자발성 뇌내혈종의 음압배액술

김일만,손은익,김동원,임만빈,Kim, Il-Man,Son, Eun Ik,Kim, Dong Won,Yim, Man Bin 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.6

Objectives : The less invasive stereotactic surgery of hypertensive intracerebral hematoma has been preferred. Many techniques were developed to facilitate aspiration of a dense blood clot in acute stage. Authors describe a method for evacuation of putaminal hematoma via computerized tomography(CT)-aided free-hand stereotactic infusion of urokinase and frequent negative pressure aspiration. Patients and Methods : A total of ten patients with spontaneous putaminal hematoma underwent surgery with negative pressure aspiration in the three-year period. All procedures were performed within 12 hours of insult. A silicone ventricular catheter was inserted into the center of hematoma through a burr hole at the Kocher's point under local anesthesia. In a typical case of putaminal hematoma, the trajectory of catheter was pointed the center of hematoma parallel to sagittal plane vertically and the external auditory meatus posteriorly. Immediately after the first trial of hematoma aspiration low-dose urokinase solution(2,000IU/5ml saline) was administrated through the catheter and drain was clipped for 30 minutes. Subsequently, the partially liquified hematoma was manually aspirated using a 10ml syringe with a negative pressure of less than 2 to 3ml. The procedure was carefully repeated every 1 hour until the hematoma was near totally evacuated. Results : The patients population consisted composed of 4 men and 6 women with a mean age of 61.6 years. All had major neurological deficits preoperatively. The mean hematoma volume was 44.3 ml and hematoma was drained for 20 to 48 hours. No complications such as rebleeding, meningitis, or malplaced catheter were noted. Outcome was moderately disabled in four patients and good recovery in three patients. Conclusion : Although the frequent negative pressure aspiration and low-dose urokinase infusion has the disadvantage of possbility of rebleeding and infection, it is consisdered to be an effective method because it allows a simple, safe, and complete removal of hematoma.

국내건축법의 배연설비 기준 개선방안에 관한 연구-오피스텔을 중심으로

김은(Kim, Eun),김만호(Kim, Man-Ho),이정일(Lee, Jung-Il),김장균(Kim, Jang-Gyun) 한국화재소방학회 2002 한국화재소방학회 학술대회 논문집 Vol.2002 No.춘계

간이식 수혜자의 삶의 질 예측모형

김은만(Kim Eun Man),김금순(Kim Keum-Soon) 기본간호학회 2007 기본간호학회지 Vol.14 No.3

Purpose: This study was done to construct a quality of life (QOL) model for rectpients of a liver transplant. Method: In consideration of the main factors influencing QOL in recipient of liver transplants, a hypothetical model was constructed with 16 paths. A questionnaire was used to collect data from recipients of liver transplants who were being followed at one of 3 university hospitals. For the final analysis, there were 189 completed questionnaires and the hypothetical model was verified through covariance structure using LISREL program. Results: Overall fitness indices of hypothetical model were GFI= .99, AGFI= .97, NNFI= .96 and RMR=.020. After considering modification indices and paths that proved not to be significant and to improve model fitness, the hypothetical model was modified. In the final model, 3 paths from the hypothetical model were excluded. Overall fitness indices of the final model were GFI= .99, AGFI= .98, NNFI= .98 and RMR= .020. Eleven of fifteen paths proved to be significant. QOL was influenced by duration after transplantation, perceived health status, self-esteem, uncertainty, social support, self efficacy and depression and these variables explained 65% of the variance. Conclusion: This study presents a theoretical model for QOL for recipients of a liver transplant. Based on the results of this study and to improve QOL for recipients of a liver transplant, it is suggested that interventions to re-enforce self efficacy and self-help are needed.

