Prognostic Value of QRS Duration among Patients with Cardiogenic Shock Complicating Acute Heart Failure: Data from the Korean Acute Heart Failure (KorAHF) Registry

홍정애,Kim Min-Seok,Park Hanbit,Lee Sang Eun,이해영,조현재,최진오,전은석,황경국,채성철,Baek Sang Hong,Kang Seok Min,Choi Dong-Ju,Yoo Byung-Su,Kim Kye Hun,조명찬,김재중,오병희 대한심부전학회 2020 International Journal of Heart Failure Vol.2 No.2

Background and Objectives Prolonged QRS duration is associated with poor outcomes in patients with chronic heart failure (HF). However, the prognostic value of QRS duration in patients with cardiogenic shock complicating acute HF remains unknown. We evaluated the hypothesis that prolonged QRS duration may be associated with short-term mortality among acute HF patients with cardiogenic shock (CS). Methods From March 2011 through December 2013, a total of 5,625 acute HF patients were consecutively enrolled in ten tertiary university hospitals. Among them, we analyzed patients who presented with CS. Patients were divided into three groups by QRS duration cutoff values of 130 and 150 ms. The primary endpoint was 30-day in-hospital mortality. Results Two hundred eleven patients presented with CS at admission and those with available electrocardiograms were included in this analysis. There were 35 patients with QRS durations of 150 ms or above, 30 patients with QRS durations between 130 ms and 150 ms, and 146 patients with QRS durations below 130 ms. The 30-day all cause in-hospital mortality rates were 43.7%, 33.1%, and 24.9%, respectively. After multivariate adjustment, severe prolonged QRS duration was a significant prognostic factor for 30-day in-hospital mortality (hazard ratio, 1.909; 95% confidence interval, 1.024–3.558; p=0.042). Conclusions Prolonged QRS duration was associated with a higher risk of 30-day in-hospital mortality among patients with acute HF who presented with CS. Trial Registration ClinicalTrials.gov Identifier: NCT01389843 Background and Objectives Prolonged QRS duration is associated with poor outcomes in patients with chronic heart failure (HF). However, the prognostic value of QRS duration in patients with cardiogenic shock complicating acute HF remains unknown. We evaluated the hypothesis that prolonged QRS duration may be associated with short-term mortality among acute HF patients with cardiogenic shock (CS). Methods From March 2011 through December 2013, a total of 5,625 acute HF patients were consecutively enrolled in ten tertiary university hospitals. Among them, we analyzed patients who presented with CS. Patients were divided into three groups by QRS duration cutoff values of 130 and 150 ms. The primary endpoint was 30-day in-hospital mortality. Results Two hundred eleven patients presented with CS at admission and those with available electrocardiograms were included in this analysis. There were 35 patients with QRS durations of 150 ms or above, 30 patients with QRS durations between 130 ms and 150 ms, and 146 patients with QRS durations below 130 ms. The 30-day all cause in-hospital mortality rates were 43.7%, 33.1%, and 24.9%, respectively. After multivariate adjustment, severe prolonged QRS duration was a significant prognostic factor for 30-day in-hospital mortality (hazard ratio, 1.909; 95% confidence interval, 1.024–3.558; p=0.042). Conclusions Prolonged QRS duration was associated with a higher risk of 30-day in-hospital mortality among patients with acute HF who presented with CS. Trial Registration ClinicalTrials.gov Identifier: NCT01389843

지역사회 취약계층 아동의 신체활동 관련요인

홍정애,추진아,김혜진,박수연,양화미,유지현,권오영 한국간호과학회 2016 한국간호과학회 학술대회 Vol.2016 No.10

側頭骨의 含氣度가 聽力에 미치는 影響에 關한 硏究

洪正愛 순천향대학교 1980 논문집 Vol.3 No.3

The degree of the temporal bone pneumatization is various and it's development and function have not been clearly explained as yet. The range of normal hearing thresho1d level which is measured by pure-tone audiometry is variab1e(-10-25dB. ISO,1964) because of sensitivity of the auditory mechanism, psychological factor, location of the bone vibrator, the anatomical conditions of the mastoidal region and so on. To evaluate the effect of pneumatization of the temporal bone upon hearing, author analysed 122 ears without previous and present illness in ears who had visited the Seoul National University Hospital during a period of 14months from January 1979 till February 1980. The size of pneumatic cells of the temporal bone (taken by Law's view) was measures with a planimeter and hearing thresho1d level with a pure tone audiometer, and then the correlation between penumatization degree and air-bone gap was investigated. The results were as follows: 1, The air-bone gap revealed a linear decrease in proportion to degree of the temporal bone pneumatization. 2. The correlation coefficients between the pneumatization of the temporal bone and airbone gap were -0.795 at 500Hz. 0.717 at 1,000Hz, -0.763 at 2,00OHz and -0.793 at overall speech frequencies. (P<0.01) 3. The above results suggested that the air-bone gap is small in group of well penumatized temporal bones and large in the group of poorly pneumatized temporal bones.

