RETIREMENT VILLAGE에 거주하는 자가 돌봄이 가능한 노인들의 지역사회 서비스에 대한 욕구 사정

이현주,Lee, Hiun-Ju 대한간호협회 1998 대한간호 Vol.37 No.3

지역 사회 서비스는 노인들이 질적으로 보다나은 삶을 영위할 수 있도록 돕는 기능을 해야 한다. 적절한 서비스의 공급을 위해서는 지역사회 서비스 욕구 사정의 과정이 우선적으로 요구되어지며, 이에 본 연구는 호주 NSW주 Illawarra지역내의 retirement village에 거주하는 자가 돌봄이 가능한 노인들의 지역사회 서비스에 대한 욕구를 평가하는데 그 목적을 두었다. Illawarra지역내의 여덟개 retirement village에 거주하는 98명의 자가 돌봄이 가능한 노인들을 대상으로 그들의 1) functional status; 2) 지역 사회 서비스에 대한 지식정도; 3) 지역 사회 서비스 사용정도; 4) 지역 사회 서비스 만족도; 5) 잠재적인 지역 사회 서비스 욕구 등에 대한 자가 보고형 설문조사가 이루어졌다. 수집된 자료들은 JMP(for Mackitosh) program으로 통계 처리되었고, computed frequencies가 본 연구의 목표 달성을 위해 주로 사용되었다. 연구 결과를 요약하면 아래와 같다. 1. 평균 연령 76세인 대상자들의 80%이상이 그들의 일상 생활 운영에 다른 사람의 도움을 필요로 하지 않으며 건강상태 또한 양호하다고 자각했다. 2. 90%이상의 대상자들이 지역 사회 서비스를 이용하지 않았다. 3. 70%이상의 대상자가 지역 사회 서비스의 존재에 대해 지각하고 있었다. 4. 60%이상의 대상자가 필요시에는 지역 사회 서비스에 관한 정보를 어렵지 않게 얻을 수 있다고 생각했다. 5. 40%의 대상자가 기존의 지역 사회 서비스에 대한 양과 질에 만족을 나타냈고, 그 외의 대상자들 (60%)은 그 지역 사회 서비스에 대한구체적인 지식이 없다고 보고했다. 6. 25%의 대상자들이 여러 지역 사회 서비스에 관한 관심을 보였다. 결론적으로 대다수의 대상자들은 대부분의 지역 사회 서비스들을 필요로 하지 않았고, 이러한 결과는 현재 자가간호가 가능한 retirement village 거주 노인들에게 당연한 것으로 보여진다. 그러나, 자존감이 강한 노인들에게 서비스 욕구는 자가 돌봄이 건강에 대한 포기정도로 왜곡되어 자각될 가능성이 있는 만큼, 본 연구를 통해 보고된 대상자들의 지역 사회 서비스에 대한 관심도는 고려해 볼만한 가치가 있다고 여겨지며, 이에 노인들의 자존감이 서비스 욕구에 미치는 영향에 대한 연구를 제언하는 바이다.

복강경하 저위전방절제술 전 병소위치 표시를 위한 점묵으로 파종된 직장암 1예

강형주 ( Hyong Ju Kang ),이보인 ( Bo In Lee ),김병욱 ( Byung Wook Kim ),최황 ( Hwang Choi ),조세현 ( Se Hyun Cho ),최규용 ( Kyu Yong Choi ),채현석 ( Hiun Suk Chae ),한석원 ( Seok Won Han ),정인식 ( In Sik Chung ),김경미 ( Kyoung 대한장연구학회 2005 Intestinal Research Vol.3 No.2

Endoscopic mucosal resection is accepted standard treatment of early gastrointestinal cancer, defined as cancer with involvement confined to the mucosa without lymph node metastasis. Under the therapeutic endoscopy, submucosal saline injection minimize the risks of transmural burn, perforation, bleeding. As laparoscopic colectomy became popular recently, colonoscopic tattooing of lesions to assist for localization in surgical field is in the spotlight. Four submucosal saline injections around the lesion, performed with an injection needle to test for the possibility of EMR, showed an obvious ‘non-lifting sign’. Therefore we performed endoscopic tattooing, and then experienced tumor cell seeding on tattooing site. Manipulation of cancerous tissue with submucosal saline injection or tattooing can have a risk of tumor cell seeding on injection sites at any time. Furthermore, if bowel wall is perforated, peritoneal metastasis or seeding are possible. In this case, we approached and injected saline carefully for prevention of cancer penetration. (Intestinal Research 2005;3:150-153)

