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이해균(Hae-Gyun Lee),이상엽(Sangyeoup Lee),이정규(Jung-Gyu Lee),김윤진(Yun-Jin Kim) 한국의학교육학회 2003 Korean journal of medical education Vol.15 No.1
Purpose: The aim of this study was to report the patient s opinion of the presence of medical students in ambulatory care, and to find out which factors were related with the outpatient s feelings and opinion. Methods: The study subjects were 187 outpatients attended at three medical college hospitals in Busan. The subjects completed self-reported questionnaires about the patients opinion of the presence of medical students in ambulatory care. These data were analyzed chi-square test. Results: Among 187 people, 100 (53.4%) respondents answered with ‘agree , 65 (34.8%) were ‘no idea , and 22 (11.8%) were ‘disagree about the presence of medical students in ambulatory care. The patient s age, sex, educational level, and monthly income were not related significantly with the patient s opinion of the presence of medical students in ambulatory care. The factors related to subject s opinion were previous experience of medical students inspection (p<0.05), comfortableness of talking to doctor with medical students (p<0.001), and previous recognizing the medical educational function of the medical college hospital (p<0.005). Conclusion: Most outpatients have positive opinion for the presence of medical students in ambulatory care. But, because some outpatients have negative opinion toward the presence of medical students in ambulatory care, we need systemic consideration about them.
부산지역 의과대학생을 대상으로 한 응급처치 및 심폐소생술 교육 경험
오인호(In-Ho Oh),이상엽(Sangyeoup Lee),민홍기(Hong-Gi Min),김영주(Young-Joo Kim),임지향(Jie-Hyang Lim),김형회(Hyoung Hoi Kim),전태용(Tae Yong Jeon),김윤진(Yun-Jin Kim),조석주(Suk-Ju Jo),배석주(Suk-Ju Bae) 한국의학교육학회 2005 Korean journal of medical education Vol.17 No.1
Purpose: The aim of this study was to describe the experience of teaching emergency management and cardiopulmonary resuscitation to medical students in Busan. Methods: Study participants were 59 medical students in Busan. An eight-day curriculum in the emergency management and cardiopulmonary resuscitation was developed. They completed all class sessions and two drill/practical examinations taught by our interdisciplinary team from July 21 through 30, 2003. Each class is approximately 2 hours and reading assignments are given at the end of each class. Also included are practical, table-top and team-building exercises. The participants completed self-reported questionnaires for the education. Results: About establishment and environment of the education, respondents answered with `very good were 14%. About overall theoretical lecture, respondents answered with `very helpful were lower than 40%. Especially, favorable evaluation for the medical lectures was lower than that of other lectures. Students generally enjoyed their emergency medicine experience as it is often their first opportunity to assume primary responsibility for patient care. About overall practices, respondents answered with very helpful were higher than 60%. Conclusion: The authors found that medical students prefer opportunities to hone procedural skills than to hear theoretical lectures. Also, medical students are welcome to hear theoretical lectures that consists of emergency management related contents, not academically medical contents. This curriculum should be tailored to fulfill learner s requirements.
의사 쉐도잉 프로그램이 의과대학생의 전문직간 협력 준비도와 환자안전 태도에 미치는 영향
윤소정 ( Sojung Yune ),임선주 ( Sunju Im ),이상엽 ( Sangyeoup Lee ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.2
본 연구는 의사 쉐도잉 프로그램이 의과대학 학생들의 환자안전에 대한 태도와 전문직간 협력 준비도에 미치는 영향과 그 경험의 의미를 알아보았다. 이를 위해 쉐도잉 프로그램의 사전사후에 전문직간 협력 준비도와 환자안전에 대한 태도 검사를 시행하였으며, 프로그램 종료후 성찰에세이를 작성하도록 하였다. 대응표본 t 검정과 Netminer 4.0을 활용한 키워드 분석을 실시하였다. 그 결과 전문직간 협력 준비도와 환자안전에 대한 태도 검사의 전체 점수에서는 차이를 보이지 않았다. 성찰에세이에서는 ‘의사는 정보 제공을 통해 환자의 걱정을 해소해주는 존재’, ‘전문직간 협력으로 완성되는 진료 현장’, ‘참여를 통한 의료인 체험’의 3가지 주요한 토픽이 나타났다. 의사 쉐도잉 프로그램은 학생들이 의료인의 역할과 협업의 중요성을 인식하고 의료인의 한 사람으로서의 정체성을 확립하는데 도움을 주는 것으로 분석되었다. This study investigated how the physician shadowing program affects the medical school students’ attitudes toward patient safety and the readiness for cooperation among experts, and what the meaning of the experience in the physician shadowing program is. Before and after the program, the readiness of cooperation among experts and the attitude toward patient safety were tested, and a reflection essay was written after the program was completed. Paired t-test and keyword analysis using Netminer4.0 were conducted. As a result, there was no difference in the overall score of the test in preparation for cooperation among experts and attitude toward patient safety. In the reflection essay, three major topics were revealed: ‘physicians are the ones who relieve patients’ worries by providing information’, ‘the field of treatment completed through cooperation between experts’, and ‘experience as a medical person through participation’. The physician shadowing program was found to help students recognize the role of medical professionals and the importance of collaboration, and to establish their identity as a medical professional.
