A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea

Yong Sung Choi,정성훈,김은선,Eun Sun Kim,Eunhee Lee,Euiseok Jung,So-Yeon Lee,이우령,Hye Sun Yoon,Yong Joo Kim,Ji Kyoung Park,Son Moon Shin,Ellen Ai-Rhan Kim 대한신생아학회 2022 Neonatal medicine Vol.29 No.1

Purpose: Pediatricians have a significant responsibility to educate mothers about the importance of breastfeeding. However, there have been minimal efforts in the courses of resident training in Korea. The purpose of this study is to evaluate the change in knowledge and attitude before and after a 4-week breastfeeding educational intervention among multicenter residents. Methods: Prospective interventional educational research was designed for residents at eight training hospitals in Korea. Institutional reviews were obtained in each hospital. The education curriculum consisted of 14 courses regarding breastfeeding theory and practice. These materials were used to teach pediatric residents for 4 weeks. Knowledge-based tests were administered before the course, and re-tests were administered after the course using different test items of similar levels. Test scores and survey responses were compared before and after the intervention. Results: A total of 73 residents (1st year 20, 2nd year 23, 3rd year 16, and 4th year residents 14) from eight training hospitals completed the intervention. Their average age was 30.3±2.9 years, 17 (23.3%) were male, 22 (30.1%) were married, and eight had more than one child of their own. The mean pre-test score was 61.8±13.4 and the mean post-test score was 78.3±7.5 (P<0.001). The inter-grade difference in the score was significant in the pre-test (P=0.005), but not significant in the post-test (P=0.155). There were more responses of obtaining confidence after the intervention (P<0.001). Conclusion: In our study, pediatric residents showed improvement in their knowledge and confidence level after 4 weeks of the breastfeeding curriculum. This will provide a basis for future policymaking in the training of pediatric residents regarding breastfeedReceived: 6 January 2022 Revised: 15 February 2022 Accepted: 15 February 2022 Correspondence to: Ellen Ai-Rhan Kim, MD Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-3390 Fax: +82-2-3010-6978 E-mail: arkim@amc.seoul.kr A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea Yong-Sung Choi, MD,PhD1, Sung-Hoon Chung, MD, PhD2, Eun Sun Kim, MD, PhD3, Eun Hee Lee, MD4, Euiseok Jung, MD5, So Yeon Lee, MD, PhD5, Wooryoung Lee, MD6, Hye Sun Yoon, MD, PhD7, Yong Joo Kim, MD, PhD8, Ji Kyoung Park, MD, PhD9, Son Moon Shin, MD, PhD9, and Ellen Ai-Rhan Kim, MD, PhD5 1Department of Pediatrics, Kyung Hee University Hospital, Seoul, Korea 2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea 3Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea 4Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea 5Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 6Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea 7Department of Pediatrics, Nowon Eulji Medical Center, Eulji University, Seoul, Korea 8Department of Pediatrics, Hanyang University Seoul Hospital, Seoul, Korea 9Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 pISSN 2287-9412 . eISSN 2287-9803 Copyright(c) 2022 By Korean Society of Neonatology This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Original Article 29 Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 ing in Korea.

노인환자에서 마취방법에 따른 비교 : 회복실에서 Post Anesthesia Care Unit

김용호,최영순,채영근,이우경,이용경,민진혜 관동대학교 의과대학 의과학연구소 2005 關東醫大學術誌 Vol.9 No.1

Background: It is difficult to care for elderly patients during perioperative period because they have lots of medical problems. Although there is no difference in overall morbidity and mortality between anesthetic methods, regional anesthesia is better than general anesthesia because it is less necessary to take care of elderly patients. Method: We divided 163 elderly patients (over 65 years) into two groups; general anesthesia group(GA, total;43) and regional anesthesia (RA, total;120) group according to their anesthetic service during lower abdominal& pelvis and orthopedic surgeries. In PACU, we compared to their postanesthetic recovery score(PAR), recovery time and incidences of complications-pulmonary, cardiaovascular and PONV(postoperative nausea and vomiting) in both group. Results: The PAR scores of RA group was higher than that of GA group (9.5±0.5 vs 8.5±0.7) and recovery time of RA groups was shorter than that of GA group(42.8±19.1min vs 52.6±21.8min). The incidence of pulmonary and cardiac complication in RA group were significantly lower than those of GA group except the incidence of PONV (p<0.05). Conclusion; For old age patients, RA is better anesthetic method in aspect of PACU care.