간호대학생의 영적안녕과 죽음에 대한 인식태도에 관한 연구

이현주,Lee, Hiun-Ju 한국호스피스완화의료학회 2004 한국호스피스.완화의료학회지 Vol.7 No.1

목적: 임종환자의 죽음에 대한 인식태도는 그들의 남은 삶의 기간동안 겪게 될 고통이나 삶의 질을 결정하게 되는 중요한 요소로써 간호제공자의 그것에 의해 영향을 받게 된다. 그러나 이제까지의 연구들은 주로 대상자에만 초점을 두어 진행을 해왔기 때문에 본 연구에서는 간호제공자 입장에서의 죽음에 대한 인식태도를 파악해 보고자 간호대학생들을 대상으로 죽음에 대한 인식태도를 파악하고자 하였으며 또한 죽음에 대한 인식태도가 영적안녕 상태와 관계가 있는지를 규명하고자 하였다. 방법: 2003년 5월부터 6월 사이 일 대학 간호학생 197명을 대상으로 설문조사를 실시하였다. 죽음에 대한 인식태도와 영적안녕 상태를 파악하기 위한 구조화된 설문지를 사용하였으며, 총 191부를 수거하여 이 중 응답이 누락되지 않은 175부를 자료분석에 사용하였다. 대상자의 일반적 특성 및 죽음인식에 대한 태도와 영적안녕 상태는 기술적 통계를 사용해 분석하였으며, 일반적 특성에 따른 죽음인식태도와 영적안녕 상태는 t-test, ANOVA를 사용해 분석하였고, 죽음에 대한 인식태도와 영적안녕 상태의 관계분석에는 Pearson's correlation을 사용하였다. 결과: 연구대상자의 영적안녕 상태는 $50.9943{\pm}10.7235$이며, 종교와 경제활동 유무에 따른 영적안녕 상태에서 집단 간에 통계적으로 유의한 차이를 보였다. 죽음에 대한 인식태도는 $20.4914{\pm}2.6280$이었으며, 성별과 연령에 따라 통계적으로 집단간 유의한 차이를 보이는 것으로 나타났다. 대상자들의 죽음에 대한 태도와 영적안녕 상태 간에는 유의한 순상관관계가 있는 것으로 나타났다(r=.261, P=.000). 결론: 본 연구를 통해서 간호대학생의 영적안녕 상태와 죽음에 대한 인식태도 간에 상호관련성이 있음이 밝혀졌다. 이는 임종과정을 경험하는 대상자들의 죽음에 대한 인식태도에 간호제공자의 죽음에 대한 인식태도가 중요한 영향을 미친다는 기존의 연구결과와 더불어 고려해본다면 영적간호 교육에서 대상자 뿐만 아니라 간호제공자의 영적안녕 상태와 죽음에 대해 인식하는 태도 또한 교육내용에서 중요하게 다뤄져 할 부분임을 시사하는 바라고 여겨진다. Purpose: A quantitative descriptive study aimed to identify the relationships between spiritual well-being and perception attitudes of death in nursing students. Methods: A survey was conducted and 175 data were collected. Collected data were computed and analyzed using SPSS10.0 for Win. 1) Descriptive statistics were used to identify demographic data, and 2) both t-test and ANOVA statistics were used to figure out the relationships between spiritual well-being /or perception attitudes of death and demographic data of the participants. 3) Pearson's correlation coefficient was used to identify the relationships between the two main variables. Results: 1) The mean of spiritual well-being score of the participants was $50.9943{\pm}10.7235$. Significant relationships between religion /or doing economic activity and spiritual well-being were found. 2) The mean of perception attitudes of death was $20.4914{\pm}2.6280$. There were significant relationships between gender /or age and perception attitudes of death among participants. 3) A strong positive relationship between spiritual well-being and perception attitudes of death of participants was also found(r=.261, P=.000). Conclusion: The study results shows that spiritual well-being of nursing students as caregivers of terminal patients is important when the perception of death of terminal patients is considered. Previous studies indicate that caregivers' perception attitudes impact on those of terminal patients. Therefore, it is suggested that not only perception attitudes of death and spiritual well-being in terminal patients, but also those of caregivers are importantly required to consider in educational programs in relation to spiritual care of terminal patients.

