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기본간호학 교과서 표준화 작업을 위한 기초조사III: 영양, 배뇨 및 배변 요구
유선미(Yu, Sun-Mi),최동원(Choi, Dongwon),정혜선(Jeong, Hye Sun),송경애(Sohng, Kyeong-Yae) 기본간호학회 2021 기본간호학회지 Vol.28 No.1
Purpose: To identify the discrepancies in the textbook of fundamentals of nursing in nutrition and elimination needs in terms of number, range, definition and etc. Methods: The 10 textbooks which are the most frequently used were selected and reviewed. After then compared it with the protocols of essential nursing skills of Korean Accreditation Board of Nursing Education and evidence-based clinical nursing practice guidelines of Korean Hospital Nurses’ Association. Results: The most significant discrepancies in nutrition domain were criteria of obesity, confirmation of nasogastric tube placement. In elimination domain, there were several mixed or miss uses of French and number unit in catheter size. And appropriate catheter size for urinary catheterization and enema is different to books and guidelines. Conclusion: In order to conduct an effective resource in education of nursing, textbooks need to be revised constantly and contain the recent researches and guidelines.
Kim Sun Bean,Ryoo Seungeun,Huh Kyungmin,Joo Eun-Jeong,Kim Youn Jeong,Choi Won Suk,Kim Yae-Jean,Yoon Young Kyung,Heo Jung Yeon,Seo Yu Bin,Jeong Su Jin,Park Dong-ah,Yu Su-Yeon,Lee Hyeon-Jeong,Kim Jimin 대한감염학회 2021 Infection and Chemotherapy Vol.53 No.1
Despite the global effort to mitigate the spread, coronavirus disease 2019 (COVID-19) has become a pandemic that took more than 2 million lives. There are numerous ongoing clinical studies aiming to find treatment options and many are being published daily. Some effective treatment options, albeit of variable efficacy, have been discovered. Therefore, it is necessary to develop an evidence-based methodology, to continuously check for new evidence, and to update recommendations accordingly. Here we provide guidelines on pharmaceutical treatment for COVID-19 based on the latest evidence.
Interim Guidelines on Antiviral Therapy for COVID-19
Kim Sun Bean,Huh Kyungmin,Heo Jung Yeon,Joo Eun-Jeong,Kim Youn Jeong,Choi Won Suk,Kim Yae-Jean,Seo Yu Bin,Yoon Young Kyung,Ku Nam Su,Jeong Su Jin,Kim Sung-Han,Peck Kyong Ran,Yeom Joon Sup 대한감염학회 2020 Infection and Chemotherapy Vol.52 No.2
Since the first case was reported in Wuhan, Hubei Province, China on December 12, 2019, Coronavirus disease 2019 (COVID-19) has spread widely to other countries since January 2020. As of April 16, 2020, 10635 confirmed cases have been reported, with 230 deaths in Korea. COVID-19 patients may be asymptomatic or show various clinical manifestations, including acute symptoms such as fever, fatigue, sore throat; pneumonia presenting as acute respiratory distress syndrome; and multiple organ failure. As COVID-19 has such varied clinical manifestations and case fatality rates, no standard antiviral therapy regimen has been established other than supportive therapy. In the present guideline, we aim to introduce potentially helpful antiviral and other drug therapies based on in vivo and in vitro research and clinical experiences from many countries.
Kim Sun Bean,Kim Jimin,Huh Kyungmin,Choi Won Suk,Kim Yae-Jean,Joo Eun-Jeong,Kim Youn Jeong,Yoon Young Kyung,Heo Jung Yeon,Seo Yu Bin,Jeong Su Jin,Yu Su-Yeon,Peck Kyong Ran,Choi Miyoung,Yeom Joon Sup 대한감염학회 2021 Infection and Chemotherapy Vol.53 No.2
Neutralizing antibodies targeted at the receptor-binding domain of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein have been developed and now under evaluation in clinical trials. The US Food and Drug Administration currently issued emergency use authorizations for neutralizing monoclonal antibodies in non-hospitalized patients with mild to moderate coronavirus disease 2019 (COVID-19) who are at high risk for progressing to severe disease and/or hospitalization. In terms of this situation, there is an urgent need to investigate the clinical aspects and to develop strategies to deploy them effectively in clinical practice. Here we provide guidance for the use of anti-SARS-CoV-2 monoclonal antibodies for the treatment of COVID-19 based on the latest evidence.
