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- 저자 : 백승(Seung Paik) (검색결과 6 건)
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송경애(Sohng Kyeong Yae),백승인(Paik Seung In),조옥희(Cho Ok Hee) 대한근관절건강학회 2004 근관절건강학회지 Vol.11 No.1
Purpose: To establish more effective health counseling system by internet and to provide basic data for developing on-line education program for lupus patients. Method: This survey analyzed the contents of health counseling cases from September 2002 to March 2004. Among 108 questioners visited questioning/answering(Q/A) site in one lupus center home page. Contents of Q/A were classified and analyzed using SAS program. Results: Most frequent questioners were female and twenties, they needed to know diagnosing process, treatment principles and information regarding the clinic visits. During the study period the average number of user's questioning were 166.2 cases and answering was 171.1 cases. Conclusions: These findings suggest that computer mediated health counseling may be useful supplement of health education for lupus patients. More research is needed to develop better health counseling service and education program on the web.
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백승(Seung Paik),김준명(June Myeong Kim),정재복(Jae Bock Chung),박준용(Jun Yong Park),김응(Eung Kim),홍천수(Chein Soo Hong),최흥재(Heung Jai Choi) 대한내과학회 1988 대한내과학회지 Vol.35 No.5
N/A In a nine-year retrospective study, there were S5 episodes (2.24%) of bacteremia among 3789 patients with liver cirrhosis. The total number of causative microorganisms was 87 strains. The mean patient age was 49.6±10.5 years. Of 85 patients, 69 were male and 16 were female giving a ratio of approximately 4.3 to 1. The peak of highest age incidence was the fourth and fifth decades. Community acquired bacteremia numbered 59 episodes and hospital acquired, 26 episodes. In hospital acquired bacteremia, twenty patients (76.9%) underwent one or more major procedures such as gastroscopy, endoscopic sclerotherapy, balloon tamponade, paracentesis, or intraabdominal surgery just before the onset of bacteremia. The causative microorganisms were 72 strains of gram-negative bacteria (82.8%) and 15 strains of gram-positive bacteria (17.2%). Of the more common microorganisms, E. coli accounted for 37.9 percent, Klebsiella 16.1 percent and Staphylococcus 14.9 percent. The incidence of Staphylococcus was relatively high in community acquired bacteremia, and Klebsiella was high in hospital acquired bacteremia. In community acquired bacteremia, E, coli were highly susceptible to aminoglycoside, cefamandole and third generation cephalosporin. Klebsiella were susceptible to aminoglycoside and second and third generation cephalosporin. Staphylococcus were highly susceptible to cephalothin, methicillin and clindamycin. In hospital acquired bacteremia, E. coli were highly susceptible to aminoglycoside and third generation cephalosporin, Klebsiella to aminoglycoside, cephalosporin and chloramphenicol, and Staphylococcus were susceptible to cephalothin, but 50% were susceptible to methicillin, clindamycin, erythromycin and chloramphenicol. Of 85 bacteremic patients with liver cirrhosis, 31 patients (36.5%) died; in community acquired bacteremia, 23 patients (37.7%) died and in hospital acquired bacteremia, 8 patients (30.8%) died. The causes of death were sepsis and/or septic shock, bleeding, hepatic coma, etc. The severity of the cirrhosis was assessed according to Child's grading; 2 patients were found to be in claw A (2.4/c ), 12 in class B (14,1%), and 71 in class C (83.5%), Seventy-three patients suffered from one or more of the following complications: ascites, encephalopathy, hematemesis, and spontaneous bacterial peritonitis. Two or more (mean 2.2) complications were associated with mortality eases, whereas approximately one (mean 1.3) complication was seen in improved patients. In conclusion, patients suffering from liver cirrhosis were highly susceptible to infection because of various defects in the defence system, and when bacteremia developed, the prognosis was very poor. Therefore, bacteremia should be considered a serious complication in liver cirrhosis.
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송경애,백승인,권은하 대한류마티스 건강전문학회 2003 근관절건강학회지 Vol.10 No.1
Due to the development in computer mediated communication, there are many homepages on the web, which provide medical on health counseling and education. The internet is becoming increasing1y important and essential in medicine. But little was known about what problems can be counseled and what difficulties are met during the computer mediated counseling. This study was performed to investigate the content and purpose of health counseling on the web. The data were collected from March 1st, 2002 to February 28th, 2003, from 199 questioners visited one rheumatic center homepage questionary/answering(Q/A) site. Most of the questioners consulted health problems of their own or their families. The 51.3% of them were diagnosed medically. Rheumatoid arthritis was the most frequent disease and followed systemic lupus erythematosus, gout and ankylosing spondylitis. Most of the questioners needed to know treatment principles, diagnosing process, and information regarding the clinic. During the one-year period, the average number of users questioning was 29.4 cases and answering was 44.8 cases. Above findings suggest that computer mediated health counseling of rheumatic patients may be useful supplemerlt of health education for them. Communication using internet has become popular, but this kind of approach needs a proper guideline. It is highly recommended that nurses be familiar with the e-health and e-medicine .
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김성규,조남훈,한승희,김세규,이원영,황성철,장준,백승,이유복 대한내과학회 1988 대한내과학회지 Vol.35 No.4
The endodermal sinus, or yolk sac tumor is a highly malignant and rare form of embryonal cell carcinoma which originates from the extraembryonic structure, as is choriocarcinoma, and occurs almost exclusively in males during the second and third decade of life, although it has been reported in children. In addition to the ovary and testis, endodermal sinus tumors have been described in extragonadal sites such as the sacrococcygeal region, the region of the pineal gland, the retroperitoneum and anterior mediastinum. We experienced a case of a primary mediastinal endodermal sinus tumor which occurred in a 29-year old male patient and was diagnosed by mediastinotomy. The patient has been treated with two courses of combination chemotherapy (vincristine, actinomycin-D and cyclophosphamide) and his condition has been followed up for 5 months.
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