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A New 5α,8α-Epidioxy Sterol from a Marine Sponge Psammocinia Species
Hye Jin Park1,,Xuan Luo1,,Jongki Hong2,,Dong-kyoo Kim3,,Kwang Sik Im1, and,Jee H. Jung1* 한국생약학회 2005 Natural Product Sciences Vol.11 No.4
An investigation of the MeOH soluble fractions of a marine sponge Psammocinia sp. (Order:Dictyoceratida) led to the isolation of a new epidioxy sterol (1) and four known sterols (2-5). Their planarstructures were defined by analyses of the spectroscopic data. The 27-nor-24-methylcholestan type side chain withan epidioxy nucleus (1) was unprecedented. Compounds 1-5 were isolated from a sponge Psammocinia sp. for the first time.
의사의 커뮤니케이션 스타일과 질, 의사-환자관계 유형에 따른 환자만족 요인
임지혜 ( Jee Hye Im ),이기효 ( Key Hyo Lee ),백수경 ( Soo Kyeong Paik ) 한국병원경영학회 2009 병원경영학회지 Vol.14 No.3
The main objective of this study is to investigate the influence of physician`s communication styles and quality, and physician-patient relationship on patient satisfaction for improving physician`s communication which is one of factors determining service quality in health care services, and providing the suggestion for building the positive physician-patient relationship. Data were collected from 341 inpatients in 13 general hospitals and university hospitals located in Busan Metropolitan City and Kyeongsang-do area using structured self-administered questionnaires. Major results of the empirical analysis are as follows; First, mutual-opened-cooperative physician-patient relationship, patient`s communication receptive attitude, patient-oriented physician`s communication style, and quality were significantly varied by respondents` characteristics such as age, consensual, job, and income. Second, empathy, patient`s communication receptive attitude, physician-patient relationship, and patient satisfaction were significantly varied by respondents` medical-related conditions. Third, there was a significant correlation between active communication receptive attitude of patient and mutual-opened-cooperative physician-patient relationship. Fourth, patient-oriented physician`s communication style and physician-patient relationship were found to have positive influence on total communication quality and effectiveness and empathy facet of communication quality both. Finally, patient-oriented physician`s communication style, empathy, active communication receptive attitude of patient, and mutual-opened-cooperative physician-patient relationship were found to have positive influence on patient satisfaction. This research findings suggest that putting emphasis on effective physician`s communication and enhancing positive physician-patient relationship are crucial for marketing activities and customer satisfaction management in health care settings.
조직 구성원의 참여방식이 구성원 행태에 미치는 영향 분석 -전염병감시체계로부터의 교훈-
임지혜 ( Jee Hye Im ),김희선 ( Hee Sun Kim ),이기효 ( Key Hyo Lee ),신의철 ( Eui Chul Shin ) 경희대학교 경영연구원 2009 의료경영학연구 Vol.3 No.1
Objectives: This study was designed to investigate the participation type of organizational members with their key activities to organizational performance. It compared reporting behavior of physicians participating in two kinds of surveillance systems, legally notifiable communicable diseases(LNCD) and sentinel surveillance system(CSS), which differ in terms of participation, mandatory versus voluntary. Methods: Self-administered questionnaires were mailed to 1,955 randomly selected LNCD surveillance physicians of internal medicine, pediatrics, family medicine, dermatology, and general practice and to all 193 physicians who were involved in pediatric CSS. The survey asked about reporting behaviour of communicable diseases, physicians and medical institutional characteristics related to reporting. Simple and multiple analyses were done to find out factors related to reporting behavior, especially focusing on type of participation. Results: Though Factors such as sex, age, knowledge, attitude of physicians and ownership of medical institution where physicians work affected physician reporting by multivariate logistic regression analysis. The type of participation (voluntary) also significantly increased physician reporting behaviour (OR: 2.62, 95% CI: 1.61-4.25). Conclusions: This study showed that voluntary participation of members in health care organizations also seemed to stimulate their activities, and eventually improving organizational performance. This proves voluntary participation could be a more effective way for matured and well trained organizational members such as physicians.
