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지속성외래복막투석 환자에서 발생한 Trichosporon beigelii 복막염
양중일 ( Yang Jung Il ),김미애 ( Kim Mi Ae ),정은영 ( Jeong Eun Yeong ),백주은 ( Baeg Ju Eun ),하혜정 ( Ha Hye Jeong ),김현정 ( Kim Hyeon Jeong ),박동준 ( Park Dong Jun ),장세호 ( Jang Se Ho ),전은실 ( Jeon Eun Sil ) 대한신장학회 2004 Kidney Research and Clinical Practice Vol.23 No.3
Fungal peritonitis is one of the leading causes of patients dropout from continuous ambluatory peritoneal dialysis (CAPD) therapy. Although the most causative agents of peritonits associated with CAPD are bacteria, fungi are implicated in up to 10% of cases. The most common organism of fungal peritonitis is Candida specises, but Trichosporon beigelii was reported as a rare causative agent of fungal peritonitis. We experienced a case of CAPD peritonitis by Trichosporon beigelii, which was treated with CAPD catheter removal, and antifungal agents with amphotericin B and fluconazole. Thus, we report our experience of CAPD peritonitis caused by Trichosporon beigelli and review of the literature. (Korean J Nephrol 2004;23(3):518-522)
여대중(Dai Jung Yeo),이준형(Jun Hyung Lee),양윤준(Yun Jun Yang),윤영숙(Yeong Sook Yoon),이언숙(Eon Suk Lee),김정일(Jung Il Kim),김성은(Seong Eun Kim),김동준(Dong Jun Kim) 대한스트레스학회 2015 스트레스硏究 Vol.23 No.4
이 연구의 목적은 병원 종사자들의 감정노동과 직무스트레스를 살펴보고 업무장소에 따른 직무 스트레스 차이를 분석하는 것이다. 대상자는 201명의 병원종사자이고 자료는 SPSS 21.0을 이용하여 기술통계와 t-test, ANOVA, pearson 상관관계, 다중 회귀분석을 통해 자료를 분석하였다. 병원 종사자의 감정노동과 직무스트레스에는 양의 상관관계가 있음이 발견되었다. 직무스트레스의 가장 주된 요인은 감정노동의 세부항목인 감정노동빈도와 감정표현주의정도이었다. 그리고 직무스트레스의 평균은 중환자/수술실, 일반병동, 건강검진센터, 외래 순이었다. 검진센터 종사자의 직무스트레스는 외래 종사자의 직무스트레스보다 높고 중환자/수술실 종사자보다 낮았다. 검진센터 종사자는 외래종사자보다 전문지식 부족과 대인관계로 인한 직무스트레스가 높았고 검진센터 종사자는 중환자/수술실 종사자보다 업무량 과중, 전문직 갈등, 밤근무로 인한 직무스트레스는 낮았다. 검진센터 종사자의 직무스트레스의 요인이 다른 부서 종사자의 직무스트레스의 요인과는 다르기 때문에 직무스트레스 경감 방안을 생각할 때 다른 접근방식이 필요하다고 생각한다. The purpose of this study was to investigate the effects of emotional labor and job stress and analyze job stress according to work place in hospital employees. Participants were 201 hospital employees and data were analyzed using descriptive statistics, t-test, ANOVA, pearson correlation coefficients and multiple regression with SPSS 21.0. A positive correlation was found between job stress and emotional labor. The strongest predictor of job stress was frequency of emotional display and attentiveness to required display rules. And the average job stress was highest in operating room/intensive care units, followed by general wards, health promotion center, outpatient department. There was a significant difference between health promotion center employees and outpatient department employees in lack of skill, interpersonal environmental strain and the average job stress. The job stress of health promotion center employees was higher than that of outpatient department employees. And it was lower than the intensive care unit/operating room employees. Health promotion center employees have a higher job stress than outpatient department employees due to lack of skill and interpersonal environmental strain. Health promotion center employees have a lower job stress than operating room/intensive care units employees due to role overload, role conflict, night work. Job stress factors of the health promotion center employees differ from those of other hospital department. And different approach is necessary to relieve job stress in health promotion center employees.
