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권가람 명지대학교문헌정보학회 2007 文獻情報學論集 Vol.- No.9
본 연구는 교수매체전문가로서 사서교사의 역할에 대해 현직 사서교사의 인식을 알아보고, 수업의 질을 높이기 위해 사서교사가 제공해야 할 교수-학습 지원 서비스를 모색하고자 전국 사서교사 200명을 표본 추출하여 설문지를 모두 e-mail을 통해 배포하고 데이터를 수집하였다. 설문지의 분석 방법은 각 문항별 응답빈도를 통한 백분율을 "Microsoft Excel 2000"을 사용하여 분석하였다.
Ga-Ram You,Seon-Young Park,Hye-Su You,Seung-Young Seo,Sung-Kyun Yim,Byung-Chul Jin,Jung-In Lee,Young-Dae Kim,Suck-Chei Choi,Chan-Guk Park,Wan-Sik Lee 대한상부위장관ㆍ헬리코박터학회 2023 Korean Journal of Helicobacter Upper Gastrointesti Vol.23 No.4
Objectives: Gastrointestinal cytomegalovirus (CMV) disease is a major contributor to mortality in immunocompromised patients. Few studies have discussed upper gastrointestinal CMV (UGICMV) disease in immunocompetent patients. We compared the clinical outcomes of UGI-CMV between immunocompromised and immunocompetent patients.Methods: This retrospective study included patients with UGI-CMV disease from five tertiary hospitals across Korea (2010– 2022). Patients’ clinical data and outcomes were recorded.Results: UGI-CMV was diagnosed in 54 patients; 27 (50.0%) had esophageal, 24 (44.4%) had gastric, and 3 patients (5.6%) had duodenal involvement. Patients’ median age was 64 years (interquartile range 53–75 years), and the most common comorbidities included hypertension (57.4%) and diabetes (38.9%). The predominant symptom was abdominal pain (46.3%), and the most common endoscopic finding was ulcers (70.4%). Antiviral treatment was administered to 31 patients, and 23 patients underwent observation without treatment. We investigated 32 immunocompromised (59.3%) and 22 immunocompetent (40.7%) patients and observed no intergroup differences in comorbidities and in laboratory and endoscopic findings. Immunocompromised patients had longer length of hospitalization (median 46.2 days vs. 20.0 days, <i>p</i>=0.001). However, treatment outcomes, including the need for intensive care unit admission and mortality did not significantly differ. The overall mortality rate was 13.0%; one patient from the immunocompromised group died of UGI-CMV disease. The treatment success rate was higher in immunocompromised patients who received antiviral therapy (<i>p</i>=0.011).Conclusions: UGI-CMV disease is not uncommon in immunocompetent patients, although symptoms are milder than those in immunocompromised patients. Our findings emphasize the importance of clinical vigilance for accurate diagnosis of CMV infection, particularly in susceptible symptomatic patients and highlight the need for active antiviral treatment for management of immunocompromised patients.
Ga Ram Kim,Min Sun Na,Kyung Suk Baek,Seung Jin Lee,Kyung Suk Lee,Young Ho Jung,Hye Mi Jee,Tae Hee Kwon,Man Yong Han,Youn Ho Sheen 대한소아청소년과학회 2016 Clinical and Experimental Pediatrics (CEP) Vol.59 No.12
Purpose: Chest radiography is often performed on patients hospitalized with typical clinical manifestations of bronchiolitis. We aimed to determine the proportion of subjects with pathologic chest radiographic findings and the clinical predictors associated with pathologic chest radiographic findings in young children admitted with the typical presentation of bronchiolitis. Methods: We obtained the following data at admission: sex, age, neonatal history, past history of hospitalization for respiratory illnesses, heart rate, respiratory rate, the presence of fever, total duration of fever, oxygen saturation, laboratory parameters (i.e., complete blood cell count, high-sensitivity C-reactive protein [hs-CRP], etc.), and chest radiography. Results: The study comprised 279 young children. Of these, 26 had a chest radiograph revealing opacity (n=24) or atelectasis (n=2). Multivariate logistic regression analysis showed that after adjustment for confounding factors, the clinical predictors associated with pathologic chest radiographic findings in young children admitted with bronchiolitis were elevated hs-CRP level (>0.3 mg/dL) and past history of hospitalization for respiratory illnesses (all P<0.05). Conclusion: The current study suggests that chest radiographs in young children with typical clinical manifestations of bronchiolitis have limited value. Nonetheless, young children with clinical factors such as high hs-CRP levels at admission or past history of hospitalization for respiratory illnesses may be more likely to have pathologic chest radiographic findings.
( Ga Ram Jo ),( Yong Ho Lee ) 한국체육학회 2015 국제스포츠과학 학술대회 Vol.2015 No.1
Purpose: This study aimed to examine exercise program on health related physical fitness, self-efficacy and physical activity level in adults with intellectual disability. Method: A pre-post test experimental research design with a control group was used. 12 Adults with intellectual disability were recruited for the exercise group and 11 for the control group separately. The measures of health related physical fitness included cardio pulmonary endurance (step-test), body composition (Bioelectrical impedance analysis), flexibility (sit and reach), muscle endurance (sit-up) and strength (hand grip strength). Self-efficacy was measured using the Physical Self-Efficacy (PSE) scale. Accelerometer was used to measure physical activity level. All variables were measured twice at baseline and at the completion of the exercise program. Exercise program using band exercise and rhythmic activity involved 90 minute session, two times per week for 12 weeks. Result: After the intervention, significant improvements were found in muscle endurance of health related physical fitness measure, self-efficacy, physical activity level in the experimental group. Conclusion: Exercise program may be recommended as a method to maintain and promote the health of adult with intellectual disability.
( Ga Ram Ahn ),( Won Jong Oh ),( Kui Young Park ),( Beom Joon Kim ),( Myeung Nam Kim ) 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.1
Cellulitis is a rapidly spreading supprative inflammation of the dermis and subcutaneous tissue. Lower leg is most commonly involved, presenting as a tender erythematous swollen patch on the unilateral side. The importance of culture study has been undervalued due to overwhelming prevalence of Staphylococcus aureus and group A Streptococcus. A 57-year-old man who had been suffered from diabetes and stasis dermatitis presented bullae and crust on tender erythematous swollen patch on the both lower leg. Through aspiration culture study performed on the initial bullous lesion, Klebsiella pneumoniae infection was confirmed. The skin lesion was gradually improved after treatment with ciprofloxacin. Herein, we report a case of bilateral cellulitis by Klebsiella pneumoniae infection in a diabetic patient, which emphasizes on the utility of tissue culture study in skin infection of immunocompromised patient.