스마트 기기를 활용한 수학 교수·학습이 학생들의 수학적 태도에 미치는 효과

홍정애,김원경 한국교원대학교 교육연구원 2014 敎員敎育 Vol.30 No.3

The purpose of this study is to analyze effects of the smart device based lesson on the mathematical attitude. For this study, QR codes of 5 hours lessons are developed and administered to 7 subjects of the 3rd grader in the W middle school. The research findings are as follows. First, the smart device based lesson influenced students’ mathematical attitudes affirmatively. Second, it is shown that students were interested in the lesson, happy to study and able to understand easily, but in the distracting atmosphere. Specially, under achiever was able to question directly to the teacher and solve the problems through SNS. 본 연구에서는 중학교 수학의 이차함수 단원에 대하여 스마트 기기를 활용한 QR 코드 기반의 교수․학습 자료를 개발하고, 이를 W 중학교 3학년 학생 7명을 대상으로 한 5차시의 수업에 적용하여 수학적 태도의 향상 효과를 분석하였다. 그 결과 스마트 수업은 학생들의 수학적 태도에 긍정적인 효과가 있으며, 학생들은 스마트 수업이 재미있고, 즐거우며, 학습 이해가 잘된다고 하였다. 특히, 학습 부진 학생도 SNS를 통해 교사에게 직접 질문하여 궁금증을 해소할 수 있어 좋다고 하였다. 그러나 학습 분위기가 조금 산만하다는 부정적 측면도 있었다.

심리치료사가 경험한 젠 테라피

홍정애 한국불교상담학회 2013 한국불교상담학회 학술대회지 Vol. No.

데이비드 브레이저 박사는 선 수행자이며 심리학자이다. 그는 불교를 표현하는 다양한 것 들 중의 하나로 “불교는 심리학 이다”라는 전제를 바탕에 두고 불교의 사상을 심리치료의 이 론적 개념으로 구조화 하고 부처님의 가르침을 심리치료라는 실천 학문으로 제시하고 있다. 본인이 데이비드 브레이저 박사의 Zen Therapy(이후 선치료)를 처음으로 접하게 된 것은 2012년 여름이었다. 사람을 만나고 그 사람이 해결하고자 하는 욕구들을 듣고 보고 살피는 심리치료사는 무엇을 의지처로 삼고 자신의 일을 할 수 있을까? 전문적인 지식과 훈련, 사람 들을 통해서 얻게 되는 통찰과 경험이 상담자로서의 역할에 기초가 되는 것은 분명하다. 그러 나 때때로 마주하는 알 수 없는 혼란, 피하고 싶은 두려움, 막막한 불안을 마주하면서 무력감 을 느끼는 경험을 하기도 한다. 과연 나는 이일을 잘하고 있는가? 제대로 나아가고 있는가에 대한 의문이 계속되고 누군가의 격려와 지지, 확신이 필요한 시점이었다. 이러한 시기에 참여 한 브레이저 박사의 선 치료 워크샵은 심리치료사로서의 자신을 통찰하게 하는 새로운 경험 이었다. 브레이저 박사는 자신의 저술인 선 치료의 서문에서 ‘이 책을 통하여 내가 한 일은 2,000년 전보다 훨씬 이전에 마음을 연구한 수행자들에 의하여 만들어진 초기 원전을 현대인 이 더 잘 이해할 수 있는 형식으로 재구성했는데 내가 염두에 두는 사람들은 영적 수행자나 심리치료사 이다’ 라고 밝히고 있다.