( Jee Hye Kwon ),( Seong Joon Koh ),( Joo Sung Kim ),( Jong Pil Im ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Although the frequency of kidney transplantation (TPL) is rising, there are no consensus for its colonoscopic surveillance due to the lack of epidemiological data about incidence of colorectal polyp and neoplasm after TPL. The aim of this study was to investigate whether incidence of colorectal neoplasm increases in kidney transplant recipients compared to general population. Methods: A total of 677 patients who underwent kidney TPL in Seoul National University Hospital from 1996 to 2008 and age- and gender-matched 900 healthy controls who received screening colonoscopy between 2010 and 2011 were analyzed. We retrospectively reviewed electronic medical records about patient`s demographic, clinical characteristics, use of immunosuppressive agents, colonoscopy fi ndings, and histology of colon polyp. Cox regression analysis was performed to evaluate risk factors affecting development of advanced neoplasm in TPL patients. Results: Of patients who underwent TPL, Two hundred forty eight patients were identi- fi ed as receiving post-transplant colonoscopy. Overall adenomatous polyp was founded in to 23.4 % of TPL patients compared to 21.8 % of healthy controls (P=0.589). There was a signifi cant difference in incidence of advanced neoplasm between two groups (P=0.003). Incidence of advanced neoplasm was higher in transplant patient aged 50 and over (P=0.009). Advanced neoplasm according to the lesion location did not signifi cantly differ in transplant patients (P=0.557). In multivariate analysis, age was only associated with an increased risk of developing advanced neoplasm in TPL patients (adjusted odds ratio [aOR], 1.068; 95% confi dence interval [CI], 1.007 to 1.134; P=0.029).Conclusions: Incidence of overall colorectal adenoma was similar between two groups. However, development of advanced adenoma and colon cancer was significantly higher in kidney TPL patients. Authors suggest that kidney TPL patients aged 50 and over should be performed colonoscopy surveillance more strictly following currently recommended interval for general population.
( Jee Hye Kwon ),( Changhyun Lee ),( Ji Min Choi ),( Yoo Min Han ),( Young Hoon Choi ),( June Young Lee ),( Hyuk Yoon ),( Jaeyoung Chun ),( Kyu Joo Park ),( Jong Pil Im ),( Sang Gyun Kim ),( Joo Sung 대한장연구학회 2013 Intestinal Research Vol.11 No.4
Ulcerative colitis is a chronic inflammatory bowel disease of unknown etiology, associated with extraintestinal manifestations, including the rarely reported immune thrombocytopenic purpura. Here, we present a case of immune thrombocytopenic purpura associated with preexisting ulcerative colitis. The patient was diagnosed with ulcerative colitis 13 years ago. Two years after diagnosis, he presented with hematochezia and active ulcerative colitis. Despite steroid use, the platelet count gradually decreased to 21,000/mm3. Hematochezia and the platelet count recovered after the administration of cyclosporine, and ulcerative colitis was in near complete remission for 11 years. However, the patient was re-admitted for hematochezia and thrombocytopenia persisting over a month. Medical management including increased doses of steroids in combination with cyclosporin failed to control hematochezia and thrombocytopenia. Immune thrombocytopenic purpura was suspected on the basis of normocellular marrow with a normal number of megakaryocytes. To treat uncontrolled colitis and steroid-refractory thrombocytopenia, total proctocolectomy with ileal pouch-anal anastomosis and splenectomy were performed. The patient was followed up for 10 months after surgery and was found to be in good health with a normal platelet count. Therefore, colectomy alone or in combination with splenectomy should be considered in cases of life-threatening ulcerative colitis complicated with steroid-refractory immune thrombocytopenic purpura. (Intest Res 2013;11:310-316)
Im, Dong Jin,Hong, Su Jin,Park, Eun-Ah,Kim, Eun Young,Jo, Yeseul,Kim, Jeong Jae,Park, Chul Hwan,Yong, Hwan Seok,Lee, Jae Wook,Hur, Jee Hye,Yang, Dong Hyun,Lee, Bae-Young Korean Society of Magnetic Resonance in Medicine 2020 Investigative Magnetic Resonance Imaging Vol.24 No.1
This document is the third part of the guidelines for the interpretation and post-processing of cardiac magnetic resonance (CMR) studies. These consensus recommendations have been developed by a Consensus Committee of the Korean Society of Cardiovascular Imaging (KOSCI) to standardize the requirements for image interpretation and post-processing of CMR. This third part of the recommendations describes tissue characterization modules, including perfusion, late gadolinium enhancement, and T1- and T2 mapping. Additionally, this document provides guidance for visual and quantitative assessment, consisting of "What-to-See," "How-To," and common pitfalls for the analysis of each module. The Consensus Committee hopes that this document will contribute to the standardization of image interpretation and post-processing of CMR studies.