박정우 ( Jung Woo Park ),이장영 ( Jang Young Lee ),이원석 ( Won Suck Lee ),성원영 ( Won Young Sung ),서상원 ( Sang Won Seo ),양중일 ( Jung Il Yang ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
Purpose: Detection and determination of tendon injury in the finger or hand is not easy. Therefore, we aimed to study and evaluate the accuracy and the effectiveness of ultrasonography for the diagnosis of finger tendon injury. Methods: In this study, we enrolled patients, regardless of age and sex, with lacerations on their fingers. Patients with invisible wounds were excluded. We evaluated the accuracy and the effectiveness of ultrasonography and compared the results obtained from ultrasonography and with those obtained by visual observation of the injuries. Results: The sensitivity, the specificity and the accuracy of ultrasonography were found to be 66.7%, 100% and 91.3%, respectively (p<0.001) while those of physical examination were 71.4%, 98.3% and 91.3%, respectively. Small differences were observed between the sensitivities and specificities of the two examinations; however, the accuracies were the same (p<0.001). The area under the receiver operating characteristic (ROC) curve, which was used for diagnosis of tendon rupture using ultrasonography, was found to be 0.985 (95% confidence interval CI: 0.929-0.999),while that of physical examination was 0.938 (95% CI: 0.861-0.980). Conclusion: Ultrasonography can be used an effective diagnostic tool for patients with finger tendon injury. [ J Trauma Inj 2014; 27: 139-44 ]
2개 대학병원 응급센터에 내원한 급성 불화수소산 노출 환자에 대한 임상적 경험
한규홍,양중일,조성욱,조용철,유승,이진웅,김승환,유인술,유연호,박정수,Han, Kyu-Hong,Yang, Jung-Il,Jo, Seung-Yook,Cho, Yong-Chul,Ryu, Seung,Lee, Jin-Woong,Kim, Seung-Whan,Yoo, In-Sool,You, Yeon-Ho,Park, Jung-Soo 대한임상독성학회 2009 대한임상독성학회지 Vol.7 No.2
Purpose: We investigated the clinical characteristics and demographics of patients who suffered from hydrofluoric acid chemical injury and the mechanism of damage. Methods: We retrospectively reviewed the medical records of patients who were exposed to hydrofluoric acid from March 2004 to March 2009 and who were seen at the emergency centers in two university teaching hospitals. Results: Forty four patients out of 47 patients suffered from chemical burn, while the injuries of the remaining 3 could not be identified by the medical records. A total of 17 hydrofluoric acid chemical injury patients were enrolled during the study period, and their mean age was $29.6{\pm}7.0$. All the patients were accidentally injured by contact with the material and none of them inhaled or ingested the material. Only 6 patients wore appropriate protective equipments and 5 underwent the water irrigation for more than 10 minutes. The most common exposure area was the hand and forearm (70.5%). Less than 1% of all of the patients had their total body surface (TBS) exposed to hydrofluoric acid (mean=0.35%). The mean time interval from calcium gluconate administration to pain relief was $33.6{\pm}8.8$ hours. Conclusion: When exposed to hydrofluoric acid, it is important to wear protective equipment and undergo water irrigation for more than 10 minutes. Pain and skin damage were observed in all the patients. After treatment, we concluded that administration of calcium gluconate and pain killers was successful in relieving pain, and the prognosis was also positive for the admitted and followed up patients when less than 1% of the TBS was exposed.
병원종사자에서 직무 특성 및 직무스트레스가 건강행태에 미치는 연관성
김동준(Dong Jun Kim),이언숙(Eon Sook Lee),양윤준(Yun-Jun Yang),윤영숙(Yeong Sook Yoon),이준형(Jun-Hyung Lee),여대중(Dai Jung Yeo),김정일(Jung Il Kim),김성은(Seong Eun Kim),송은경(Eun Gyoung Song),이지연(Ji Yeon Lee) 대한스트레스학회 2016 스트레스硏究 Vol.24 No.2
직무스트레스는 심혈관 질환 발생에 영향을 미치는 것으로 알려져 있고 건강행태가 이에 관련된 것으로 알려져 있다. 본 연구는 병원 종사자의 직무스트레스와 흡연, 음주, 운동, 수면 등 건강행태의 연관성을 평가하기 위해 시행되었다. 2015년 일개 대학병원의 전 직원 980명을 대상으로 자기 기입식 설문조사를 시행하였고 설문에 충실하게 응답한 687명의 직무스트레스와 생활습관을 분석하였다. 설문 내용은 나이, 성별, 결혼, 직업, 직위, 교대근무여부, 정규직여부를 조사하였고 직무스트레스는 한국인 직무 스트레스 측정도구(KOSS)를 이용하여 평가하였다. 스트레스를 얼마나 느끼는지 스트레스 인지를 평가했으며 건강 행태로 흡연, 음주, 운동, 불충분한 수면을 조사하였다. 현재 흡연, 문제 음주, 비 운동, 불충분한 수면을 종속 변수로 두고 KOSS 점수와 하위척도를 독립변수로 하여 로지스틱 회귀분석을 하였다. 연구 대상자의 KOSS 총점은 남자 50.8점, 여성은 56.2점으로 높은 스트레스 범위에 있었다. 다변량 로지스틱 회귀분석 결과 KOSS 하위 요인 중 직무요구도가 높을수록 불충분한 수면이 많았다(OR 1.04, 95% 1.01∼1.08 in men, OR 1.02, 95% 1.00∼1.04 in women). 남성의 총 KOSS 점수는 불충분한 수면과 연관성을 보였다. 여성은 직무자율성이 결여될수록 운동을 하지 않았다. 교대근무자에서 문제 음주가 많았고, 스트레스를 많이 느낄수록 불충분한 수면이 많았다(OR 6.7, 95% CI 2.2∼22.5 in men, OR 2.2, 95% CI 1.4∼3.5 in women). 병원종사자의 직무스트레스가 높고 직무스트레스가 음주, 운동 및 불충분한 수면 등 생활습관과의 연관성을 보였다. Purpose of this study is to evaluate association of job characteristics or occupational stress with health behavior in hospital employees. Total 687 employees were recruited from a university hospital in Korea and completed a self-administered questionnaire. The questionnaire includes demographic factors (age, marriage) and job characteristics such as job type, job position, shift work, type of employment. Perceived stress and occupational stress assessed by Korean Occupational Stress Scale were also measured. Outcome variables was bad health behavior such as current smoking, problem drinking, no exercise and insufficient sleep. Multivariate analyses were conducted separately in male and female because of different health behaviors by sex. In male, there was association between insufficient sleep and occupational stress, total score and subscales like job demand, organizational system, and occupational climate. In female, it was observed an association between insufficient sleep and job demand. Irregular exercise was associated with insufficient job control, job insecurity in female. Problem drinking was associated with shift worker. Insufficient sleep was related with stress perception. In conclusion, there are an association between occupational stress and health behavior in hospital employees.