http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
의료관련법률 - 임상간호사의 권리와 의무, 지도감독·기록보고·연찬의무 중요
김경래,Kim, Gyeong-Rae 대한간호협회 2003 대한간호 Vol.42 No.6
"흔히 금전삼난(金錢三難)이라는 말을 한다. 돈은 벌기가 어렵고, 잘 사용하기가 어렵고, 잘 간직하기가 어렵다는 의미이다. 이처럼 의료(醫療)도 배우기가 어렵고, 기술과 지식을 잘 사용하는 것이 어려우며, 그것을 잘 유지하는 것이 어렵다. 특히 임상에 근무하는 의료인들은 날로 발전하는 지식과 기술에 따른 연찬 의무가 필수적이며, 분쟁을 회피하기 어려운 임상현실에서 의료행위로 인한 자신과 환자의 법익침해 여부에 관심 갖는 것도 중요하다."
김경래,윤석남,김수지,박찬희,황경훈,소의영 대한핵의학회 2000 핵의학 분자영상 Vol.34 No.4
Purpose: A prospective comparison was made between imaging with Tc-99m pertechnetate (Tc-99m) and Ioine-131 (I-131) for the detection of residual and metastatic tissue after total thyroidectomy in patients with well-differentiated thyroid carcinoma. Materials and Methods: Initially our patients had imaging with Tc-99m, followed by I-131 within 3 days. The study included 21 patients who had ablation with high dose of I-131 ranging from 100 mCi to 150 mCi. Planar and pinhole images were acquired for both Tc-99m and I-131. Diagnostic images of Tc-99m and I-131 were compared with post-therapy images. Degree of uptake on Tc-99m and I-131 images was scored by four point scale and compared. Results: The results of the Tc-99m study were: 16 of 19 studies (84%) were positive on simple planar images, but 19 of 20 studies (95%) were positive on pinhole images. Conventional I-131 diagnostic imaging on the other hand showed that all studies (100%) were positive on both planar and pinhole images. There was a significant difference in degree of uptake between Tc-99m and I-131 planar images (p<0.05). Only one case of Tc-99m scintigraphy was negative on both planar and pinhole studies (false negative). There was no distant metastasis on the therapeutic I-131 images. Conclusion: Tc-99m scan using pinhole in certain clinical situations is an alternative to the I-131 scan in detecting thyroid or lymph node metastasis prior to the first ablative treatment after thyroidectomy for well-differentiated thyroid carcinoma. (Korean J Nucl Med 2000;34:285-93)
Surgical Anatomy around the Maxillary Sinus Ostium in Cadavers
김경래,박철원,최석주,박인범 대한비과학회 1998 Journal of rhinology Vol.5 No.1
Objectives:The goal of this study is to observe the anatomy around the maxillary sinus ostium and gain an understandingthat will help prevent serious complications during middle meatal antrostomies. Materials and Methods:Dissection of themaxillary sinuses was carried out in 64 embalmed frozen cadavers, 105 maxillary sinuses. Using a digital ruler, forceps and amalleable probe, we measured the important anatomical relationships around the maxillary sinus ostium and uncinate process,the accessory ostium, and the nasolacrimal duct. Results:1) The mean width of the uncinate process was 4.9 mm in the midportion;2) A natural ostium of the canal type was observed in 76% of cases;3) An accessory ostium was found in 18% ofcases and the mean size was 3.17×2.41 mm;and 4) The mean shortest distance between the nasolacrimal duct and the naturalostium was 4.8 mm. Conclusion:Surgeons must keep surgical anatomy in mind to prevent complications when performingendoscopic sinus surgery.