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일부 도시 노인 건강 관리 계획을 위한 기초조사-시내 응암동 할머니회를 대상으로-
You Kye-Ai,Han Jung-Suk,Lee Choon-Ai,Hahn Yoon-Bok,Han Sang-Im 대한간호협회 1981 대한간호 Vol.20 No.3
Current population trends, marked by an increasing accumulation of old members, must be followed by major adjustment in socioeconomic planning since our traditional family structure has been changing as a result of scientific and sociologic advances. Welf
ST분절 상승 심근경색 환자의 일차적 관동맥중재술까지 시간 지연 인자
김정애 ( Jeong Ai Kim ),정진옥 ( Jin Ok Jeong ),안계택 ( Kye Taek Ahn ),박형서 ( Hyung Seo Park ),장원일 ( Won Il Jang ),김민수 ( Min Soo Kim ),짐준형 ( Jun Hyung Kim ),박재형 ( Jae Hyeong Park ),이재환 ( Jae Hwan Lee ),최시완 ( S 대한내과학회 2010 대한내과학회지 Vol.78 No.5
Background/Aims: The time delay for a patient from the onset of disease symptoms until the reperfusion therapy is one of the biggest interruptions in early reperfusion therapy in patients with acute ST-segment elevation myocardial infarction (STEMI). Here, we evaluated both the duration and nature of these time delays to facilitate early patient reperfusion therapy. Methods: Patients with acute STEMI who were undergoing primary percutaneous coronary intervention (PCI) were prospectively enrolled in the Chungnam National University Hospital from January 2005 to December 2007. Results: From a total 364 patients (mean age: 64±12 years) the mean time interval from the onset of symptoms to the decision to visit a hospital was 101.4±10.6 (median: 50.0) minutes. The mean time interval for the onset of disease symptoms to the patient arrival at the emergency room (ER) (pre-hospital delay) was 222.1±12.4 (median: 171.5) minutes. The mean time interval from the ER to reperfusion (door to balloon time) was 89.0±6.0 (median 65.0) minutes. The mean time interval from the onset of symptoms to successful reperfusion therapy (pain to balloon time) was 311±13.6 (median: 250) minutes. The factors associated with these significant time delays were mainly: residency in rural areas, the use of private transport in preference to an ambulance and finally the transferal of patients from other hospitals. As a result of multivariate analysis the latter was found to be the most significant causative factor. Conclusions: This study demonstrates that there is a significant pre-hospital time delay in patients with STEMI. Thus, a media campaign explaining STEMI symptoms, the importance of early visits to the emergency department, the use of an ambulance, and the activation of the base hospital for efficient patient transfer (particularly in rural areas) may reduce this time delay in patients with STEMI and avoid interruptions to otherwise efficient reperfusion therapies. (Korean J Med 78:586-594, 2010)
1999년도 계절별 영양조사 (Ⅰ) : 식품섭취실태 Food consumption survey
김복희,계승희,이행신,장영애,신애자 대한영양사협회 2001 대한영양사협회 학술지 Vol.7 No.3
In accordance with the National Health Promotion Act of 1995, newly designed National Health and Nutrition Survey was carried out in winter of 1998. Although this survey amended most of the problems noted in previous Nutrition Surveys, it still had a limitation in reflecting seasonal variation in food intake due to the survey period which was confined to November and December. In order to counterbalance this limitation and estimate the yearly food intake of Korean population, three seasonal nutrition surveys were taken place in spring, summer, and fall of 1999. Seasonal Nutritional survey targeted 15 households each in 60 nationwide primary sampling units(PSUS) which were part of 200 PSUS of 1998 National Health and Nutrition Survey. Therefore, total of 2,700 households were surveyed in 3 seasons. The interviewers visited each household members and carried out face to face interview on household. Daily food intake was monitored using 24 hour recall method. According to the survey results, fruits, beverage and alcohol intake showed large variation with season while processed foods showed almost no variation. And intake of vegetables and fruits were influenced by their own harvesting time and had impact on the list of foods consumed most. With the result of the 1998 NHNS, this study made it possible to estimate the yearly average food intake of Korean population. The result of this survey is expected to be used in planning food supply and setting tolerance level of contaminants of each food at the government level.