Delayed Primary Repair of Perforated Epiphrenic Diverticulum

Kim Kwan Hyoung,Chae Hiun Suk,Kim Jin Woo,Wang Young Pil,Lee Sun He,Jo Keon Hyon,Park Jae Kil,Sim Sung Bo,Yoon Jeong Seob,Moon Seok Whan,Kim Yong Hwan,Lee Ju Hyeon 대한의학회 2004 Journal of Korean medical science Vol.19 No.6

Serum Prohepcidin Levels Are Lower in Patients with Atrophic Gastritis

Kim, Hyung-Keun,Jang, Eun-Chul,Yeom, Ju-Ok,Kim, Sun-Young,Cho, Hyunjung,Kim, Sung Soo,Chae, Hiun-Suk,Cho, Young-Seok Hindawi Publishing Corporation 2013 Gastroenterology Research and Practice Vol.2013 No.-

<P><I>Background/Aim</I>. Hepcidin, an iron regulatory hormone, is increased in response to inflammation and some infections. We investigated the relationships among serum prohepcidin, iron status, <I>Helicobacter pylori</I> infection status, and the presence of gastric mucosal atrophy. <I>Methods</I>. Seventy subjects undergoing esophagogastroduodenoscopy underwent multiple gastric biopsies, and the possibility of <I>H. pylori</I> infection and the degree of endoscopic and histologic gastritis were investigated. In all subjects, serum prohepcidin and iron parameters were evaluated. <I>Results</I>. No correlations were observed between serum prohepcidin levels and the other markers of anemia, such as hemoglobin, serum iron, ferritin, and total iron binding capacity. Serum prohepcidin levels were not significantly different between the <I>H. pylori</I>-positive group and the <I>H. pylori</I>-negative group. Serum prohepcidin levels in atrophic gastritis patients were significantly lower than those in subjects without atrophic gastritis irrespective of <I>H. pylori</I> infection. <I>Conclusion</I>. Serum prohepcidin levels were not altered by <I>H. pylori</I> infection. Serum prohepcidin levels decrease in patients with atrophic gastritis, irrespective of <I>H. pylori</I> infection. It suggests that hepcidin may decrease due to gastric atrophy, a condition that causes a loss of hepcidin-producing parietal cells. Further investigations with a larger number of patients are necessary to substantiate this point.</P>

도축장의 생,해체검사를 통한 경산우 및 미경산우 감별법(1)

최임용 ( Im Yong Choi ),최태석 ( Tae Suk Choi ),이달주 ( Dal Ju Lee ),이해영 ( Chang Sik Rho ),노창식 ( Kyu Hiun Kim ),김규현 ( Eun Kim ),김은 ( Taek Boo Kweon ),권택부 ( Jung Hark Lee ),이정학 한국가축위생학회 2007 韓國家畜衛生學會誌 Vol.30 No.3

This study was performed to make helpful standard for discrimination of cows from heifers by uterine and ovarian section inspection. A total of 3,736 heifers and 249 cows were inspected from January to November 2006 in Karak Market Slaughter house. Firstly, it was obvious that non-corpus albicans were observed in almost heifers(3,597/3,736, 96.3%), but there were distinctive corpus albicans in all cows(249/249 100%). Secondly, another evident was that the length and diameter of the horn in uterus was below 30㎜ in 94.5%(3,267/3,736) heifers, but above 30㎜ in 90.4%(225/245) cows, and it was easy to distinguish between right and left horn by difference of size in 87.6%(218/249) cows. Thirdly the diameters of pelvic cavity was below 220㎜ in 96.8%(3,615/3,736) heifers, but was over 200㎜ in 85.1%(212/249) cows. Fourthly another difference was found in second sacrum union condition and 13th thoracic vertebral process`s states. In case of heifers, it was distinctive five lines in each second sacrum, but it was non-distinctive or united in the same each lines of the sacrum in cows. Fifthly in the results of 13th thoracic vertebral colors, the ratio between red color and white color was 7:3 in heifers(3,385/3,736, 90.6%), but that was 2:8 in cows(199/249, 79.9%). Consequently, it was possible to use the method which discriminated cows from heifers by uterine and ovarian section inspection in large scaled field slaughter house.