유선애,이승연,Yu Sun-Yae,Lee Seung-Yeon 대한한방소아과학회 2000 대한한방소아과학회지 Vol.14 No.2
Moyamoya is a chronic cerebrovascular disease chracterized by progressive stenosis or occlusion of the terminal parts of both internal carotid arteries with telangiectatic vascular network of collateral circuration at the base of the brain and leptomeningeal arteries. The etiology and pathophysiology of this disease are still unknown. The clinical course in those whose first symptoms occur in childhood is different from those in whom symptoms develop in adult life. The term moyamoya disease should be resserved for those cases in which the chracteristic angiographic pattern is idiopathic; moayamoya syndrome is used when the underlying condition is known. we have experienced a case of moyamoya syndrome in a 5-year-2-month-old boy who presented right-sided hemiparesis. A cerebral angiogram revealed occlusion of abnomal collateral network. Moyamoya disease is applicable to stroke of an infant from oriental medicine point of view, and The symptoms is similar to adult stroke, we have treated adult stroke patint with herb medicine and acupuncutre and physical treatment. The acute stage of stroke is applied to the external treatment(標治), and The recovery stage is applied to the basic treament(本治).
한약조제 지침서 100처방을 구성하는 생약 성분별 안전성과 상호작용에 대한 연구
김정은(Jeong Eun Kim),박종선(Jong Sun Park),김도연(Do Yeon Kim),류예진(Yae Jin Yu),김지은(Ji Eun Kim),임성실(Sung Cil Lim) 대한약학회 2021 약학회지 Vol.65 No.2
Currently in Korea, hundreds of herbs can be prescribed by an oriental medicine doctor or sold by a pharmacist to treat mild diseases or improve health conditions for the same indication. And it can be happened to the same patient at the same time. However, there is no monitoring system for the oriental medical doctors and pharmacists to check the drug interaction or duplicate the administration. Herbal medicine contains pharmacologically bioactive ingredients, and when administered without assessment of the patient s disease and/or preexisting health conditions, it may overdose, duplicate, or showed unexpected harmful effects. The study was conducted through collecting information based on the secondary research using PubChem, PubMed, etc. and the evaluation of various source of additional primary information through literature survey. The result showed if 151 herbs use without caution under supervision or monitoring, those may revealed pregnancy contraindication, severe drug indications, liver, renal, cardiovascular, and/or gastrointestinal (GI) functions and blood glucose, etc. Only 61 herbs were identified to be safe for pregnant women and the most frequency side effect is GI problems. In conclusion, the result is very meaningful but available information is still limited and need to further research in future.
간호대학생의 의료관련 감염관리를 위한 표준주의 안전환경과 인지도, 수행도
차지은(Ji-eun Cha),조지영(Ji-Young Cho),김유경(Yu-Gyeong Kim),남국희(Guk-Hee Nam),이서영(Seo-Young Lee),이선영(Sun-Young Lee),이아림(A-Rim Lee),이지예(Ji-Yae Lee),채수빈(Su-Bin Chae) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.8
본 연구는 임상실습 중인 간호대학생을 대상으로 의료관련 감염관리를 위한 표준주의 안전환경과 표준주의 인지도, 수행도 정도를 파악하고 표준주의 수행도에 영향을 미치는 요인을 규명하고자 시도 되었다. 2016년 7월부터 9월까지 D광역시의 9개 간호대학에서 3, 4학년생 246명에게 구조화된 설문지를 사용하여 자료를 수집하였다. 연구결과 표준주의 안전환경은 7점 만점에 4.63점이었고, 표준주의 인지도는 5점 만점에 4.67점, 표준주의 수행도는 3.79점으로 인지도에 비해 수행도가 유의하게 낮았다. 인지도와 수행도의 차이가 가장 큰 영역은 개인 보호구와 안전한 주사행위영역 이였다. 표준주의의 안전환경은 수행도와 유의한 양의 상관관계, 인지도와 수행도도 유의한 양의 상관관계가 있었다. 표준주의 수행도에 영향을 미치는 요인은 안전환경과 학년으로 10.7%의 설명력을 보였다. 따라서 간호대학생의 의료관련 감염관리를 높이기 위해서는 전통적인 방법의 인지교육과 함께 표준주의 수행도를 높일 수 있는 안전환경의 구축이 필요하다. 감염관리에 보다 지지적인 실습환경의 조성이 요구되며 시뮬레이션 수업과 같은 새로운 교육 전략과 병원과 학교의 상호협력 시스템을 통한 안전환경구축을 위한 노력 등을 확대해 나가야 할 것이다. This study was conducted to investigate nursing students" safety-climate: perception and performance of standard precautions for healthcare-associated infection control. We also identifiedactors influencing performance of standard precautions. Data were collected from 246 junior and senior nursing students at nine colleges in D city from July to September, 2016. Themean score of performance was significantly lower than that of perception in all areas of standard precautions. The biggest difference between perception and performance was in the usage of personal protective equipment and safe injection practices. We also detected significant positive correlations among safety-climate, perception, and performance of standard precautions. In the regression analysis, performance of standard precautions was influenced by safety-climate and grade accounting for 10.7% of variance. To improve healthcare-associated infection control among nursing students, safer and more supportive practical environments need to be provided, and new training strategies such as simulation education need to be expanded.