AML(Anatomic Medullary Locking) 고관절 전치환술에 대한 임상적 고찰

김인(In Kim),김정만(Jung-Man Kim),김용식(Yong-Sik Kim),김성수(Sung-Soo Kim),은승표(Seung-Pyo Eun) 대한정형외과학회 1991 대한정형외과학회지 Vol.26 No.3

간호대학생의 주관적 행복감에의 영향요인

김은만(Kim, Eun Man),양영희(Yang, Young Hee),이해영(Lee, Haeyoung),유미(Yu, Mi) 한국간호교육학회 2016 한국간호교육학회지 Vol.22 No.3

Purpose: The purpose of this study was to determine subjective happiness related factors in Korean nursing students. Methods: A purposive sample of 200 nursing students was recruited for the cross-sectional survey design. The instruments were perceived stress scale, major satisfaction scale, resilience scale, and subjective happiness scale. Data were analyzed using descriptive statistics, hierarchical linear regression, and the Sobel test for testing mediating effects. Results: The mean score of stress, major satisfaction, resilience and subjective happiness was 2.21, 3.95, 3.60 and 5.03, respectively. Perceived health status, stress_positive perception, stress_negative perception, resilience_self confidence, resilience_positivity, resilience_social support had significant effects on subjective happiness. Explained variance for the subjective happiness was 53.4%. Resilience had a partial mediating effect in the relationship between stress and subjective happiness (Sobel test: Z=-5.67, p<.001). Also, resilience had a mediating effect in the relationship between major satisfaction and subjective happiness (Sobel test: Z=5.65, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on improving resilience are recommended to improve subjective happiness in nursing students.

The Significance of High-Risk HPV Infection in the Follow-up of the Patients Treated with LEEP

김종렬 ( Jong Yeol Kim ),( Jong Hyeok Kim ),( Jun Hee Na ),( Yong Man Kim ),( Young Tak Kim ),( Joo Hyun Nam ),( Jung Eun Mok ) 대한산부인과학회 1998 대한산부인과학회 학술대회 Vol.82 No.-

대학생의 음란물 노출력과 성태도 및 성경험간의 상관성 분석

김은만(Kim, Eun Man),유수정(Yu, Su Jeong),송미령(Song, Mi Ryeong) 기본간호학회 2013 기본간호학회지 Vol.20 No.1

Purpose: The purpose of this study was to analyze the history of exposure to obscene material, and examine sexual attitudes and intercourse experience in order to develop an effective program for university students. Method: The data were collected in May, 2012 from 385 students attending 3 universities in Korea. An independent t-test and ANOVA were used to determine the differences with regard to sexual attitudes and intercourse experience according to general characteristics and history of exposure to obscene material. Results: Sexual attitudes significantly differed according to timing of first exposure to obscene material (p<.001). Intercourse experience was significantly different according to timing of first exposure to obscene material (p=.016) and type of exposure to obscene material (p=.032). There was a negative correlation between first exposure to obscene material and sexual attitudes (p<.001), and a positive correlation between first exposure to obscene material and intercourse experience (p=.017). Conclusion: Results of this study indicate that history of exposure to obscene material should be considered as an important variable in managing the sexual health of university students.

자궁내막종의 감별진단을 위한 난소낭종 환자의 혈청 Macrophage Migration Inhibitory Factor (MIF) 농도의 진단적 유용성에 대한 연구

김만기,김유래,홍승화,박연진,지일운,정은환,김학순,Kim, Man Ki,Kim, Yu Re,Hong, Seong Hwa,Park, Yeon Jin,Ji, IL Woon,Jeong, Eun Hwan,Kim, Hak Soon 대한생식의학회 2005 Clinical and Experimental Reproductive Medicine Vol.32 No.3

Objective: To evaluate the usefulness of serum concentrations of macrophage migration inhibitory factor (MIF) of patients with ovarian cysts for differential diagnosis of endometrioama. Method: From Jan. 2003 to Dec. 2004, preoperative serum MIF levels were assessed in 28 women with endometrioma, 32 with benign epithelial tumor, 23 with functional and simple cysts, 22 with benign mature cystic teratoma, and 25 women without ovarian tumor as control. MIF levels were determined using an ELISA (Quantikine Human MIF immunoassay, R&D Systems, Inc., USA). Results: Mean MIF levels were higher in all groups with benign tumors than control (all p<0.01), but there was no significant difference between benign tumor groups (p=0.95). There was no significant correlation between MIF levels and tumor volume, body mass index (BMI) (p=0.635, 0.674 respectively) Serum MIF level had significant correlation with count of WBC and neutrophils (p=0.008, 0.024 respectively), but had no correlation with count of lymhocytes and monocytes (p=0.688, 0.294 respectively). Conclusions: This study showed a marked increase in MIF concentrations in the peripheral blood of patients with endometrioma, but there was no significant difference with other benign tumors. Serum MIF level had significant correlation with count of WBC and neutrophils. These suggest serum MIF level has no usefulness for differential diagnosis of endometrioma from other benign ovarian cysts.