대학 운동선수의 정체성과 성취목표가 수행전략에 미치는 효과

유경호(Yoo, Kyoung-Ho),장세용  (Jang, Se-Yong),최경아(Choi, Kyung-A),김승철(Kim, Seung-Chul) 한국체육과학회 2013 한국체육과학회지 Vol.22 No.1

The aim of this study was to examine the effect of college athletes’ achievement goal and identity on performance strategy. The participants of this study were 300 of college athletes in Seoul and Kyoung-gi area. For the analysis of data, exploratory factor analysis, multivariate analysis of variance (MANOVA), two-way ANOVA, and hierarchical multiple regression were used. The results were as follows. First, the significantly important predictor variables of athletic identity were condition control, emotion control, self-talk, and imegery/goal setting predictor variable. Condition control, tense relaxation, and self-talk were significantly important predictor variables of achievement goal. Condition control, emotion control, and imegery/goal setting were significantly important predictor variables of athletic career, skillfulness, and performance avoid goal Two, athletic identity, and performance approach goal interacted and affected self-talk for the athletes among two-way, and three-way interaction variables.

수침목재의 동결건조 실험보고 : 대전 월평동 출토 유물을 중심으로

김경수,이용희 국립중앙박물관 1999 박물관보존과학 Vol.1 No.-

수침목재의 凍結乾燥 처리시 최상의 결과를 얻기 위해서는 대상유물의 상태와 ᅳ致할 수 있는 처리약품의 선정, 적용농도, 含浸방법 등 최적의 조건을 찾아내는 것이 필요하다. 이러한 조건설정은 전처리실험을 통해서만 가능하다. 이번 실험은 대전 월평동 유적에서 출토된 소나무(Pinus densiflora S. et Z.)와 상수리나무(Quercus acutissima Carruth.) 2種의 수침목재를 대상으로 2단계 PEG처리법(2-Step; PEG#200→PEG#4000), Sorbitol처리법, PEG#200+PEG#4000처리법,Sorbitol+PEG#4000처리법 등 4가지 방법으로 전처리한 후 동결건조하고 値數安定化效果를 비교하였다. 실험결과 2-단계 PEG처리법은 소나무材의 경우 PEG#4000을 60% 농도로, 상수리나무材의 경우 PEG#4000을 40% 농도로 처리한 것이 치수안정화효과가 가장 좋았다. Sorbitol 만을 적용한 처리법은 40% 농도로 처리한 소나무재에서만 비교적 양호한 결과를 얻을 수 있었다. 그리고 Sorbitol, PEG#200+PEG#4000, Sorbitol+PEG#4000으로 처리한 상수리나무는 기대한 만큼의 치수안정화효과가 나타나지 않았다. To get the best result from vacuum freeze drying of water-logged wood, it is necessary for objects to find out the best conditions such as chemicals, appropriate concentration of solution, impregnation method and etc. Such best condition could be set up by pre-treatment experiments. Two kinds of wood(Pinus densiflora S. et Z. and Quercus acutissima Carruth) were pre-treated by four methods; 2-step PEG treatment(PEG #200-PEG #4000), sorbitol treatment, PEG #200+PEG#4000 treatment, and sorbitol+PEG#4000 treatment. After those pre-treatment, vacuum freeze-drying was undertaken. Then the effect of dimensional stability were compared. When using 2-step PEG treatment, a solution of 60% PEG#4000 got the best dimensional stability for pine and in case of the oak, a solution of 40% PEG#4000 got the best. Sorbitol treatment got rather good result for the pine only when applied with 40% solution of sorbitol. Sorbitol, PEG#200+PEG#4000 and sorbitol+PEG #4000 treatments to the oak didn't affect on dimensional stability sufficiently.

