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국소 지혈제 사용이 갑상선 절제술 후 배액 양에 미치는 영향
김호찬 ( Ho Chan Kim ),임길채 ( Gil Chai Lim ),김상윤 ( Sang Yoon Kim ),남순열 ( Soon Yuhl Nam ),노종렬 ( Jong-lyel Roh ),최승호 ( Seung-ho Choi ) 대한갑상선학회 2008 International Journal of Thyroidology Vol.1 No.1
Background and Objectives: The amount of postoperative drainage is important factor to decide hospitalization and medical expense. The purpose of this study was to verify the advantage of using topical hemostatic agents after total thyroidectomy with central neck dissection (CND) to reduce postoperative drainage. Materials and Methods: From Jun 2007 to March 2008, 79 patients underwent total thyroidectomy with CND by one surgeon. Before wound closure, the operative bed was covered with fibrin sealant (group A, Beriplast<sup>Ⓡ</sup>; n=22), microfibrillar collagen (group B, Avitene<sup>Ⓡ</sup>; n=30) or nothing (group C, control; n=27). The amount of drainage was measured every 24 hours until drain removal. The drainage amount, hospital stay, and total medical expense were compared among the 3 groups by T-test. Results: The drainage amount for group A, B and C was 43.4 ml, 48.5 ml, 49.7 ml on the first postoperative day, 41.9 ml, 48.5 ml, 49.7 ml on the second day, 16.3 ml, 21.8 ml, 20.2 ml on the third day, respectively, resulting in no significant difference (p=0.08∼0.8). Hospital stay was not different among 3 groups. Total medical expense for group A,B and C was 2,602,118 Korean Won (KRW), 2,657,255 KRW, 2,496,647 KRW, respectively, which showed significantly lower medical expense in group C than group A or B. Conclusion: Topical hemostatic agents are not helpful to reduce the amount of the postoperative drainage and medical expense in cases of total thyroidectomy with CND.
아스피린 탈감작으로 호전된 아스피린 과민증을 동반한 난치성 만성 두드러기 2예
오민수 ( Min Su Oh ),성길명 ( Gil Myeong Seong ),이혜숙 ( Hye Sook Lee ),임길채 ( Gil Chai Lim ),이재천 ( Jae Chun Lee ) 대한천식알레르기학회 2012 천식 및 알레르기 Vol.32 No.1
Background: Chronic urticaria is a disease which is defined as hives with itching which waxed and waned for more than 6 weeks. In some cases, hives are intractable and refractory even while on medical treatment. Aspirin can cause and exacerbate chronic urticaria. We experienced two cases of intractable aspirin-sensitive chronic uriticaria which were successfully controlled by aspirin desensitization. Case History: Two adult patients had been suffering from hives with itching which were diagnosed as aspirin sensitive chronic urticaria. Their hives had worsened during medical treatment and had been exacerbated by aspirin administration. Results: Aspirin desensitization was attempted in each patient and the hives were successfully treated without having hives of daily administration of aspirin 300 mg. Conclusion: Aspirin desentization can be used as a treatment option in patients with chronic urticaria with aspirin sensitivity. (Korean J Asthma Allergy Clin Immunol 2012;32:51-55)
제주 지역 간호사의 구강 악안면 영역 손상에 대한 응급 처치 인식도
이병진(Byoung-Jin Lee),송효정(Hyo-Jeong Song),임길채(Gil-Chai Lim),감세훈(Se-Hoon Kahm),김성준(Sung-Joon Kim) 대한치과의사협회 2012 대한치과의사협회지 Vol.50 No.12
The purposes of this work were to assess the cognition of the registered nurse(RN) on oral and maxillofacial emergency treatment and to compare cognition of the RN with that of the 119 emergency medical technician(EMT). 450 RNs who were working at each of secondary hospitals in Jeju province had responded to the questionnaire. Independent sample t-test and chi-square test were used to assess the state of RN on dental emergency treatment and to compare RN with EMT. The question "education time on dentistry in formal education" that marked "0 hour" and "1-3 hours" were 73.3% and 20.0%, respectively. The question "refresher training class on dentistry" that marked "0 hour" and "1-3 hours" were 92.9% and 6.7%, aggregately 99.6%. The results showed low score in the question "reduction of temporo-mandibular joint(TMJ)"(1.67±0.857), "fixation of dislocated TMJ"(1.70±0.853) and "post-avulsed tooth treatment"(1.78±0.774) by 5-point Likert scale. Likewise, the scores were 2.02±0.806 in the question "treatment of maxillofacial trauma", 2.76±1.061 in the question "emergent care of avulsed tooth", 2.70±1.095 in the question "treatment time of avulsed tooth" and 2.79±1.056 in the question "mouth guard", respectively. Compared to EMT, results of RN showed a statistically lower figure(ph0.05) in all items compared except the question "medicine control", and the question "doctor care in emergency room" was borderline(p=0.069). From this study, it is necessary for RN and student of nursing science to be educated on the oral and maxillofacial emergency treatment for the initial management of injuries. Authors suggest further co-study and nation-wide research with nursing care.