국내병원 간호사의 인수인계 실무표준, 표준지침 및표준화된 항목 개발에 대한 연구

김은만 ( Eun Man Kim ),유미 ( Mi Yu ),이향열 ( Hyang Yuol Lee ),고지운 ( Ji Woon Ko ),조의영 ( Eui Young Cho ),김을순 ( Eul Soon Kim ) 병원간호사회 2014 임상간호연구 Vol.20 No.1

간호사의 인수인계는 환자 안전의 중요한 요소로 본 연구는 인수인계 실무 표준, 표준지침과 표준화된 항목을 개발하여 적절성 여부를 검증한 서술적 조사연구이다. 연구대상자는 국내 종합병원에 근무하는 207명의 수간호사와 697명의 간호사로 개발된 실무표준은 인수인계 ‘목적’ 2항목, ‘정책’ 5항목, ‘환경’ 3항목, ‘과정’ 5항목, ‘내용’ 7항목, ‘평가’ 3항목, ‘교육기능’ 1항목의 총 26항목으로 구성되었으며, 도출된 표준화된 인수인계 항목은 Patient, Assessment, Situation, Safety concerns, Background, Action, Recommendation이었다. 본 연구결과는 국내 병원의 인수인계를 표준화하고 구조화된 시스템 개발의 기초자료로 사용될 수 있을 것이다. Addressing current status of nursing handoff provides information as to where to change practice for improvement in patient care. The aim of this study was to develop nursing a handoff practice guideline and standards for Korean hospitals. Methods: A questionnaire was used to collect data in a cross-sectional survey with 207 head nurses and 697 nurses working in general hospitals. Results: The practice guideline consisted of 2 items on purpose of handoff, 5 items on policy, 3 on environment, 5 on process, 7 on content, 3 on evaluation, and 1 on the function of education, for a total 26 of items. Standard instruction was developed related to Patients, Assessment, Situation, Safety concerns, Background, Actions, and Recommendations. Conclusion: The findings of this study indicate that the guideline can be applied in real nursing practice to improve the effectiveness of handoff procedures. It can be used to guide nurses to follow the standardized content, which presents patient details clearly. The guideline provides consistency and structure for the information that is handed over.

진주시 수돗물 불소농도조정사업의 11년간 비용편익 분석

김만경 ( Man Kyong Kim ),정지인 ( Ji In Jung ),김민지 ( Min Ji Kim ),전은주 ( Eun Joo Jun ),김한나 ( Han Na Kim ),김세연 ( Se Yeon Kim ),한동헌 ( Dong Hun Han ),정승화 ( Seung Hwa Jeong ),김진범 ( Jin Bom Kim ) 대한예방치과·구강보건학회 2014 大韓口腔保健學會誌 Vol.38 No.2

Objectives: The aim of this study was to estimate the economic costs and benefits of a water fluoridation program in the city of Jinju, Korea. Methods: In 2009, dental surveys were conducted on 2,315 children aged 6-12 years in Jinju, which had been fluoridated for 11 years. The decayed/missing/filled teeth (DMFT) scores of children in Jinju were compared to the DMFT scores of same-aged children in non-fluoridated small- and mediumsized cities in the fourth Korean National Health and Nutrition Examination Survey conducted from 2007 to 2009 by the Korea Centers for Disease Control and Prevention. The reduced number of decayed permanent teeth by the water fluoridation program was estimated as the difference between the DMFT scores of children in Jinju and those in non-fluoridated small- and medium-sized cities. The economic benefits were estimated by the savings from reduced dental treatment costs by using the reduced number of decayed permanent teeth from the water fluoridation program. All annual costs and benefits were calculated from 1998 to 2009. The social rate and untreated rate of decayed teeth were applied as 3% and 20%, respectively. The annual benefit-cost ratio was estimated by using the annual benefits and cumulative program costs. Results: The economic benefit in 2009 from a water fluoridation program was estimated as 57,496,000,000 Korean Won (KRW), and the cumulative cost in 2009 was estimated as 1,387,000,000 KRW. The net present value in 2009 from a water fluoridation program was 56,109,000,000 KRW. The benefit-cost ratio in 2009 was estimated as 41.4. Conclusions: The economic benefit of a water fluoridation program in Jinju city was evaluated as excellent.