Acquired Factor V Deficiency After Carbapenem Administration: A Case Report
Im-Kyung Kim,Hye Jeong Park,Jee Yeon Lee 대한외상중환자외과학회 2024 Journal of Acute Care Surgery Vol.14 No.1
Factor V (FV) deficiency is a coagulation disorder (congenital or acquired). Unlike congenital FVdeficiency, mixing tests for prothrombin time and activated partial thromboplastin time are notcorrected in acquired FV cases. A 79-year-old male was admitted to the intensive care unit after anemergency operation due to gastric ulcer perforation. While receiving antibiotic treatment for septicshock, the coagulation profile began to show prolongation of prothrombin time and activated partialthromboplastin time. FV deficiency (< 1%) following meropenem administration was diagnosed . Thepatient did not show spontaneous bleeding or bleeding tendency. With fresh frozen plasma transfusion,steroid administration, and discontinuation of meropenem, the blood coagulation profile test result wasnormalized 20 days after diagnosis. His follow-up FV level increased to 78.7%. Although abnormalities incoagulation profiles are common in sepsis patients, in our patient, timely recognition and hematologicalconsultation allowed early diagnosis and proper management of FV deficiency.
Early versus late bedside endoscopy for gastroin-testinal bleeding in critically ill patients
( Jee Hyun Kim ),( Ji Hye Kim ),( Jaeyoung Chun ),( Changhyun Lee ),( Jong Pil Im ),( Joo Sung Kim ) 대한내과학회 2018 The Korean Journal of Internal Medicine Vol.33 No.2
Background/Aims: Gastrointestinal (GI) bleeding is a life-threatening complication in critically ill patients. The aim of this study was to determine the efficacy of bedside endoscopy in an intensive care unit (ICU) setting, and to compare the outcomes of early endoscopy (within 24 hours of detecting GI bleeding) with late endoscopy (after 24 hours). Methods: We retrospectively reviewed the medical records of patients who underwent bedside endoscopy for nonvariceal upper GI bleeding and lower GI bleeding that occurred after ICU admission at Seoul National University Hospital from January 2010 to May 2015. Results: Two hundred and fifty-three patients underwent bedside esophagogastroduodenoscopy (EGD) for upper GI bleeding (early, 187; late, 66) and 69 underwent bedside colonoscopy (CS) for lower GI bleeding (early, 36; late, 33). Common endoscopic findings were peptic ulcer, and acute gastric mucosal lesion in the EGD group, as well as ischemic colitis and acute hemorrhagic rectal ulcers in the CS group. Early EGD significantly increased the rate of finding the bleeding focus (82% vs. 73%, p = 0.003) and endoscopic hemostasis (32% vs. 12%, p = 0.002) compared with late EGD. However, early CS significantly decreased the rate of identifying the bleeding focus (58% vs. 82%, p = 0.008) and hemostasis (19% vs. 49%, p = 0.011) compared with late CS due to its higher rate of poor bowel preparation and blood interference (38.9% vs. 6.1%, p = 0.035). Conclusions: Early EGD may be effective for diagnosis and hemostatic treatment in ICU patients with GI bleeding. However, early CS should be carefully performed after adequate bowel preparation.