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천남성(天南星)음독에 의한 구강과 인두의 충혈과 통증 및 부종의 1례
홍민기,박주옥,왕순주,Hong, Min-Ki,Park, Ju-Ok,Wang, Soon-Joo 대한임상독성학회 2003 대한임상독성학회지 Vol.1 No.1
Korean people use a lot of herbal agents for medical purposes, such as curing diseases, improving health state, but some of the herbal agents have toxic side effects. In terms of toxicology, herbal agents classified into 3 categories generally nontoxic, potentially toxic and toxic. But, there are few studies about the mechanisms and clinical features of intoxication of herbal agents. So detoxification or initial treatment of these agents is very difficult to clinicians in hospital. Authors experienced an uncommon case of intoxication after Arisaematis Rhizoma Ingestion. We report this case with review of Arisaematis Rhizoma.
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이준녕(Lee, Joonnyong),박주옥(Park, Ju Ok),박정호(Park, Jeong Ho),양승만(Yang, Seungman),주윤하(Joo, Yoon-ha),신상도(Shin, Sang Do) 한국방재학회 2017 한국방재학회논문집 Vol.17 No.3
본 연구에서는 특수재난 대응 통합 위해인자 탐지 장비를 고안하고, 제작하여 그 사용성을 평가하였다. 본 연구에서 개발된 장비는 화학 가스 탐지 및 분석, 방사선 탐지 및 분석, 생물학 위해 인자 탐지로 구성이 되었다. 화학 가스 탐지의 결과를 상황 위험도를 나타내는 acute exposure guideline levels (AEGLs)로 변환하여 제시하고 방사선 탐지의 결과는 노출량과 누적량만이 아니라 10mSv를 기준으로 최대 활동 시간으로 제시한다. 최종 사용성 평가에서 개발된 시제품은 탐지 분석 결과에 대한추가적인 정보를 제공하여 사용자가 결과 해석을 쉽게 할 수 있도록 한 특징이 잘 나타났다. 시제품은 여러 장비의 통합으로크기가 크고 운반의 용이성은 떨어졌지만, 전반적 사용성 및 버튼 조작의 편리성, 화면 구성 및 결과 제시 방식에 대한 사용자 만족도는 높은 것으로 나타났다. In this study, we developed a unified chemical, biological, radiological, and nuclear (CBRN) threat analyzer and performed user evaluation of the device. The proposed device is composed of sub-systems capable of analyzing common toxic industrial chemical(TIC) gases, gamma rays, and common non-gaseous biological agents. The threats are analyzed and presented in a user-friendly form; the results of gas analysis are presented in the form of acute exposure guideline levels (AEGLs), the results of radiation analysis are presented in the form of maximum exposure time, and the results of biological agents analyses are presented as present or absent. In the user evaluation, the developed device is compared against commercial devices. Due to the extra analyses on the CBRN threats in addition to chemical gas concentration and radiation levels, the subjects were better able to comprehend the degree of danger as compared to the commercial devices. The proposed device was also rated as bulky and less portable as compared to the commercial devies, but was rated higher in terms of ease of use and information display
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김대곤 ( Dae Kon Kim ),홍기정 ( Ki Jeong Hong ),노현 ( Hyun Noh ),홍원표 ( Won Pyo Hong ),김유진 ( Yu Jin Kim ),신상도 ( Sang Do Shin ),박주옥 ( Ju Ok Park ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
Purpose: The field trauma triage for injured patients is essential for trauma care system. In this study, agreement of patient evaluation between by prehospital EMS personnel and by hospital staffs and the appropriateness of prehospital triage were evaluated. Methods: This observational study was conducted from September to October 2012 for 5 weeks. During this period, EMT evaluated patient’s severity according to guideline for field triage and recorded. Same guideline was applied in 26 hospitals for patients with EMS use. Kappa statistics were used to measure agreement for each item of guideline. Finally, over-triage and under-triage rate of EMT were calculated. Results: During study period, total 3,106 patients were transferred to 26 hospital emergency departments with EMS use. Kappa statistics for “vital signs” items were 0.45 for mentality lower than V and 0.44 for systolic blood pressure lower than 90 mmHg as a moderate agreement. In “anatomy of injury” items Kappa statistics were very low. In “mechanism of injury” items Kappa statistics were 0.28 for high-rise fall down and 0.27 for high energy traffic accident but in other items Kappa statistics were very low. 362 patients (12.0%) were over-triaged and 281 patients (9.3%) were under-triaged. Conclusion: Field triage can be applied but need to evaluate and modify in order to become accurate and sensitive for decision of transportation. [ J Trauma Inj 2014; 27: 126-32 ]
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박주옥,권혜진,최경숙 중앙대학교 의과대학 의과학연구소 1995 中央醫大誌 Vol.20 No.1
The purpose of this study is to provide the basic data for development of nursing profession and effective nursing intervention by investigating nursing professional attitudes and job satisfaction of clinical nurses. The subjects for this study were 242 registered nurses of two university hospitals in Seoul. The nurses were surveyed by means of a questionnaire during the period of Apr. 14 to 22, 1992. The Nurses Professional Attitudes Scale developed by Alfred T. Fingerhut and adapted to the Korean situation by Ryu, Kim, Lee, park was used. The job satisfaction questionnaire developed by Stamps was used for this study. The survey questionnaire consists of 30 items related to nursing professional attitudes and 20 items related to hob satisfaction. It utilized a Likert type Scale of 5. Participants were asked to select responses which were congruent with their thoughts of each item. The Alpha Score of nursing professional attitudes scale and the job satisfaction scale were .793 and .791. Computer program(SPSS) was used for data analysis. Frequency and percentage were used to examine the characteristics of the subjects. ANOVA were used to test the difference in nursing professional attitudes and job satisfaction among groups classified by the characteristics. Pearson Correlation Coefficient was used to analyze nursing professional attitudes and job satisfaction. The results of this study were so follows : 1. The mean score for nursing professional attitudes was 3.87 points, with the maximum score set at 5 points. 2. The mean score for job satisfaction was 2.88 points with the maximum score set at 5 points. 3. The analysis of the level of nursing professional attitudes according to characteristics of the subjects showed statistically significant difference in position(F=3.25, p<.05) 4. The analysis of the level of job satisfaction according to characteristics of the subjects showed significant differences in age(F=4.45, p<.01, religion(F=2.83, p<.05), position(F=8.26, P<.001), working part (F=4.40, p<.001), working experience(F=5.63, p<.001), expected nursing period(F=5.60, p<.001). 5. In the correlation, Nursing professional attitudes and job satisfaction were positively correlated with a statistical significance(r=.467, p<.001). In conclusion, It was found that the more positive nursing profession attitudes are, the higher job satisfaction becomes. Therefore, the development of nursing professional attitudes and the growth of job satisfaction must be accomplished by the administrative support and the study.