거주환경의 차이가 제주지역 소아의 흡입 알레르겐에 대한 감작률 및 알레르기질환 유병률에 미치는 영향
이혜숙 ( Hye Sook Lee ),홍성철 ( Sung Chul Hong ),김수영 ( Su Young Kim ),이근화 ( Keun Hwa Lee ),김재왕 ( Jae Wang Kim ),김정홍 ( Jeong Hong Kim ),최승효 ( Seung Hyo Choi ),임길채 ( Gil Chai Lim ),이재천 ( Jae Chun Lee ),신경수 ( 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2011 소아알레르기 및 호흡기학회지 Vol.21 No.3
Purpose: This study is to investigate the influence of the residential environment on the sensitization rates to aeroallergens and the prevalences of atopic disorders in the school children. Methods: Two elementary schools in Jeju, Korea were selected according to their distinctive residential environment, one located in the area surrounded by the tangerine farms and Japanese cedar forests (tangerine farming community) and the other rarely with them (non-tangerine farming community). All the school children (1,550 students) from the two school were enrolled in this study. Under their parents` informed consent, surveys based on International Study of Asthma and Allergies in Childhood questionnaire were answered by the parents and skin prick tests with 16 common aeroallergens were performed. Results: The questionnaire is responded from 1,290 parents (83.2%) and the skin test was done in 1,284 students (82.8%). The sensitization rates to more than one aeroallergen was 41.9%, increasing by age. The children residing in the tangerine farming community showed significantly higher sensitization rates than those from non-farming one (47.5% vs. 38.4%, P=0.004). The former were sensitized more frequently to house dust mite, citrus red mite and Japanese cedar pollen, while the others to outdoor moulds. However, the prevalence of atopic disorders had no difference between the two groups. Conclusion: The residential environment might influence the sensitization rates to prevalent aeroallergens in the environment among school children, but there is no difference in the prevalence of the atopic disorders. [Pediatr Allergy Respir Dis(Korea) 2011;21:176-185]
제주도의 도심, 감귤, 해안지역에 따른 초, 중, 고등학생의 흡입 알레르겐 감작률 비교연구
이혜숙 ( Hye Sook Lee ),홍성철 ( Sung Chul Hong ),김재왕 ( Jae Wang Kim ),김수영 ( Su Young Kim ),이근화 ( Keun Hwa Lee ),김정홍 ( Jeong Hong Kim ),최승효 ( Seung Hyo Choi ),임길채 ( Gil Chai Lim ),이재천 ( Jae Chun Lee ),김미옥 ( 대한보건협회 2011 대한보건연구 Vol.37 No.1
Objectives: This study is performed to find the difference of the regional inhalant allergy sensitization rates of the Students in Jeju Province, by comparing the urban, tangerine farming and coastal areas. Methods: The skin prick tests were applied to the 1,665 students of ages 9~16 in 3 schools in the urban area, 4 schools in the tangerine farming areas and 6 schools in the coastal areas. The skin prick tests were conducted from April 12~28, 2010. Results: There were 1,549 valid samples. The result showed 43.7% of the regional allergic sensitization rates of the Elementary, Middle and High School Students in Jeju Province. The sensitization rates by region were 50.2% in the tangerine farming areas, 40.9% in the urban areas, and 36.3% in the coastal areas. The allergens showing more than 7% sensitization rate included Dermatophagoides pteronyssinus, Dermatophagoides farinae, Japanese cedar, and Alternaria alternate. The tangerine farming areas showed 1.52 times higher sensitization rate to house dust mite, and 2.61 times to Japanese cedar while the coastal areas showed 3.45 times higher sensitization rate to Alternaria alternata. Conclusion: The sensitization rates showed a remarkable difference between the regions in jeju. The continuous and excessive exposure to allergens can develop or worsen allergic diseases. Therefore, counter measures are required to prevent and manage the regional allergens.