도축장의 생,해체검사를 통한 경산우 및 미경산우 감별법(2)

최임용 ( Im Yong Choi ),최태석 ( Tae Suk Choi ),이달주 ( Dal Ju Lee ),이해영 ( Hae Yeong Lee ),김연하 ( Yeon Ha Kim ),이경혜 ( Kyung Hye Lee ),노창식 ( Chang Sik Rho ),김규현 ( Kyu Hiun Kim ),김은 ( Eun Kim ),신방우 ( Bang Woo Si 한국가축위생학회 2008 韓國家畜衛生學會誌 Vol.31 No.3

This study was performed to establish the discrimination of the corpus albicans that were formed after normal parturition and abortion in Holstein, The corpus albicans were obtained from 504 cows and 506 heifers slaughtered in the Agricultural Cooperative`s Livestock Products Joint Market of Seoul City from March 2007 to October 2007. The difference in a gross examination (morphology, fibrogenesis, deposit state, color, and size) among the fixtures that exist in their ovaries was investigated. All of the cows had corpus albicans in their ovaries: 423 cows (83.9%) had less than three corpus albicans, 81 (16.1%) had more than four. In the heifers, however, 463 (91.05%) had no corpus albicans, 39 (7.7%) had one, and four (0.8%) had more than two. In the types of corpus albicans 73.2% of the cows had oval-type, 14.4% had circular-shaped, 12.4% had irregular-type. In the aborted heifers, however, oval-type appeared in 88.6% and circular-shaped appeared in 11.4%, and no irregular-type was found. There was no significant difference in the fibrogenesis and size of corpus albicans between cows and aborted heifers. However, slight difference in the color of the corpus albicans was observed between two types. In conclusion, it is not easy to discriminate by gross examination of ovary between cows and aborted heifers in the slaughter house.

위장관 이물 118 예에 대한 고찰

정명선,최규용,김재광,최명규,박순민,선희식,한남익,한석원,윤종구,김성수,채현석,최주연 대한소화기학회 1999 대한소화기학회지 Vol.33 No.4

Background/Aims: Most of foreign bodies in the gastrointestinal tract are passed spontaneously, bu 10-20% of those needs treatment. We evaluated the role of endoscopy for removal of foreign bodies in the gastrointestinal tract. Methods: We investigated retrospectively 118 cases with foreign bodies in the gastrointestinal tract. They had been treated at Holy Family Hospital, The Catholic University of Korea, from January, 1990 through December, 1996. Results: The age ranged from 3 month to 78 years. Patients under 15 years were 76 cases and male was more prevalent than female (M:F= 1.68:1). Half (59 cases) of the patients had no symptom. Two most common foreign bodies were coins (45 cases) and sharp materials (18 cases) in children, while gastric bezoars (15 cases) and bones (10 cases) in adults. The most common location was esophagus (61 cases). In eighty-eight cases (74.6%), foreign bodies were removed by rigid or flexible endoscopy or anoscopy. Conclusions: Rigid and flexible endoscopy are useful tools for removal of foreign bodies in the gastrointestina tract.

특발성 대장직장정맥류 1 예

김현재,정인식,김형준,김성수,이강문,김명철,최황,선희식,이창돈,한석원,채현석,방춘상,강형주,이관형,김세희,최규용 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.6

생선회를 먹은후 십이지장 벽에 박힌 쇠바늘의 내시경적 제거

한혜원,박선희,최규용,김진일,정인식,김성수,이강문,김명철,선희식,이창돈,채현석,장정원,방춘상,강형주 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.3

Foreign bodies in the stomach and duodenum are usually accidentally swallowed by children, mentally ill patients, alcoholics, or persons with dentures. Swallowed foreign bodies are usually asymptomatic, and moved down the alimentary tract to be passed spontaneously without discomfort. There had been reported many kinds of foreign bodies, for example, metal fragments, fish bones and so on. A metal thread, which looks like a fishing hook in gastrointestinal tract as a foreign body, has never been reported in humans. A 62-year-old male patient was admitted due to abdominal discomfort for five days after eating raw fish. We performed gastroduodenoscopy and could find a thread penetrating to the anterior wall of duodenal bulb. It was removed by biopsy forcep. Herein, we report a case of a metal thread in duodenal bulb, which looked like a fishing hook.