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김선형 ( Seon Hyeong Kim ),유희철 ( Hee Chul Yu ),조백환 ( Baik Hwan Cho ),채수완 ( Soo Wan Chae ),정미진 ( Mi Jin Jeong ),최영란 ( Yeong Ran Choi ),김행순 ( Haeng Sun Kim ),김주신 ( Ju Sin Kim ),김숙배 ( Sook Bae Kim ) 한국정맥경장영양학회 2012 한국정맥경장영양학회지 Vol.5 No.1
Purpose: An accurate determination of energy expenditure is needed to prevent postoperative complications and provide effective medical care for surgical patients. The aim of this study was to compare measured resting energy expenditure (REE) in patients undergoing pancreaticoduodenectomy (PD) using an indirect calorimetry (IC) with the help of five predictive equations. Methods: The subjects chosen for the study were 18 patients (12 males, 6 females) who underwent PD at Chonbuk National University Hospital between March 2010 and October 2011. REE was measured by IC (ICREE) and calculated with the following five predictive equations - (eqREE)-Harris-Benedict (HB), Mifflin St. Jeor (MI), American College of Chest Physician (AC), Ireton- Jones (IJ) and Cunningham (CU) equation - on postoperative day 3. Results: The mean measured REE by IC was 1,117.9 ±180.2, whereas the mean predicted REE by HB, MI, AC, IJ and CU equations were 1,241.3±156.1, 1,226±153.0, 1,401.7±188.0, 1,355.1±342.7, and 1,324.8±188.7 kcal/ day, respectively. The mean predicted REE by HB, MI, AC, IJ, and CU were found to be significantly different from the measured ICREE. The intraclass correlation coefficient ICC), which describes the degree of agreement with the ICREE, was significantly highest in CUeq REE (r= 0.679). The rate of accuracy of HBeq REE, MIeq REE, ACeq REE, IJeq REE, and CUeq REE for ICREE was 27.8%, 50.0%, 27.8%, 22.2%, and 23.5%, respectively, in individual subjects. Conclusion: The intraclass correlation coefficient (r= 0.124∼0.679) and accuracy rate (22.2∼50.0%) determined from the results of REE measured by IC and that calculated by five predictive equations were low in overall. The low accuracy rate of energy expenditure by equations, which apply uniform indicators, can be explained by ongoing metabolic changes of the patient. Thus, the use of IC is recommended to assess energy requirements in PD; when this method is not practical in clinical settings, nutrition intervention is needed through regular monitoring because of the low accuracy rate of the predictive methods and ICREE that can cause inappropriate energy management, leading to metabolic disorders. (JKSPEN 2013;5(1):24-30).
김설아 ( Seol Ah Kim ),김예지 ( Yeo Jin Kim ),김여진 ( Ye Ji Kim ),김주신 ( Ju Sin Kim ),신선미 ( Sun Mi Shin ),윤녕란 ( Neoyng Ran Yun ),최지혜 ( Ji Hye Choi ),황찬희 ( Chan Hee Hwang ),박수희 ( Soo Hee Park ) 고령자·치매작업치료학회 2015 고령자.치매작업치료학회지 Vol.9 No.1
목적: 본 연구의 목적은 그림 맞추기 활동과 전두엽기능의 관계에 대해 알아보기 위함이다. 카드 뒤집는 활동이 기억력을 담당하는 전두엽에 영향을 미치는지 알아보고자 하였다. 연구방법: 인지에 문제가 없고 연구 참여에 동의를 한 H대학교 재학생 30명을 대상으로 하였다. 대상자를 무작위로 나누어 15명은 실험군, 15명은 대조군으로 선정하였다. 실험군에게는 주 7회, 10분 씩, 아침과 저녁으로 하루에 2번 씩, 2주 동안 카드 뒤집기를 시행했으며, 대조군을 대상으로 사전 검사 후주 7회, 10분 씩, 아침저녁으로 풍선불기를 시행하였다. 연구결과: 실험군, 대조군의 카드 뒤집기 평균시간을 비교하였고, 두 집단의 집단 총체적인 통계량을 보면 실험군은 15명으로 평균은 1.91, (±3.41)이다. 대조군의 명수는 15명으로 평균은 0.27, (±2.98) 이다. 두 집단의 전두엽 관리기능 검사 결과는 평균 차는 1.64000으로 계산 되었고 실험군과 대조군에서 p값은 0.17로 통계적으로 유의한 결과를 보였다. 