이정규,김윤진,이상엽 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.23
Purpose: Recently, several biological markers have been identified as risk factors for cardiovascular disease and are also associated with an increase in the risk of metabolic syndrome. However, little is known about the relative importance of homocysteine in the association with metabolic syndrome. We thus compared homocysteine and their association with metabolic syndrome. Subjects and Methods: We measured homocysteine in 4,624 Korean adults without a medical history of cardiovascular disease, acute diseases, or cancer. Metabolic syndrome was defined using criteria from the updated National Cholesterol Education Program Adult Treatment Panel III (ATP III) and the International Diabetes Federation (IDF). Results: The prevalence of metabolic syndrome by the ATP Ⅲ was higher than the prevalence according to the IDF criteria (16.4% vs. 12.9%, respectively). All clinical and metabolic variables showed significant differences between subjects with and without metabolic syndrome (P<0.001). Subjects with metabolic syndrome also had significantly higher WBC counts, hs-CRP, homocysteine, cystatin C uric acid, and GGT levels compared to subjects without metabolic syndrome (P<0.001). Correlations between metabolic syndrome and homocysteine was weak (partial correlation coefficient <0.10) and difficult to interpret. Conclusions: These findings suggest that there was weak relationship with homocysteine and metabolic syndrome.
공복혈당장애를 가진 노인에 있어 HOMA-IR과 postchallenge hyperglycemia의 연관성
민홍기,김영주,이상엽,김윤진 부산대학교 병원 암연구소 2006 부산대병원학술지 Vol.- No.20
Purpose; Isolated postchallenge hyperglycemia (IPH) is more common in elderly adults than the younger. We assessed association postchallenge hyperglycemia with HOMA -estimated insulin resistance in nondiabetic elderly with impaired fasting glucose. Subject and methods; We recruited 51 elderly adults over the age of 60 years who had impaired fasting glucose. 75 gram oral glucose tolerance test (OGTT) was performed on all subjects. The subjects were divided into three groups according to 2-hr postchallenge glucose level: normal (≤139 mg/dℓ), impaired glucose tolerance (140 to 199 mg/dℓ), and IPH (≥ 200 mg/dℓ). We compared HOMA-estimated insulin resistance, HbA1c plasma lipid, blood pressure level, metabolic syndrome, and obesity index among subgroups and assessed factors related to IPH. Results; Of the 51 subjects, 20 (39.2%) had IPH. Age, sex, smoking status, blood pressure level, plasma lipid, metabolic syndrome, and obesity index did not differ across normal, impaired glucose tolerance, and IPH groups. There were significant differences in fasting insulin, HbA1c, and HOMA-estimated insulin resistance between the IPH and normal or impaired glucose tolerance groups. After adjusting for age, obesity index, blood pressure level, plasma lipid, HOMA-estimated insulin resistance was positively correlated with HbA1c. Based on binary logistic regression analysis, HOMA-estimated insulin resistance was an independent factor affecting IPH (odds ratio=43.6, P=0.047). Conclusions; IPH was common disease in elderly adults with impaired fasting glucose. HOMA-estimated insulin resistance was significantly higher in IPH than normal or impaired glucose tolerance groups. HOMA-estimated insulin resistance was the independent factor affecting IPH in eldely adults.