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Shin, A,Shin, H R,Kang, D,Park, S K,Kim, C-S,Yoo, K-Y Nature Publishing Group 2005 The British journal of cancer Vol.92 No.7
<P>In a nested case–control study of 86 cases of gastric adenocarcinoma in relation to <I>Helicobactor pylori</I> infection in the Korean Multi-center Cancer Cohort, the <I>H. pylori</I> IgG seropositivity was 83.7% and that of the 344 matched controls was 80.8%, with a matched odds ratio for <I>H. pylori</I> infection of 1.06 (95% CI, 0.80–1.40).</P>
Technique failure in Korean incident peritoneal dialysis patients: a national population-based study
( Shina Lee ),( Hyunwook Kim ),( Kyoung Hoon Kim ),( Hoo Jae Hann ),( Hyeong Sik Ahn ),( Seung-jung Kim ),( Duk-hee Kang ),( Kyu Bok Choi ),( Dong-ryeol Ryu ) 대한신장학회 2016 Kidney Research and Clinical Practice Vol.35 No.4
Background: Technique failure is an important issue for peritoneal dialysis (PD) patients. In this study, we aimed to analyze technique failure rate in detail and to determine the predictors for technique failure in Korea. Methods: We identified all patients who had started dialysis between January 1, 2005, and December 31, 2008, in Korea, using the Korean Health Insurance Review and Assessment Service database. A total of 7,614 PD patients were included, and the median follow-up was 24.9 months. Results: The crude incidence rates of technique failure in PD patients were 54.1 per 1,000 patient-years. The cumulative 1-, 2-, and 3-year technique failure rates of PD patients were 4.9%, 10.3%, and 15.6%, respectively. However, those technique failure rates by Kaplan-Meier analysis were overestimated compared with the values by competing risks analysis, and the differences increased with the follow-up period. In multivariate analyses, diabetes mellitus and Medical Aid as a crude reflection of low socioeconomic status were independent risk factors in both the Cox proportional hazard model and Fine and Gray subdistribution model. In addition, cancer was independently associated with a lower risk of technique failure in the Fine and Gray model. Conclusion: Technique failure was a major concern in patients initiating PD in Korea, especially in diabetic patients and Medical Aid beneficiaries. The results of our study offer a basis for risk stratification for technique failure. Copyright ⓒ 2016. The Korean Society of Nephrology. Published by Elsevier. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Factors Influencing the Level of Fall Incidents in Korean Hospitals
Shinae Ahn,Da Eun Kim 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): Falls are the most prevalent patient safety incidents in hospitals and can cause serious injury and death. This study aims to examine the prevalence and the factors that influence the level of fall incidents in Korean hospitals. Method(s): This cross-sectional descriptive study used secondary data from the “Korean Patient Safety Incident Report 2019” and was based on the International Classification for Patient Safety conceptual framework. We analyzed 4,176 fall incidents between January 1 and December 31, 2019. Data were analyzed using descriptive statistics and χ2-test. Also, multinomial logistic regression analyses were conducted to identify factors that influence the level of these incidents. Result(s): Among the fall incidents, 443 (10.6%) were sentinel events, 2,514 (60.2%) were adverse events, and 1,219 (29.2%) were near miss. The level of incident (sentinel event, adverse event, and near miss) showed significant differences according to age (χ2=50.06, p<.001), gender (χ2=63.39, p<.001), diagnosis (χ2=120.68, p<.001), medical department (χ2=64.42, p<.001), type of hospital (χ2=239.74, p<.001), bed size (χ2=82.28, p<.001), accident location (χ2=19.21, p<.014), and reporter (χ2=69.17, p<.001). The result of the multinomial logistic regression showed that the factors associated with sentinel events were old age (≥60 years), gender, diagnosis, medical department, early detection after falls, long-term care hospital, and reporter. Adverse events were significantly associated with patients’ diagnosis, medical department, nurses’ night shift time, large bed size, accident location (operating room, recovery room, and intensive care unit), and reporter. Conclusion(s): Our findings indicate that both patient and incident characteristics were significantly associated with the level of fall incidents in hospitals. Therefore, multiple factors should be taken into account to establish healthcare policies, and thus prevent fall risks and minimize damages following falls in hospitals.
Factors Influencing Healthcare Provider-Patient Communication in Korea
Shinae Ahn,Hanna Choi 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): The aim of the study is to establish a hypothetical model for the medical service communication of medical consumers and to verify of the factors affecting the medical service communication of consumers, based on Cox’s interaction model of client health behavior and Street’s ecological framework of communication in medical encounters. Method(s): This cross-sectional descriptive study used data from a national survey of cancer and healthrelated information–seeking behavior for Koreans. The data was collected for consumers, aged 19 years or older in 2018. Regional quota sampling method was used. Socio-demographic characteristics, personal characteristics, media characteristics, and cognitive-affective influences were assessed as factors related to health care provider-patient communication. Data were analyzed for 895 Korean adults using descriptive statistics, t-test, ANOVA, and multiple regression analyses. Result(s): The average score for healthcare provider-patient communication was 2.30 (SD: 0.68). Among the six items, “patients made sure they understood the things they needed to do to take care of their health” was the highest (2.45±0.79), whereas the score of “spent enough time with healthcare provider” was the lowest (2.13±0.87). Provider-patient communication in healthcare was significantly associated with age, patients who lived alone, patient activation, and health information technology (HIT) efficacy. Conclusion(s): Our findings indicate that socio-demographic, personal, and media characteristics were significantly associated with provider-patient communication in hospitals. To improve communication in healthcare, providers need to be aware of the level of patient activation and HIT efficacy, and it is necessary to provide more information to patients based on patient-centered care.
( Shina Lee ),( Jung Hwa Ryu ),( Hee Sung Go ),( Seung Jung Kim ),( Duk Hee Kang ),( Dong Ryeol Ryu ),( Kyu Bok Choi ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Hyperphosphatemia is important problem because of its affect on endothelial dysfunction as well as homeostasis of bone. Chronic kidney disease(CKD) patients tend to have higher serum phosphorus values than those in healthy population due to their positive balance of phosphorus in kidney. There are a few studies which reported that serum phosphorus level was correlated with endothelial function. Recently it has been reported the patients with higher serum phosphorus level revealed the more endothelial dysfunction in healthy population. Thus, the following study was carried out in an effort to redefi ne the relationship between serum phosphorus level and endothelial dysfunction to those on chronic kidney disease. Methods: This is a cross-sectional study and the enrolled 79 CKD patients with exception of CKD stage 5 or receiving renal replacement therapy. They were subjected to the measurement with iontophoresis, and endoPAT, ankle brachial index, which represented endothelial function assessment. And also the average serum phosphrous level in patients was measured for the last three months including examination month. The Pearson`s correlation coeffi cient analysis was performed to defi ne the association of serum phosphorus and endothelial function. Results: When participants were divided into four groups according to estimated GFR, serum phosphorus level had signifi cant higher values in CKD stage 4. From univariate analysis, higher phosphorus level was associated with better endoPAT values(r=0.296, p=0.008). Multivariate analysis adjusted by PTH, TG showed significant correlation between the serum phophorus level and endoPAT. Conclusions: This study showed that serum phosphorus level may associate with endothelial function even in CKD. Furthermore, it is required a prospective study of larger population to identify the relationship between phosphorus and endothelial function and to establish optimal reference range of phosphorus level for protection from endothelial dysfunction.