결론: 그림 맞추기 활동이 기억력을 담당하는 전두엽의 기능을 향상시키는데 효과가 있는 것으로 나타났다. Objectives : Jigsaw activities and learn about the relationship between frontal lobe function is intended. Memory card that is responsible for overturning the activity in the frontal impact was investigated. Methods : The study is not a problem for agreeing to participate in the H university Students 30 people were included in the study. 15 patients randomly assigned to the experimental group subjects, 15 patients were selected as controls. Results : The experimental group A, group B of the control group look at the comparison of the evaluation time was flipping cards. Look at the population statistics of the two groups A group of 15 people the average 1,9067, the standard deviation of 3.40873, 0.88012 the standard error of the mean. Group B is the average of 15 patients a master of 0.2667, Standard deviation of 2.97073, 0.76704 average error. Management of the two groups frontal test results were statistically significant values (p < .05), and has a significant probability of 0.171, and the average car 1.64000, standard error of the difference was calculated to be 1.16746. This experiment is significant probability p < 0.5 by significant probability value of 0.171 results were significant. Conclusion : Jigsaw activity of the frontal lobe that is responsible for the memory effect that has a certain extent was different.
위장관 수술 후 발생한 장관 누공 환자에서 영양집중지원팀에 의뢰된 내용 분석
정미진 ( Mi Jin Jeong ),유희철 ( Hee Chul Yu ),황시은 ( Si Eun Hwang ),김찬영 ( Chan Young Kim ),이민로 ( Min Ro Lee ),김선형 ( Sun Haeng Kim ),김행순 ( Hyeong Seon Kim ),김주신 ( Ju Sin Kim ),문미경 ( Mi Kyung Moon ),윤완기 ( Wan 한국정맥경장영양학회 2010 한국정맥경장영양학회지 Vol.3 No.1
Purpose: The role of nutrition support for the management of enterocutaneous fistula is primarily one of supportive care to prevent malnutrition and thereby halt further deterioration of an already debilitated patient. This therapy is best managed by a nutritional support team (NST). For activation of the NST, physicians must become more aware of the need for nutrition support in patients, and so referrals are required from physicians. This study examined the referrals to the nutritional support team for patients with postoperative enterocutaneous fistula. Methods: Between March 2007 and May 2009, we reviewed 34 patients with postoperative enterocutaneous fistula and who was referred to the NST. Results: The mean age of the patients was 61.1±11.5years. Twenty seven cases were males and 7 were females. The routes of nutrition support were EN+PN: 32 (55.2%), PN: 16 (27.6%), EN: 8 (13.0%) and oral intake+PN: 2 (3.4%). The direct referrals were 45 (77.6%) and the indirect referrals though the nutritional screening system were 13 (22.4%). The referrals for EN were 40 (69%) and those for PN were 18 (31.0%). The recommendations by the NST were accepted in 48 (82.8%) of the cases. The EN recommendations were accepted in all 40 (100.0%) of the cases. The PN recommendations by direct referral were accepted in 6 of 7 cases, but only 2 of 11 cases were accepted according to indirect referral. Conclusion: More aggressive and thorough follow-up on whether or not to accept the NST recommendation is required. This study shows that regular scheduled nutrition support service orientations for the different staff and departments of the hospital should be held each year. (KJPEN 2010;3(1):45-49)