asymptomatic and it is apparent that PUBS is not a disease per se, nor does it appear to represent any real danger to patient's health, and some authors go so far as to even advocate that it is unnecessary to treat PUBS-affected patients aggressively. In this case-control study, we reviewed risk factors and clinical significance of PUBS in geriatric wards. Methods: Of the 381 hospitalized patients in a hospital specialized in the long term care of the elderly handicapped (Incheon Eun-Hye Hospital, Incheon, Korea), 65 patients who featured urinary catheterization during the period from February 2007 and April 2007 were enrolled in this study. Subjects who were younger than 65 or catheterized duration was less than one month were excluded. The same types of silicone Foley balloon catheter and disposable plastic urine bag were used for all patients. Routine Foley catheter change interval was one month. For the 16 patients who exhibits PUBS, bladder irrigation with normal saline and immediate change of urine bag and catheter were performed. And urine culture was done. Variables were statistically analyzed by chi square test or Mann-Whitney's U-test. P values less than 0.05 were considered statistically significant. Results: The PUBS patients mean age was 80, and bed ridden female. Most common diagnosis was dementia. Mean duration of the catheterization was 22 months. The PUBS patients were more constipated than non-PUBS control group and used more bisacodyl suppository. Antibiotics usage within one month before this survey in PUBS group is more frequent than control group with borderline statistical significance. Conclusion: PUBS is frequently occurring problem in long-term care geriatric wards. Causative factors are tryptophan putrefaction (decreased intestinal absorption, motility), alkaline urine, oxygen (air, Foley catheterization). All factors are bacterial infection related. Our results were the same as previous results. Relationship with antibiotics usage, bisacodyl suppository and constipation, long term usage of the Foley catheter notified also. Female predomination is related with easy, frequent urinary infection, and more population in old age.

Effects of Inorganic Components on the Cultivation of Korean Ginseng (Panax ginseng C. A. Meyer) in Plastic House

Sang Young Seo(서상영),Eun Suk Park(박은석),Chang Su Kim(김창수),Hyo Jin Kim(김효진),Yong Moon Lee(이용문),Hee Jun Kim(김희준),Dong Won Kim(김동원),Ki Beom Kwon(권기범) 한국약용작물학회 2018 한국약용작물학회 학술대회논문집 Vol.2018 No.1

Effect of LED Irradiation on Growth Characteristics of Korean Ginseng (Panax ginseng C. A. Meyer) in Multi-Stage Cultivation Facility

Sang Young Seo(서상영),Eun Suk Park(박은석),Chang Su Kim(김창수),Hyo Jin Kim(김효진),Yong Moon Lee(이용문),Hee Jun Kim(김희준),Dong Won Kim(김동원),Du Hyeon Yoon(윤두현) 한국약용작물학회 2018 한국약용작물학회 학술대회논문집 Vol.2018 No.1

Roles of Mitogen-Activated Protein Kinases(MAPKinases) in H-ras-induced Invasiveness and Motility of MCF10A Cells(초록)

( Eun Jung Lee ),( Mi Sung Kim ),( Aree Moon ) 한국응용약물학회 2001 학술대회 Vol.2001 No.2

Generation of mice with a conditional and reporter allele for <i>Tmem100</i>

Moon, Eun‐,Hye,Kim, Mi‐,Jung,Ko, Keum Soun,Kim, Yoo Sung,Seo, Jiyoung,Oh, S. Paul,Lee, Young Jae Wiley Subscription Services, Inc., A Wiley Company 2010 Genesis Vol.48 No.11

<P><B>Abstract</B></P><P>Activin receptor‐like kinase 1 (<I>ACVRL1</I>; <I>ALK1</I>) is predominantly expressed in arterial endothelial cells and plays an important role in angiogenesis. <I>ACVRL1</I> mutations cause hereditary hemorrhagic telangiectasia (HHT), a genetic vascular disorder for which the underlying mechanism is poorly understood. We have found that expression of transmembrane protein 100 (<I>Tmem100</I>) is downregulated in the lung of <I>Acvrl1</I>‐deficient mice; however, its function is unknown. To elucidate the role of <I>Tmem100</I> in vivo, we generated a conditional knockout allele for <I>Tmem100</I> in which exon3, containing the entire coding sequence, was flanked by <I>loxP</I> sequences. The targeted allele also possessed a <I>lacZ</I> reporter cassette in intron2 for visualization of <I>Tmem100</I> expression. We found that <I>Tmem100</I> was predominantly expressed in arterial endothelial cells of developing embryos. The conditional and reporter allele will be a useful resource to investigate the in vivo role of <I>Tmem100</I>, especially in angiogenesis. genesis 48:673–378, 2010. © 2010 Wiley‐Liss, Inc.</P>

Effect of Organic Composts Application on the Growth of Korean Ginseng (Panax ginseng C. A. Meyer) in Greenhouse

Sang Young Seo(서상영),Eun Suk Park(박은석),Chang Su Kim(김창수),Hyo Jin Kim(김효진),Yong Moon Lee(이용문),Hee Jun Kim(김희준),Dong Won Kim(김동원) 한국약용작물학회 2018 한국약용작물학회 학술대회논문집 Vol.2018 No.1

Prevalence of Severe Fever with Thrombocytopenia Syndrome Virus (SFTSV) Infection in Wild Animals in Korea

Eun Ju Kim,Mukter Hossain,Sung Hyun Moon,A Rum Kang,Ki Jeong Na,Won Il Kim,Ho Seong Cho 대한수의학회 2015 대한수의학회 학술대회발표집 Vol.2015 No.-

Improving the Chemical Accidents Prevention Management System

Sang Il Ryu,Jae Eun Lee,Ju Ho Lee,Gi-Geun Yang,Pilrae Cho,Moon Myong-Hwan,Seong Cho,Seol A Kwon,A Yeon Kim,Jee Eun Kim,Ga Hee Kim 위기관리 이론과 실천 2017 위기관리 이론과 실천 학술대회 Vol.2017 No.12