열성 탈모환자에 대한 가감청영탕(加減淸營湯) 효과의 임상적 연구

홍정애,강수진,장진영,강여름,Hong, Jung-Ae,Kang, Su-Jin,Jang, Jin-Young,Kang, Yeo-Reum 대한한방안이비인후피부과학회 2013 한방안이비인후피부과학회지 Vol.26 No.2

Objectives : The main purpose of this study is to investigate the efficiency of Gagamchengyoung-tang (Ji$\bar{a}$ji$\check{a}$nq$\bar{i}$ngy$\acute{i}$ng-t$\bar{a}$ng) and examine the febrile tendency in the alopecia patients Methods : Of the patients who have visited Balmers Korean Medicine clinic for alopecia from December first 2012 to December 31st 2012, we enrolled 30 patients and performed heat and cold diagnosis, examine scalp and check hair density. We administrated Gagamchengyoung-tang(Ji$\bar{a}$ji$\check{a}$nq$\bar{i}$ngy$\acute{i}$ng-t$\bar{a}$ng) and acupuncture to all patients. The effect was assessed by scalp condition and hair density Results : The scalp disorder index decreased and hair density increased in alopecia patients with febrile tendency Conclusions : All patients had febrile tendency and Gagamchengyoung-Tang(Ji$\bar{a}$ji$\check{a}$nq$\bar{i}$ngy$\acute{i}$ng-t$\bar{a}$ng) can be effective in the scalp disorder and alopecia.

鼻粘膜 病巢의 形質細胞에 對한 免疫組織化學的 硏究

洪正愛,廉範愚,李大一 고려대학교 의과대학 1985 고려대 의대 잡지 Vol.22 No.1

Rhinitis is one of common diseases affecting human and can be divided into two major types, allergic and nonallergic. Allergic rhinitis is diagnosed by clinical histories correlating with skin tests, gross findings of nasal mucosa, and elevated serum Ig E. The eosinophill a, which is highly characteristic but not confirmative of allergic rhinitis, was invariably noted in the clinical entity such as nasal polyposis, perennial nonallergic rhinitis, and aspirin intolerance. The author had performed an experimental study using rabbit antithuman Ig G. Ig M, and Ig A on the tissue sections of nasal mucosa in order to find differences between allergic and nonallergic rhinitis, and also counted the numbers of tissue mast cells in the lesion. The results obtained are as follows; 1. In nonallergic rhinitis, all the cases examined showed plasma cells which react to antihuman Ig G and Ig A especially in the edematous connective tissue and periglandular areas. 2. In allergic rhinitis, most plasma cells in the lesion reacted with Ig A antibody. 3. Plasma cells which react to the antihuman Ig M antibody were found less than half in cases of both nonallergic and allergic rhinitis. 4. The numbers of tissue mast cells were significantly increased in the cases of allergic rhinitis than those of nonallergic rhinitis. With the above results, it seems to be possible to differentiate allergic rhinitis from nonallergic rhinitis by scarcity of plasma cells which react antihuman Ig G antibody and increase in numbers of tissue mast cells.

側頭骨의 含氣度가 聽力에 미치는 影響에 關한 硏究

洪正愛 순천향대학교 1997 Journal of Soonchunhyang Medical Science Vol.3 No.3

비만환자의 변증유형에 대한 임상보고

홍정애 ( Jung Ae Hong ),김성수 ( Sung Soo Kim ),신현대 ( Hyun Dae Shin ) 대한한의학회 한방재활의학과학회 2001 한방재활의학과학회지 Vol.11 No.3

중풍환자의 피로도에 관한 연구

홍정애 ( Jung Ae Hong ),김민철 ( Min Chel Kim ),박종삼 ( Jong Sam Park ),신현대 ( Hyun Dae Shin ) 한방재활의학과학회 2002 한방재활의학과학회지 Vol.12 No.4

Objective : The purpose of this study was to help rehabilitive treatments by evaluate fatigue ratio of patient in stroke by subjective symptoms of fatigue testMethods : We perfomed a study on 35 cases of patients in stroke who had been admitted to DongSeo Oriental HospitalResult and conclusion: 1.The percent of physical symptoms is 40.8%, The most frequent item in physical symptoms is "Get tired of whole body", "Become drowsy", "Feel strained in the eye"The percent of mental symptoms is 33.3%, The most frequent item in mental symptoms is "Become apt to forget things", "Apt to make mistakes"The percent of neuro-sensory symptoms is 25.8%, The most frequent item in neuro-sensory symptoms is "Feel stiff in the shoulders", " Feel thirsty"2.In comparision between fatigue ratio and general characteristics of studied subjects, comparision between fatigue ratio and education level and attack duration is significant, but sex, age, sleeping hour, impression, D.M., hypertension, upper limb motor grade, lower limb motor grade are not significant.