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김준우,안철우,남주영,김똘미,김영균,추적금,박종숙,박진아,조승현,김동연,김도연,윤수지,이경열,차봉수,김경래,임승길,이현철,허갑범 대한당뇨병학회 2002 임상당뇨병 Vol.3 No.2
본 저자들은 인위적인 인슐린 투여로 인한 인간성 저혈당증 1예에서 보존적인 치료로 의식기능은 회복하였으나, 현저한 인지능력 저하를 하였기에 문헌고찰과 함께 보고하는 바이다. Factitious hypoglycemia is a covert attempt to lower the blood glucose concentration with insulin or a sulfonylurea agent. This attempt is mainly performed by the patients themselves. In a large series of diabetics who had overdosed on drug, less than 5% had used insulin for suicidal or homicidal purposes. Additionally, 4 of 204 hypoglycemic episodes were due to a suicide attempt with insulin. The onset of insulin action, its peak level, and duration, and the degree of hypoglycemia, are determined by insulin's pharmacokinetics. However, the final outcomes are not associated with the amount of insulin used. The complications related to insulin overdose are cerebral damage and hypokalemia. Other complications include, pulmonary edema attributed to congestive heart failure and hypertensive crisis, as well as respiratory insufficiency. We report this case with a review of the literature.
가정의학과 임상실습학생들의 논문작성법 교육에 적용한 간이 조사 시행 경험
이상엽(Sang-Yeoup Lee),김영주(Young-Joo Kim),최상한(Sang-Han Choi),이해균(Hae-Gyun Lee),안성률(Seong-Yul Ahn),김윤진(Yun-Jin Kim) 한국의학교육학회 2002 Korean journal of medical education Vol.14 No.1
Purpose: This study was to report our experience of the brief survey for teaching journal writing by medical students in a clinical curriculum of family medicine. Methods: Brief surveys performed by medical students in clinical clerkship of department of family medicine from 1998 to 2000. Medical students determined theme without rein for brief surveys. Lecture about meaning and process of survey was given for sufficient understanding of students, and then surveys were conducted. The subjects of survey were outpatients, nursing person, medical students, nursing students, and other general persons. The subjects of theme were classified to 17 chapters 7 components by international classification of primary care (ICPC). Results: In analysis of brief surveys according to ICPC, the reasons for surveys by components were diagnostic, screening prevention (89.0%), treatment, procedures, medication (5.7%), symptoms, complaints (5.3%). By chapters, there were social (64.6%), psychological (12.6%), metabolic and endocrine (6.5%). Among social problems, there were other social problem (35.4%), health care system/access (20.9%), problem with education (13.9%), relation problems partner (12.7%). Majority of medical students had affirmative response for survey conduction. In conclusion, our finding suggest that teaching journal writing as brief survey seems to be useful in understanding of journal writing of medical students.