1999년도 계절별 영양조사(Ⅱ) : 영양소섭취실태 Nutrient intake status
김복희,계승희,이행신,장영애,신애자 대한영양사협회 2001 대한영양사협회 학술지 Vol.7 No.4
Nutrient intake of Koreans from the 1999 Seasonal Nutrition Survey was somewhat lower than those of 1995 National Nutrition Survey or 1998 National Health and Nutrition Survey owing to the seasonal variation in amount and kind of foods eaten. In addition to the seasonal variation, low response rate of households which were surveyed twice was another reason for lower intake. Analysis of the major source of nutrients showed that intake of energy, carbohydrate, vitamin A and vitamin C was influenced by seasonal food supply pattern. And especially, vitamin A and vitamin C intake was more influenced by consumption of fruits and vegetables than other food groups. Main sources of these two nutrients were spinach and strawberry in spring, watermelon, tomato, melon and potato in summer, and grapes and pumpkin in autumn. As shown before in the report on food consumption, intake of beverages, drinks, fruits and vegetables was more influenced by season than others and these food groups affected the nutrient intake most. With the results of the 1998 National Health and Nutrition Survey, this study made it possible to estimate the average nutrient intake of the Korean population through out a year.
최준 ( Jun Choi ),김재선 ( Jae Seon Kim ),윤혜선 ( Hye Seun Yoon ),정의창 ( Eui Chang Jung ),이애영 ( Ai Young Lee ),송계용 ( Kye Yong Song ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.7
Subcutaneous fat necrosis of newborn is an uncommon disorder characterized by firm subcutaneous plaques and nodules usually appearing shortly after birth. A female newborn with brain death developed diffuse hardening of trunk, extremity, cheek and buttock in the first 5 weeks of the life. A clinical diagnosis of sclerema neonatorum was made. But histologic examination revealed patchy areas of fat necrosis with crystallization, infiltration of histologic cells and several multinucleated giant cells containing needle-shaped clefts. Calcium deposits were also demonstrated within the necrotic area. So, we diagnosed this case as subcutaneous fat necrosis of newborn with generalized hardening of the skin. (Korean J Dermatol 2003;41(7) : 932~935)
한국에서 옴 감염의 역학 및 임상적 연구: 다기관 전향적 연구
박송연 ( Song Youn Park ),노주영 ( Joo Young Roh ),이준영 ( Jun Young Lee ),김도원 ( Do Won Kim ),윤태진 ( Tae-Jin Yoon ),심우영 ( Woo Young Sim ),이규석 ( Kyu-Suk Lee ),계영철 ( Young Chul Kye ),이애영 ( Ai-Young Lee ),김문범 ( M 대한피부과학회 2014 대한피부과학회지 Vol.52 No.7
Background: Scabies is an old and common contagious skin disease. The incidence of scabies has decreased through the economic growth of Korea. However, recent outbreaks in medical facilities have created a suspicion that the infection of scabies is an emerging public health problem. Objective: We evaluated the epidemiological and clinical aspects of patients diagnosed with scabies in Korea. This prospective study follows the retrospective study already performed by the same authors in 2011. Methods: A multicenter, prospective study of scabies was performed at 25 hospitals in Korea. We included 914 patients who were diagnosed with scabies. Microscopic examination revealed scabies mites or eggs, or clinical improvement after treatment. Patients were asked to provide information on scabies, especially regarding the contact source, and the physicians examined them. Results: Of the participants, 432 patients were men and 482 were women. Patients aged younger than 10 years and 60∼69 years were the most common groups. Scabies more commonly affected patients during the fall and winter. Of the patients, 68.0% were thought to be infected at their homes, followed by nursing homes or hospitals (25.7%), and 31.6% through contact with other patients or, occasionally, staff members, including caregivers. Conclusion: We confirmed that scabies is an emerging threat in institutions, especially medical facilities. In addition, we suggest that public and in-hospital education is essential to minimize the problems associated with scabies. (Korean J Dermatol 2014;52(7):457∼464)