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NIHSS 활용을 통한 뇌졸중 환자 간호의 질향상 전략
박경현,송경애,공혜성,나화주,유수경,박소영,김상희,최혜림,배희준,한문구,양미화 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2
문제: 뇌졸중 환자를 돌보는 간호현장에서는 급성기 뇌졸중 환자의 증상악화에 대한 조기사정과 적절한 대처가 매우 중요한 문제이다. 그러나 임상현장에서는 이를 객관화하고 수치화하여 모든 의료진이 의사소통할 수 있는 유용한 도구를 사용하고 있지는 못하는 실정이다. 이러한 문제를 해결하기위해 NIHSS(National Institute of Health Stroke Scale)를 신경과 진료의사를 중심으로활용하고 있지만 아직 간호현장에서는보편적으로사용하지 않고있다. 이에 뇌졸중환자간호에 NIHSS를 활용하여 뇌졸중 증상악화의 조기사정과 빠른 대처로 궁극적으로는 뇌졸중환자 간호의 질을보다 향상시키기 위하여 본활동이 시도되었다. 목적: 첫째, 간호사의 NIHSS 측정 신뢰도의 현수준을 점검하고 이를향상시키기 위한 프로그램을 개발·적용한다. 둘째, 간호사가급성기 뇌졸중환자에게 NIHSS 측정을 통하여 뇌졸중악화를 얼마나 예측할 수 있는지 분석하고 이를 향상시킬수있는 방법을 모색한다. 셋째, 궁극적으로 급성기 뇌졸중 환자의 증상악화의 조기 발견과치료를위한의료진의 올바른 대처지침을 마련하여 이를 적용한다. 의료기관: 경기도에 소재한 대학병원의 뇌졸중 집중치료실 질 향상 활동: 첫째, 간호사의 NIHSS 측정 신뢰도 향상을 위해 「NIHSS 간호사 교육 프로그램」을 마련하였다.
( Hye Rim Moon ),( Byung Wook Kim ),( Woo Jin Yun ),( Chong Hyun Won ),( Sung Eun Chang ),( Mi Woo Lee ),( Jee Ho Choi ),( Kee Chan Moon ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2
Background: Low-fluence Q-switched Nd: YAG laser proved to be reliable in the treatment of melasma The Q-switched Nd:YAG laser have long been used for facial resurfacfing and photorejuvenation. Objectives: In this study, we evaluated efficacy and safety of the dual pulse mode with half fluence, compared to conventional mode, as a novel treatment method of Q-switched Nd:YAG laser for reducing adverse events with efficacy. Methods: One asain man of Fitzpatrick skin type III, two brown guinea-pigs and cultured melan-A cell line were treated with dual pulse and conventional modes of 1064nm Q-switched Nd:YAG laser. And we investigated immunohistochemical, electron microscopic, biochemical studies for human and guinea pig skin, and cultured melan-A cell respectively. Results: Specimen which was irradiated by conventional mode showed significant increase of pro-inflammatory transcription factor and cytokines, compared to dual pulse mode. In guinea pig and cultured cell study, when comparing with same total energy, we could observe more prominent spongiosis and cellular level damages in case of conventional mode than dual pulse mode. Conclusion: Our study showed that dual pulse mode can be more effective or at least have similar effect for treating pigment lesion than conventional mode. Dual pulse mode could be a suitable mode to adapt the concept of ‘subcellular selective photothermolysis’ with fewer adverse events.