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응급실을 방문한 급성 신우신염 환자의 경험적 항생제 치료 : 시프로프록사신과 3세대 세팔로스포린의 효과 비교
정기영,박주옥,김도균,곽영호 대한감염학회 2007 감염과 화학요법 Vol.39 No.6
목적 : 급성 신우신염의 가장 흔한 원인균인 대장균의 경우 시프로프록사신에 대한 내성률은 병원마다 차이가 있으나 우리나라의 경우 최고 30%까지 보고되고 있다. 이에 저자들은 응급실을 방문한 급성 신우신염 환자의 초기 경험적 항생제로 사용하는 시프로프록사신과 세포탁심의 치료 효과를 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2004년 11월부터 2006년 6월까지 응급실에서 급성 신우신염 진단을 받은 64명의 환자를 대상으로 의무기록을 후향적으로 분석하여 치료 성공률을 비교하였고 치료 성공은 항생제 사용 후 48시간 이상 체온이 37.7'C 미만으로 유지되는 경우로 정의하였다. 또한 각각의 항생 제 사용 전후의 혈액학적 급성기 반응물질(백혈구 수, CRP 수치, 칼슘 수치, 알부민 수치)의 변화를 분석하였다. 결과 : 시프로프록사신 사용군은 31명, 세포탁심 사용군은 33명이었으며 두 군간의 인구학적 통계 차이는 없었다. 각각의 항생제 사용 전후의 급성기 반응 물질의 변화를 분석한 경우 백혈구 수와 CRP 수치가 세포탁심군에서만 유의한 감소를 보였다. 체온을 비교함으로써 관찰한 임상적 치료 성공률을 살펴보았을 때 항생제 사용 48시간 이후에는 두 군간의 유의한 차이는 관찰되지 않았다. 그러나 항생제 사용 72시간 및 120시간 이후에는 세포박심군이 유의하게 높은 치료 성공률을 나타내었다[72 hours; 30 (91%) vs. 19 (61%), P=0.016 and 120 hours; 32 (97%) vs. 23 (74%), P=0.009]. 환자의 연령, 성별, 기저 질환 등의 자료를 보정하여 로지스틱 회기분석을 시행한 경우 항생제의 종류보다는 원인균의 항생제 감수성이 치료 성공률에 더 큰 영향을 작용하는 것으로 나타났다(Adjusted for age and gender: OR=10.85. 95% CI=1.57-74.99, adjusted for age, gender and other patient characteristics: 0R=12.57, 95% CI=1.33-118.8). 결론 : 시프로프록사신에 대한 내성률이 높은 우리 나라의 경우 급성 신우신염의 초기 치료 항생제로 시프로프록사신보다 제3세대 세팔로스포린을 고려할 필요가 있을 것으로 여겨진다. 향후 전향적 다기관 연구를 통하여 두 종류의 항생제의 효과에 대한 보다 광범위한 연구가 필요할 것으로 사료된다. Background : The resistance rate of Escherichia coli (E.coli) against ciprofloxacin is reported as high as 30% in Korea. The purpose of this study was to evaluate the clinical outcome of two empirical antibiotics, ciprofloxacin and cefotaxime, in patients with acute pyelonephritis (APN). Material and Methods : We retrospectively reviewed medical records of APN patients who were prescribed with ciprofloxacin or cefotaxime as empirical antibiotics from November 2004 and June 2006. The Successful treatment (ST) was defined as the condition that a patient maintained body temperature below 37.7'C for more than 48 hours after treatment. Results : A total of 64 patients were enrolled (31 in the ciprofloxacin and 33 in the cefotaxime group). Average age was 58.9 (±15.8) years and 58 (90.6%) Patients were women, Comparing WBC count and CRP level before treatment with those after 48 hours of treatment, significant improvements were found only in the cefotaxime group. After 48 hours, the cefotaxime group had more patients with ST, but the difference was not significant [19 (58%) vs. 12 (39%), P=0.131]. After 72 and 120 hours, the Cefotaxime group showed significantly higher ST rate than the ciprofloxacine group [72 hours; 30 (91%) vs. 19 (61%), P=0.016 and 120 hours; 32 (97%) vs. 23 (74%), P=0.009]. Even after adjusting demographic factors, the cefotaxime group showed higher ST rate. Conclusion : Cefotaxime can be considered as a better option for empirical treatment for APN in aspects of improvement of acute phase reactants and clinical cure, especially in endemic area of highly resistant E. coli.
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