HrSOD-폴리에칠렌 접합체의 아세트아미노펜 간독성에 미치는 영향

용철순,박경아,오두만 영남대학교 약품개발연구소 1996 영남대학교 약품개발연구소 연구업적집 Vol.6 No.-

The covalent conjugation of human recombinant superoxide dismutase (hrSOD) with trichloros-triazine activated polyethylene glycol (PEG) 5000 formed soluble conjugates with molecular weight of 92KD, which retained 90~98% of original activity with a markedly prolonged plasma half-life of enzyme activity. The effect of hrSOD-PEG conjugates on acetaminophen (ACP)-in-duced hepatotoxicity was tested in male rats which were pretreated with 3-methylcholanthrene. HrSOD-PEG conjugates inhibited the hepatotoxicity produced by ACP, on the other hand, native hrSOD had no protective effect. The above results indicated that oxygen radicals might participate in the mechanism of the ACP-induced hepatotoxicity and that polymer conjugated-protein drugs with prolonged half-lives could be employed as an effective therapeutic agent.

Capsaicin으로 유도된 신경성 염증반응에 미치는 상백피의 영향

윤창용,신동환,홍충만,이원규,장동덕,채옥희,강경진,이무삼 대한해부학회 1999 Anatomy & Cell Biology Vol.32 No.1

난소절제가 흰쥐 대동맥의 미세구조에 미치는 영향

최용귀,전영희,백태경,백두진,정호삼 대한해부학회 1994 Anatomy & Cell Biology Vol.27 No.2

폴록사머를 이용한 디클로페낙 고형 좌제의 개발

용철순,오유경,김정애,김용일,박상만,양준호,이종달,최한곤 한국약제학회 2004 Journal of Pharmaceutical Investigation Vol.34 No.2

To develop a poloxamer-based solid suppository with poloxamer mixtures, the melting points of various formulations composed of P 124 and P 188 were investigated. To investigate the effect of poloxamer to the dissolution and dissolution mechanism of diclofenac sodium from the suppository the dissolution of diclofenac sodium delivered by the poloxamer-based suppository was performed. Furthermore, to investigate the mucoadhesive property of the poloxamer-based solid suppository, the identification test in the rectum was carried out after its rectal administration in rats. The poloxamer mixtures composed of P 124 and P 188 were homogeneous. Very small amounts of P 188 affected the melting points of poloxamer mixtures. In particular, the poloxamer mixture [P 124/P 188 (97/3%)] with the melting point of about 32℃ was a solid form at room temperature and instantly melted at physiological temperature. Furthermore, very small amounts of P 188 in the poloxamer-based suppository hardly affected the dissolution rates of diclofenac sodium from the suppository. Dissolution mechanism analysis showed the dissolution of diclofenac sodium was proportional to the time. At 4 h after administration, the blue color of poloxamer-based suppository [diclofenac sodium/poloxamer mixture (2.5/97.5%)] with the P 124/P 188 ratio of (97/3%) and blue lake in the rectum was faded. However, the position of suppository in the rectum did not significantly change with time. Thus, it retained in the rectum for at least 4 h. Our results indicated that the poloxamer-based solid suppository with P 124 and P 188 would be a candidate of rectal dosage from for diclofenac sodium.

적혈구를 이용한 약물 수송

용철순,박경아 영남대학교 약품개발연구소 1992 영남대학교 약품개발연구소 연구업적집 Vol.2 No.-

The use of erythrocyte as drug carrier has been reviewed. Carrier erythrocytes have proven to offer many advantages for delivery of therapeutic agents, especially in the treatment of inherited enzyme deficiency and cancer. Carrier erythrocytes are biodegradable and nonimmunogenic. Encapsulated drugs may be protected from premature degradation, inactivation and excretion. Carrier erythrocytes may be used as a slow-release system. Targeting of encapsulated drugs directly to a site of action is another possibility. Methods for encapsulating drugs into erythrocytes, the fate of carrier erythrocytes in vivo, the strategies of targeting carrier erythrocytes to special organs and in vivo applications of erythrocytes have been discussed. The encapsulation of drugs in erythrocytes has shown attractive possibilites in future use.

고밀도 유도결합 플라즈마 시뮬레이터의 GUI 및 Post Processor 개발

남경진, 김용일, 권득철, 윤남식 충북대학교 컴퓨터정보통신연구소 2007 컴퓨터정보통신연구 Vol.15 No.2

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