( Hye-rim Jung ),( Ju-hee Lee ),( Yu-mi Moon ),( Tae-rim Choi ),( Soo-yeon Yang ),( Hun-suk Song ),( Jun Young Park ),( Ye Lim Park ),( Shashi Kant Bhatia ),( Ranjit Gurav ),( Byoung Joon Ko ),( Yung- 한국미생물생명공학회(구 한국산업미생물학회) 2019 Journal of microbiology and biotechnology Vol.29 No.5
Polyhydroxybutyrate (PHB), the most well-known polyhydroxyalkanoate, is a bio-based, biodegradable polymer that has the potential to replace petroleum-based plastics. Lignocellulose hydrolysate, a non-edible resource, is a promising substrate for the sustainable, fermentative production of PHB. However, its application is limited by the generation of inhibitors during the pretreatment processes. In this study, we investigated the feasibility of PHB production in E. coli in the presence of inhibitors found in lignocellulose hydrolysates. Our results show that the introduction of PHB synthetic genes (bktB, phaB, and phaC from Ralstonia eutropha H16) improved cell growth in the presence of the inhibitors such as furfural, 4-hydroxybenzaldehyde, and vanillin, suggesting that PHB synthetic genes confer resistance to these inhibitors. In addition, increased PHB production was observed in the presence of furfural as opposed to the absence of furfural, suggesting that this compound could be used to stimulate PHB production. Our findings indicate that PHB production using lignocellulose hydrolysates in recombinant E. coli could be an innovative strategy for cost-effective PHB production, and PHB could be a good target product from lignocellulose hydrolysates, especially glucose.
( Hye-rim Moon ),( Joon Min Jung ),( Su Yeon Kim ),( Mi Young Lee ),( Youngsup Song ),( Sung Eun Chang ) 대한피부과학회 2020 대한피부과학회 학술발표대회집 Vol.72 No.1
Background: Ultraviolet radiation (UVR) is the most well-known cause of skin pigmentation accompanied with photoaging. Transforming growth factor (TGF)-β1 was previously shown to have anti-melanogenic property; however, it can induce scarring in skin. Objectives: We investigated the effect of TGF-β3 on melanogenesis in human melanocytes cocultured with UV-irradiated skin constituent cells, and UV-irradiated human skin. Methods: UVB irradiation or treatment with stem cell factor (SCF) and endothelin-1 (ET-1) was applied to human melanocytes cocultured with keratinocytes and/or fibroblasts and ex vivo human skin. Mechanistic pathways were further explored after treatment with TGF-β3. Results: While UVB irradiation or SCF/ET-1 enhanced melanogenesis, TGF-β3 effectively inhibited melanin accumulation and tyrosinase activity via downregulation of the extracellular signal-regulated kinase (ERK)/microphthalmiaassociated transcription factor (MITF) pathway. TGF-β3 increased the expression of differentiation markers of keratinocytes. Conclusion: TGF-β3 effectively suppressed UVR-stimulated melanogenesis indicating that topical TGF-β3 may be a suitable candidate for the treatment of UV-associated hyperpigmentation disorders.
( Hye-rim Moon ),( Tae Jun Park ),( Ki Woong Ro ),( Hwa Jung Ryu ),( Soo Hong Seo ),( Sang Wook Son ),( Il-hwan Kim ) 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.2
Background: Previous studies have addressed the predominance of pigmented basal cell carcinomas (BCCs) in the Asian population. Objectives: We sought to determine the subclinical infiltration of BCCs according to the semi-quantitative assessment of pigmentation. Methods: We retrospectively investigated 219 patients with 225 primary BCCs who underwent Mohs micrographic surgery (MMS) between January 2004 and June 2017. The pigmentation was calculated as the percentage of the sum of the pigmentary area over the total tumor surface area. Subclinical infiltration was assessed by the number of required MMS stages. Results: BCCs with smaller pigmentary areas required higher MMS stages and presented as more aggressive histological subtypes. Upon investigation of the factors affecting subclinical infiltration, the pigmentary areas of the tumor surface (P=0.005, 95% CI -0.022--0.02) and aggressive histological subtypes (P<0.001, 95% CI 0.957-2.293) were independently associated with the MMS stage. After adjusting for the effect of histological subtypes, the amount of pigmentation was clearly associated with lesser subclinical infiltration. Conclusion: BCCs with a smaller extent of pigmentation tend to exhibit greater subclinical infiltration and a more aggressive histologic growth pattern. Pigmentation should be considered a clinical predictor for the histologically favorable BCCs in the Asian population.